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Higher- and lower-order personality traits and cluster subtypes in social anxiety disorder
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Ekselius: Psychiatry.ORCID iD: 0000-0003-2516-9075
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology. Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden; Max Planck UCL Centre for Computational Psychiatry and Ageing Research, Berlin, Germany; Max Planck UCL Centre for Computational Psychiatry and Ageing Research, London, United Kingdom; Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.ORCID iD: 0000-0002-7796-8445
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0002-3648-3652
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2020 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 15, no 4, article id e0232187Article in journal (Refereed) Published
Abstract [en]

Social anxiety disorder (SAD) can come in different forms, presenting problems for diagnostic classification. Here, we examined personality traits in a large sample of patients (N = 265) diagnosed with SAD in comparison to healthy controls (N = 164) by use of the Revised NEO Personality Inventory (NEO-PI-R) and Karolinska Scales of Personality (KSP). In addition, we identified subtypes of SAD based on cluster analysis of the NEO-PI-R Big Five personality dimensions. Significant group differences in personality traits between patients and controls were noted on all Big Five dimensions except agreeableness. Group differences were further noted on most lower-order facets of NEO-PI-R, and nearly all KSP variables. A logistic regression analysis showed, however, that only neuroticism and extraversion remained significant independent predictors of patient/control group when controlling for the effects of the other Big Five dimensions. Also, only neuroticism and extraversion yielded large effect sizes when SAD patients were compared to Swedish normative data for the NEO-PI-R. A two-step cluster analysis resulted in three separate clusters labelled Prototypical (33%), Introvert-Conscientious (29%), and Instable-Open (38%) SAD. Individuals in the Prototypical cluster deviated most on the Big Five dimensions and they were at the most severe end in profile analyses of social anxiety, self-rated fear during public speaking, trait anxiety, and anxiety-related KSP variables. While additional studies are needed to determine if personality subtypes in SAD differ in etiological and treatment-related factors, the present results demonstrate considerable personality heterogeneity in socially anxious individuals, further underscoring that SAD is a multidimensional disorder.

Place, publisher, year, edition, pages
Public Library of Science (PLoS) , 2020. Vol. 15, no 4, article id e0232187
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Psychology Psychiatry
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URN: urn:nbn:se:uu:diva-409888DOI: 10.1371/journal.pone.0232187ISI: 000536668200043PubMedID: 32348331OAI: oai:DiVA.org:uu-409888DiVA, id: diva2:1427888
Funder
Swedish Research Council, 2016-0228Riksbankens Jubileumsfond, P17-0639:1Available from: 2020-05-04 Created: 2020-05-04 Last updated: 2022-10-28Bibliographically approved

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Frick, AndreasMånsson, KristofferEngman, JonasFaria, VandaHjorth, OlofHoppe, Johanna M.Gingnell, MalinFrans, ÖrjanBjörkstrand, JohannesRosén, JörgenAlaie, ImanÅhs, FredrikFredrikson, MatsFurmark, Tomas
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