title: Impact of family and school environment on the development of social anxiety disorder: a questionnaire study.
abstract: BACKGROUND
  Social anxiety disorder (SAD) is a very common condition, although its prevalence is believed to be underestimated. The affected subjects often have trouble to search for support. The onset occurs mainly in early adolescence. The aim of this paper was to evaluate the impact of school and family background on the development of SAD.
  
  
  METHODS
  Our survey, available on a popular social network site, was divided into 4 parts: 1) demographic data (gender, age, site of residence), 2) genetic and organic background (comorbid mental disorders, addictions), 3) situation at school and in the family environment during adolescence, 4) the part designed to define the group that may suffer from SAD with the use of the Mini-Social Phobia Inventory (Mini-SPIN).
  
  
  RESULTS
  226 people were recruited. The age range was 16-61, with the average of 25,8. 71% of the respondents lived in cities with a population of more than 100 000. Male to female ratio was 3:1. According to Mini-SPIN 26,5% of the interviewees might suffer from SAD (28.2% of women and 21.4% of men). Our study showed, that both family and school environment factors have an influence on the development of SAD. It was shown that the especially important risk factors are bad relations with peers and being an object of derision at school.
  
  
  CONCLUSIONS
  The percentage of network community users that are likely to suffer from SAD, significantly exceeds the clinical data. Both family and school environment factors were shown to be risk factors for the development of this disorder.
authors.affiliation: Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland.
authors.forename: Joanna
authors.initials: J
authors.lastname: Bracik
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Krysta
authors.forename: Adam
authors.initials: A
authors.lastname: Zaczek
mesh_terms: D000293:Adolescent; D000328:Adult; D058445:Bullying; D003430:Cross-Sectional Studies; D005195:Family Relations; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data; D010698:Phobic Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D011044:Poland; D011594:Psychometrics; D012307:Risk Factors; D012574:Schools; D012737:Sex Factors; D012931:Social Environment; D012944:Social Support; D055815:Young Adult