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socialanxietyonsetofillness

J Psychopathol Behav Assess (2007) 29:101–110 DOI 10.1007/s10862-006-9033-x ORIGINAL PAPER Onset of Illness and Developmental Factors in Social Anxiety Disorder: Preliminary Findings from a Retrospective Interview Kristy L. Dalrymple · James D. Herbert · Brandon A. Gaudiano Published online: 19 September 2006 C? Springer Science+Business Media, Inc. 2006 Abstract Although many advances have been made in the treatment of Social Anxiety Disorder (SAD), less is known about its onset and factors related to its course and sever- ity. The current study aimed to investigate developmental factors (e.g., onset of illness, behavioral inhibition, socially traumatic experiences) that research has suggested are re- lated to the course and severity of SAD in a sample of adults diagnosed with generalized SAD. Results showed behavioral inhibition to be the only consistent predictor of current sever- ity. Results for age of onset were consistent with previous studies suggesting an early childhood and later adolescent pattern. In addition, an earlier age of onset negatively im- pacted improvement in cognitive behavior therapy for SAD, but no other developmental factors were related to treat- ment outcome. Future research using longitudinal designs and multiple informants is needed to confirm findings from retrospective reports. Keywords Social phobia . Onset of illness . Etiology . Development . Behavioral inhibition . Retrospective report K. L. Dalrymple Brown Medical School Rhode Island Hospital, Rhode Island, USA J. D. Herbert Drexel University, Philadelphia, PA, USA B. A. Gaudiano Brown Medical School Butler Hospital, Rhode Island, USA K. L. Dalrymple () Department of Psychiatry, Rhode Island Hospital, 235 Plain St., Suite 501, Providence, RI 02905, USA e-mail: kristy dalrymple@brown.edu. Social Anxiety Disorder (SAD) is an excessive fear of social or performance situations in which embarrassment or humil- iation may occur (American Psychiatric Association, 2000). SAD is the t