Impact of verbal abuse on social anxiety among female college students: A cross-sectional study

Impact of verbal abuse on social anxiety among female college students: A cross-sectional study

Authors

  • Jawaher AlMusailhi Department of Psychiatry, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Fajar Aldulaijan College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Njood Alabdulqader College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Mae Aldossari Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Maan Saleh Department of Psychiatry, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Mahdi Abumadini Department of Psychiatry, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Kholoud Al Ghamdi Department of Physiology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

Keywords:

verbal abuse, social anxiety, females, college students

Abstract

Background and aim. Social anxiety is defined as the feeling of intense discomfort when interacting with others. Verbal abuse is an unjust behaviour where people are exposed verbally to words that assault them and eventually affect their psychological health. This study investigates the prevalence of both social anxiety and verbal abuse among female college students. It also studies the association between verbal abuse and social anxiety. Methods. A cross-sectional study on 220 female college students. Liebowitz Social Anxiety Scale, and verbal abuse questionnaire were distributed to the participants. Results. Among the 220 participants, 26.4% had social anxiety and 61.4% showed evidence of verbal abuse. Forty percent of the verbally abused participants suffered from one form or another of social anxiety. Also, verbal abuse was found to be a significant predisposing factor for social anxiety (P<0.001).  Conclusion. There is a relatively high percentage of verbal abuse and social anxiety among female college students. Also, verbal abuse may lead to social anxiety on the long-term. Raising awareness among regarding the long-term effects of verbal abuse is a very important issue to prevent its consequences not only on the verbally abused themselves, but also on their societies.

References

Heimberg RG, Horner KJ, Juster HR, Safren SA, Brown EJ, Schneier FR, Liebowitz MR. Psychometric properties of the Liebowitz Social Anxiety Scale. Psychol Med. 1999 Jan;29(1):199-212. doi: 10.1017/s0033291798007879. PMID: 10077308.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.) https://doi-org.ezproxy.frederick.edu/10.1176/appi.books.9780890425596.

Boyle LE. The (un)habitual geographies of Social Anxiety Disorder. Soc Sci Med. 2019 Jun; 231:31-37. doi: 10.1016/j.socscimed.2018.03.002. Epub 2018 Mar 2. PMID: 29525271.

Nordahl H, Wells A. Metacognitive Therapy for Social Anxiety Disorder: An A-B Replication Series Across Social Anxiety Subtypes. Front Psychol. 2018 Apr 12;9:540. doi: 10.3389/fpsyg.2018.00540. PMID: 29706924; PMCID: PMC5906593.

National Collaborating Centre for Mental Health (UK). Social Anxiety Disorder: Recognition, Assessment and Treatment. Leicester (UK): British Psychological Society (UK); 2013. PMID: 25577940.

Chapdelaine A, Carrier JD, Fournier L, Duhoux A, Roberge P. Treatment adequacy for social anxiety disorder in primary care patients. PLoS One. 2018 Nov 5;13(11):e0206357. doi: 10.1371/journal.pone.0206357. PMID: 30395608; PMCID: PMC6218038.

Crome E, Grove R, Baillie AJ, Sunderland M, Teesson M, Slade T. DSM-IV and DSM-5 social anxiety disorder in the Australian community. Aust N Z J Psychiatry. 2015 Mar;49(3):227-35. doi: 10.1177/0004867414546699. Epub 2014 Aug 13. PMID: 25122449; PMCID: PMC4361462.

Shdaifat EA, Al Amer MM, Jamama AA. Verbal abuse and psychological disorders among nursing student interns in KSA. J Taibah Univ Med Sci. 2020 Feb 6;15(1):66-74. doi: 10.1016/j.jtumed.2019.12.007. PMID: 32110185; PMCID: PMC7033410.

Keller R, Krainovich-Miller B, Budin W, Djukic M. Predictors of nurses' experience of verbal abuse by nurse colleagues. Nurs Outlook. 2018 Mar-Apr;66(2):190-203. doi: 10.1016/j.outlook.2017.10.006. PMID: 29685794.

Silwal K, Joshi S. Verbal Abuse among Nurses in Tertiary Care Hospitals. JNMA J Nepal Med Assoc. 2019 Jul-Aug;57(218):243-247. doi: 10.31729/jnma.4571. PMID: 32323655; PMCID: PMC8827529.

Kessler RC, Petukhova M, Sampson NA, Zaslavsky AM, Wittchen H -U. Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. Int J Methods Psychiatr Res. 2012;21(3):169-184. doi:10.1002/mpr.1359

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 Jun;62(6):593-602. doi: 10.1001/archpsyc.62.6.593. Erratum in: Arch Gen Psychiatry. 2005 Jul;62(7):768. Merikangas, Kathleen R [added]. PMID: 15939837.

Yücens B, Üzer A. The relationship between internet addiction, social anxiety, impulsivity, self-esteem, and depression in a sample of Turkish undergraduate medical students. Psychiatry Res. 2018 Sep;267:313-318. doi: 10.1016/j.psychres.2018.06.033. Epub 2018 Jun 14. PMID: 29957547.

Kazzaz YM, AlAmeer KM, AlAhmari RA, Househ M, El-Metwally A. The epidemiology of domestic violence in Saudi Arabia: a systematic review. Int J Public Health. 2019 Nov;64(8):1223-1232. doi: 10.1007/s00038-019-01303-3. Epub 2019 Oct 18. PMID: 31628522.

Afifi ZE, Al-Muhaideb NS, Hadish NF, Ismail FI, Al-Qeamy FM. Domestic violence and its impact on married women's health in Eastern Saudi Arabia. Saudi Med J. 2011 Jun;32(6):612-20. PMID: 21666945.

World Health Organization. (‎2013)‎. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. World Health Organization. https://apps.who.int/iris/handle/10665/85239

Aldulijan F, Al Rashed AS, Al Khamis A, Al-Jumaiah M, Al Ammar ZA, Al Shaqaq Z, Irshad S. The Impact of Female Abuse on Social Anxiety Among Females of Al Ahsa, Saudi Arabia: A Pilot Study. EC Psychology and Psychiatry. 2017 5.4: 110-116.

Al-Shamlan NA, Jayaseeli N, Al-Shawi MM, Al-Joudi AS. Are nurses verbally abused? A cross-sectional study of nurses at a university hospital, Eastern Province, Saudi Arabia. J Family Community Med. 2017 Sep-Dec;24(3):173-180. doi: 10.4103/jfcm.JFCM_45_17. PMID: 28932162; PMCID: PMC5596630.

Banakhar M, Alzahrani M, Essa A, Al-dhahry A, Batwa R, Salem R. Verbal abuse facing Saudi nurses during internship program. Journal of Nursing Education and Practice. 2022, Vol. 12, No. 3. doi: 10.5430/jnep.v12n3p75.

Sachs-Ericsson N, Verona E, Joiner T, Preacher KJ. Parental verbal abuse and the mediating role of self-criticism in adult internalizing disorders. J Affect Disord. 2006 Jul;93(1-3):71-8. doi: 10.1016/j.jad.2006.02.014. Epub 2006 Mar 20. PMID: 16546265.

Yun JY, Shim G, Jeong B. Verbal Abuse Related to Self-Esteem Damage and Unjust Blame Harms Mental Health and Social Interaction in College Population. Sci Rep. 2019 Apr 4;9(1):5655. doi: 10.1038/s41598-019-42199-6. PMID: 30948757; PMCID: PMC6449380.

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Published

12-12-2024

Issue

Section

ORIGINAL CLINICAL RESEARCH

How to Cite

1.
AlMusailhi J, Aldulaijan F, Alabdulqader N, et al. Impact of verbal abuse on social anxiety among female college students: A cross-sectional study . Acta Biomed. 2024;95(6):e2024180. doi:10.23750/abm.v95i6.15108