Social anxiety is a challenging disorder that can significantly impair social interactions. Research now suggests the condition may be primarily influenced by biological rather than psychological, or environmental factors.
Rick Nauert PhD has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.
Editor: Saad Shaheed
Social anxiety disorder, or social phobia, is an anxiety disorder in which a person has an excessive and unreasonable fear of social situations. Anxiety (intense nervousness) and self-consciousness arise from a fear of being closely watched, judged, and criticized by others.
As a result, people with social anxiety avoid situations in which they are exposed to judgment by others. Individuals often lead a withdrawn life and maintain contact with others via the Internet. Around one in ten people is affected by this anxiety disorder over the course of their life.
Researchers at the University of Bonn have now found evidence that a gene that is linked to the illness. The gene encodes a serotonin transporter in the brain.
Interestingly, this messenger suppresses feelings of anxiety and depressiveness. Study results are forthcoming in the journal Psychiatric Genetics.
Experts explain that being in a large group setting may trigger heart palpitations, trembling, and shortness of breath for those with social phobia. Even daily interactions with others are avoided as individuals fear a negative judgement.
Contact is often easier over social media or anonymously over the Internet. Experts believe social phobias are among the psychiatric disorders that are triggered simultaneously by genetic and environmental factors.
“There is still a great deal to be done in terms of researching the genetic causes of this illness,” says Dr. Andreas Forstner from the Institute of Human Genetics at the University of Bonn. “Until now, only a few candidate genes have been known that could be linked to this.”
Together with the Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy at the University Hospital Bonn, Dr. Forstner is conducting a study into the genetic causes of social phobia.
The research team investigated the DNA of a total of 321 patients and compared it with 804 control individuals. The focus of the scientists lay on what are known as single nucleotide polymorphisms (SNPs).
“There are variable positions in the DNA that can exist to various degrees in different people,” explains Dr. Forstner.
The cause of genetic illnesses often lies in the SNPs. It is estimated that more than thirteen million such changes exist in the human DNA. The scientists investigated a total of 24 SNPs that are suspected in the widest sense of being the cause of social phobias and other mental disorders.
“This is the largest association study so far into social phobia,” says associate professor (Privatdozent) Johannes Schumacher from the Institute of Human Genetics at the University of Bonn.
Over the course of the study, scientists at the Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy at the University Hospital Bonn will ask the patients about their symptoms and the severity of their social phobia.
Their DNA is also examined using a blood sample. Whether there is a link between the signs of the illness and the genes is being investigated by the scientists using statistical methods. The evaluation of the previously collected data indicated that an SNP in the serotonin transporter gene SLC6A4 is involved in the development of social phobia.
This gene encodes a mechanism in the brain that is involved in transporting the important messenger serotonin. This substance suppresses, among other things, feelings of fear and depressive moods.
“The result substantiates indications from previous studies that serotonin plays an important role in social phobia,” says associate professor (Privatdozent) Dr. Rupert Conrad from the Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy.
Medications that block serotonin reuptake and increase the concentration of the messenger in the tissue fluid in the brain have already long been used to treat anxiety disorders and depression.
The scientists now want to investigate more closely what the links are between the DNA and social phobia.
“In order to achieve this goal, we need many more study participants who suffer from social anxiety,” says the psychologist and study coordinator Stefanie Rambau from the Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy at University Hospital Bonn.
Information about the study is available at http://www.SocialPhobiaResearch.de. “Those who take part will help to research social phobia. This is the basis of better diagnosis and treatment procedures in the future,” says Stefanie Rambau.