Browsing by Author "Garcia, Katelyn M."

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    5-year follow-up of adolescents with social anxiety disorder: Current functioning during COVID-19
    Carlton, Corinne N.; Garcia, Katelyn M.; Honaker, Makayla; Richey, John A.; Ollendick, Thomas H. (Elsevier, 2023-04)
    The present study followed-up adolescents with social anxiety disorder (SAD) during the COVID-19 pandemic, approximately 5-years following their participation in an Attention Bias Modification Training (ABMT) program (Ollendick et al., 2019). The current study aimed to evaluate current functioning and quality of life (QoL) during the emerging adulthood period. Participants included 27 young adults who completed a randomized controlled trial of ABMT and were available for follow-up. Participants filled out self-report measures of QoL and functioning and underwent a clinical interview to assess current severity of social anxiety. Clinician-rated symptoms of SAD significantly decreased from post-treatment to 5-year follow-up. Additionally, results demonstrated that social anxiety severity was significantly related to poorer self-reported physical and psychological health as well as poorer functioning with regard to social distancing fears during COVID-19. Lastly, when evaluating change in symptoms over time, increases in social anxiety severity over a 5-year period significantly predicted worsened social distancing fears during COVID-19.
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    Can dialectical behavior therapy skills group treat social anxiety disorder? A brief integrative review
    Andino, Mara Villalongo; Garcia, Katelyn M.; Richey, John A. (Frontiers Media, 2024-01-08)
    The purposes of this brief integrative review are to identify and critically evaluate recent work in the area of Dialectical Behavior Therapy-Skills Group (DBT-SG) for Social Anxiety Disorder (SAD) with suicidal ideation (SI) and to suggest further how DBT-based skills may be applied to cognitive maintenance factors of SAD. Accordingly, we first evaluate the relevance of DBT in treating SI in other disorders. Second, we evaluate the relationship between SI and SAD, providing considerations for the complexity of comorbid disorders and presentations. Finally, we extend this knowledge to discuss considerations for the use of DBT-SG skills to target specific etiological and maintenance elements of SAD, with a focus on four themes (interpersonal effectiveness, mindfulness, emotion regulation, and distress tolerance). Overall, we conclude that DBT-SG may prove beneficial in reducing SI and symptoms in SAD that impact social and emotional functioning.
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    Characterization of Reward Sensitivity, Positive Affect and Working Memory in Socially Anxious Young Adults
    Garcia, Katelyn M. (Virginia Tech, 2021-10-12)
    Social anxiety disorder (SAD) is a debilitating disorder marked by persistent fear of one or more social or performance situations that is associated with poor daily functioning in various areas of life. Most empirically-supported interventions for SAD are based on cognitive behavioral models that focus largely on reducing negative emotions. However, these approaches produce only modest rates of remission, suggesting that core components of SAD may not be sufficiently targeted by current treatments. Recent theoretical models have suggested that diminished sensitivity to reward may be a specific factor related to low positive affect (PA) and by extension social anxiety, yet no research has systematically examined this relationship. Additionally, working memory has been found to activate dopamine synthesis related to reward, however this relation has not been demonstrated in social anxiety. Accordingly, research proposed here sought to characterize PA and working memory, and determine whether reward sensitivity is altered in a self-reported socially anxious sample of 59 young adults. We hypothesized that social anxiety symptomatology would be inversely correlated with the magnitude of reward sensitivity as measured using the Reward Bias Task (RBT). Results within the full sample did not support our hypothesis; however, an unexpected relationship between PA and working memory emerged. Once using conservative data quality procedures, results indicated that the online version of the reward bias task demonstrated promising relationships with depression and working memory. Additionally, after controlling for depression, the restricted sample demonstrated a relationship between reward bias mean and working memory, and SPIN and diminished PA.
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    Impacts of COVID-19 quarantine and isolation on adolescent social functioning
    Breaux, Rosanna; Cash, Annah R.; Lewis, Jasmine; Garcia, Katelyn M.; Dvorsky, Melissa R.; Becker, Stephen P. (Elsevier, 2023-06)
    This review discusses research conducted globally between March 2020 and March 2023 examining the impact of the COVID-19 pandemic on adolescent social functioning, including their lifestyle, extracurricular activities, family environment, peer environment, and social skills. Research highlights the widespread impact, with largely negative effects. However, a handful of studies support improved quality of relationships for some young people. Study findings underscore the importance of technology for fostering social communication and connectedness during periods of isolation and quarantine. Most studies specifically examining social skills were cross-sectional and conducted in clinical populations, such as autistic or socially anxious youth. As such, it is critical that ongoing research examines the long-term social impacts of the COVID-19 pandemic, and ways to promote meaningful social connectedness via virtual interactions.
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    Parenting Characteristics among Adults With Social Anxiety and their Influence on Social Anxiety Development in Children: A Brief Integrative Review
    Garcia, Katelyn M.; Carlton, Corinne N.; Richey, John A. (Frontiers Media, 2021-04-28)
    The purposes of this brief integrative review are to identify and critically evaluate recent work in the area of parenting processes that are disproportionately observed among parents with social anxiety disorder (SAD) that may ultimately increase risk among offspring, and to further link these processes to specific targets for intervention. Accordingly, we first evaluate the relevance of specific parenting styles as they pertain to increased risk of developing SAD among offspring. Second, we link these parenting processes to observations of certain unfavorable consequences among socially anxious youth, such as low perceived autonomy and poorer social skills. Finally, in light of these consequences we extend our conclusions into potentially modifiable targets among parents with SAD, focusing on the enhancement of autonomy and facilitating offspring’s normative period of transition into independence during adolescence. Overall, we conclude that parenting behaviors commonly observed among adults with SAD, such as overcontrol and low parental warmth, likely have a direct impact on the development of social anxiety symptoms among their children. However, these parenting behaviors are plausibly modifiable and therefore repurposing existing interventions for use among parents with SAD in conjunction with interventions with their offspring is likely to provide direct clinical benefit.