Factors Affecting Social Anxiety and Its Correlation to Social Media Addiction Among Undergraduates
[1]
Nurfarahin Binti Mushthaq Ahmad, Faculty of Medicine, Melaka Manipal Medical College (MAHE), Melaka, Malaysia.
[2]
Oshadhani Chathuranga Dayaratna, Faculty of Medicine, Melaka Manipal Medical College (MAHE), Melaka, Malaysia.
[3]
Devan a/l Baskaran, Faculty of Medicine, Melaka Manipal Medical College (MAHE), Melaka, Malaysia.
[4]
Aimaan Bin Zain al-Aabideen, Faculty of Medicine, Melaka Manipal Medical College (MAHE), Melaka, Malaysia.
[5]
Nantha a/l Regaibalan, Faculty of Medicine, Melaka Manipal Medical College (MAHE), Melaka, Malaysia.
Social anxiety disorder (SAD) is the constant fear which is unreasonable and/or excessive which stems from social situations. The main fear of the person is that he/she will act in such a manner that will result them to be evaluated negatively. The objective was to determine the different factors contributing to the development of social anxiety among undergraduate students and in turn the effect of social anxiety on social media addiction. Participants were given self-administered questionnaires and 161 participants have responded. There is a significant association between age and social anxiety (p=0.014). Males are less likely to develop social anxiety compared to females (odds ratio=0.56) (p=0.072). In terms of relationship status, those who are in relationships are less likely to develop social anxiety compared to those who are single (odds ratio=0.51) but the association is also not significant (p=0.056). Overweight individuals are less likely to develop social anxiety compared to those who are not (odds ratio=0.63) (p=0.154). People of Malay, Chinese are more likely to develop social anxiety compared to Indians. (Odds ratio=1.16, odds ratio, 1.21 respectively) whereas people of other ethnicities are less likely to develop social anxiety as compared to Indians (odds ratio= 0.94 (p=0.719, p=0.628, p=0.919 respectively). There is a statistically significant negative association between self-esteem and social anxiety (p=0.001). The regression coefficient (b) -1.47. People who have social anxiety are more likely to have salience in terms social media addiction (odds ratio=1.13) (p=0.696). People who have social anxiety are less likely to develop tolerance to social media usage (odds ratio=0.83) (p=0.574). People with social anxiety are more likely to use social media for mood modification (odds ratio=2.49) and was found to be a statistically significant association (p=0.005). Those with social anxiety are less likely to have a relapse of social media addiction (odds ratio=0.92) (p=0.799). People who have social anxiety are more likely to develop withdrawal effect when they have been prohibited from using social media (odds ratio=1.02) (p=0.947). People with social anxiety are likely to have more conflicts of social media and daily activities than those without social anxiety (odds ratio=2.26). This association was found to be statistically significant (p=0.011). In conclusion there was significant correlation between age, relationship status and self-esteem with social anxiety, but no association found between gender, ethnicity, and BMI. In terms of social media addiction, mood modification and conflict was found to have a significant association.
[1]
American Psychiatric Association (2013). Diagnostic & statistical manual for mental disorders (DSM). 5th edn. Washington, DC.
[2]
National Collaborating Centre for Mental Health (UK). Social Anxiety Disorder: Recognition, Assessment and Treatment. Leicester (UK): British Psychological Society; 2013. (NICE Clinical Guidelines, No. 159.) 2, SOCIAL ANXIETY DISORDER. Available from: https://www.ncbi.nlm.nih.gov/books/NBK327674/.
[3]
Khalifah Alkhalifah, Adnan & Saleh Alsalameh, Najeeb & Ali Alhomaidhy, Majed. (2017). Prevalence of Social Phobia among Medical Students in Saudi Arabia. The Egyptian Journal of Hospital Medicine. 69. 2412-2416. 10.12816/0041685.
[4]
Salina M, Ng CG, Gill JS, Chin CJ, Yap WF (2008). Social anxiety problem among medical students in University Malaya Medical Center (UMMC): a cross sectional study. Malaysian J Psychiatry 17, 17-22.
[5]
Ellison, N. B., Steinfield, C. and Lampe, C. (2007), The Benefits of Facebook “Friends:” Social Capital and College Students’ Use of Online Social Network Sites. JournaL of Computer-Mediated Communication, 12: 1143-1168. doi: 10.1111/j.1083-6101.2007.00367.x.
[6]
Quincy J. J. Wong, Ronald M. Rapee, The aetiology and maintenance of social anxiety disorder: A synthesis of complementary theoretical models and formulation of a new integrated model, Journal of Affective Disorders, Volume 203, 2016, Pages 84-100, ISSN 0165-0327.
[7]
Stein DJ, Lim CCW, Roest AM, et al. The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine. 2017; 15: 143. doi: 10.1186/s12916-017-0889-2.
[8]
Chavira DA, Stein MB (2005). Childhood social anxiety disorder: from understanding to treatment. Child and Adolescent Psychiatric Clinics of North America, 14, pp 797-818.
[9]
Schneier FR, Johnson J, Hornig CD, Liebowitz MR, Weissman MM. Social phobia: Comorbidity and morbidity in an epidemiologic sample. Archives of General Psychiatry. 1992; 49: 282–288.
[10]
Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62 (6): 593–602. doi: 10.1001/archpsyc.62.6.593.
[11]
Ansari, Sara and Patoo, Mozhgan and Mahmoudi, Mehrdad and Hassani, Leila P47: The Study of the Relationship between Social Anxiety and Self-Esteem in Adolescents between the Ages of 12-18, volume 2, number 3.
[12]
Natania Wright Ostrovsky and Charles Swencionis and Judith Wylie-Rosett and Carmen R Isasi, Social anxiety and disordered overeating: an association among overweight and obese individuals. Eating behaviors, 2013, volume=14 2, pages 145-148.
[13]
Shields M. (2004). Social Anxiety disorder –beyond shyness. Health Reports, 15, 45-61. Retrieved from https://search.proquest.com/docview/207470977?accountid=120421.
[14]
Jager PD, Suliman S, Seedat S. Role of ethnicity in social anxiety disorder: A cross-sectional survey among health science students. World Journal of Clinical Cases: WJCC. 2014; 2 (7): 265-271. doi: 10.12998/wjcc.v2.i7.265.
[15]
J. Raboch, Prevalence of social phobia among medical students, European Psychiatry, Volume 11, Supplement 4, 1996, page 374, ISSN 0924-9338.
[16]
Wayne W., D (1995). Biostatistics: A Foundation of Analysis in the Health Science (6th ed.). John Wiley & Sons, Inc., 180.
[17]
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
[18]
Osório FL, Crippa JAS, Loureiro SR (2009) Instruments for the assessment of Social Anxiety Disorder. Rev Psiquiatr Clín 32: 73–83.
[19]
Liebowitz MR (1987) Social phobia. Mod Probl Pharmacopsychiatry 22: 147–173.
[20]
Chung-Ying Lin and Anders Brostr{\"o}m and P. E. S. Nilsen and Mark D. Griffiths and Amir H. Pakpour, Psychometric validation of the Persian Bergen Social Media Addiction Scale using classic test theory and Rasch models, Journal of behavioral addictions, 2017.
[21]
Griffiths, M. D., Kuss, D. J., & Demetrovics, Z. (2014). Social networking addiction: An overview of preliminary findings. In K. P. Rosenberg & L. C. Feder (Eds.), Behavioral addictions: Criteria, evidence, and treatment (pp. 119 –141). London, England: Academic Press. http://dx.doi.org/10.1016/B978-0-12-407724-9.00006-9.
[22]
C.-H. Ko, J.-Y. Yen, C.-F. Yen, C.-S. Chen, C.-C. Chen, The association between Internet addiction and psychiatric disorder: A review of the literature, European Psychiatry, Volume 27, Issue 1, 2012, Pages 1-8, ISSN 0924-9338, https://doi.org/10.1016/j.eurpsy.2010.04.011 (http://www.sciencedirect.com/science/article/pii/S0924933810001197).
[23]
Caplan SE. Relation among loneliness, social anxiety and problematic Internet use. Cyberpsychol Behav 2007; 10 (2): 234-242. [Crossref], [PubMed], [Google Scholar].
[24]
Ju-Yu Yen, Chih-Hung Ko, Cheng-Fang Yen, Hsiu-Yueh Wu, Ming-Jen Yang, The Comorbid Psychiatric Symptoms of Internet Addiction: Attention Deficit and Hyperactivity Disorder (ADHD), Depression, Social Phobia, and Hostility, Journal of Adolescent Health, Volume 41, Issue 1, 2007, Pages 93-98, ISSN 1054-139X, https://doi.org/10.1016/j.jadohealth. 2007.02.002.
[25]
Esnaashari, N. and Daryapour, E., 2017. Evaluating Body Mass Index (BMI) and its role in social anxiety of female adolescents in Yazd, Iran. Journal of productivity and development, 3 (1), pp. 7-12.
[26]
Yang Xu, Franklin Schneier, Richard G. Heimberg, Katherine Princisvalle, Michael R. Liebowitz, Shuai Wang, Carlos Blanco, Gender differences in social anxiety disorder: Results from the national epidemiologic sample on alcohol and related conditions, Journal of Anxiety Disorders, Volume 26, Issue 1, 2012, Pages 12-19, ISSN 0887-6185.
[27]
Annette M. La Greca & Hannah Moore Harrison (2005) Adolescent Peer Relations, Friendships, and Romantic Relationships: Do They Predict Social Anxiety and Depression?, Journal of Clinical Child & Adolescent Psychology, 34: 1, 49-61, DOI: 10.1207/s15374424jccp3401_5.
[28]
Ansari S, Patoo M, Mahmoudi M, Hassani L. P47: The Study of the Relationship between Social Anxiety and Self-Esteem in Adolescents between the Ages of 12-18. Shefaye Khatam. 2014; 2 (S1): 71-71.
[29]
Katzelnick DJ, Kobak KA, DeLeire T, Henk HJ, Greist JH, Davidson JR, Schneier FR, Stein MB, Helstad CP. Impact of generalized social anxiety disorder in managed care. Am J Psychiatry. 2001 Dec; 158 (12) 1999-2007. doi: 10.1176/appi.ajp.158.12.1999. PMID: 11729016.
[30]
Andreassen, C. S., Billieux, J., Griffiths, M. D., Kuss, D. J., Demetrovics, Z., Mazzoni, E., & Pallesen, S. (2016). The relationship between addictive use of social media and video games and symptoms of psychiatric disorders: A large-scale cross-sectional study. Psychology of Addictive Behaviors, 30 (2), 252-262, http://dx.doi.org/10.1037/adb0000160.
[31]
Richard G. Heimberg, Cognitive-behavioral therapy for social anxiety disorder: current status and future directions, Biological Psychiatry, Volume 51, Issue 1, 2002, Pages 101-108, ISSN 0006-3223.
