Social Anxiety Disorder in Black American Adolescents: Cultural Considerations in Conceptualization, Assessment and Treatment

Social anxiety disorder (SAD) is characterized by significant distress and avoidance surrounding social and performance situations with marked interpersonal and academic impairment. This review paper highlights cultural considerations relevant to the conceptualization, identification and treatment of SAD in Black youth. Research evaluating the utility of evidence-based measures to assess SAD suggest they are culturally relevant; however, gaps in knowledge regarding psychometric properties of even the most widely used instruments are evident. In regards to intervention, Cognitive Behavioral Therapy (CBT) approaches hold promise, yet there is a lack of research on the use of CBT with Black adolescents. Recommendations to incorporate cultural factors into CBT are provided and future work investigating culturally adapted interventions are needed. Finally, given significant disparities in access and utilization of mental health services with Black youth, strategies to increase treatment engagement, such as school-based services, are important to consider.