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Classification and epidemiology of social phobia

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Abstract

The individualization of social phobia among other phobic disorders is very recent, although previous clinical descriptions can be found in the literature. The new classifications (DSM-III, DSM-IV and ICD-10) have provided operationalized criteria for this disorder, which have allowed researchers to conduct epidemiological studies. However, some diagnostic issues are not completely solved, namely, those with other boundary disorders. Cross-cultural prevalence and risk factors of social phobia are reviewed. Results of a French community study have found a lifetime prevalence rate of 2.1% in males and 5.4% in females. Comorbidity of social phobia with other anxiety disorders and major depression was high. Suicidal tendencies, family history and health services utilization were analyzed according to the lifetime comorbidity patern of social phobia and depression.

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References

  • American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders (DSM-III), 3rd edn. American Psychiatric Association, Washington, DC

    Google Scholar 

  • American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (DSM-III-R), 3rd edn, revised. American Psychiatric Association, Washington, DC

    Google Scholar 

  • American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV), 4th edn. American Psychiatric Association, Washington, DC

    Google Scholar 

  • Amies PL, Gelder MG, Shaw PM (1983) Social phobia: a comparative clinical study. Br J Psychiatry 142:174–179

    Google Scholar 

  • Anderson JC, Williams S, McGee R, Silva PA (1987) DSM-III disorders in preadolescent children. Arch Gen Psychiatry 44:69–76

    Google Scholar 

  • Angst J (1992a) Comorbidity of panic disorder in a community sample. Clin Neuropharmacol 15 (Suppl 1):176A

    Google Scholar 

  • Angst J (1992b) Comorbidity of recurrent brief depression. Clin Neuropharmacol 15 (Suppl 1):9A

    Google Scholar 

  • Benjamin R, Costello E, Warren M (1990) Anxiety disorders in a pediatric sample. J Anxiety Disord 4:293–316

    Google Scholar 

  • Bland RC, Orn H, Newman SC (1988) Lifetime prevalence of psychiatric disorders in Edmonton. Acta Psychiatr Scand 77 (Suppl 338):24–32

    Google Scholar 

  • Burke KC, Burke JD, Regier DA, Rae DS (1990) Age at onset of selected mental disorders in five community populations. Arch Gen Psychiatry 47:511–518

    Google Scholar 

  • Canino GJ, Bird HR, Shrout PE, Rubio-Stipec M, Bravo M, Martinez R, Sesman M, Guevara LM (1987) The prevalence of specific psychiatric disorders in Puerto Rico. Arch Gen Psychiatry 44:727–735

    Google Scholar 

  • Davidson JRT, Hughes DL, George LK, Blazer DG (1993) The epidemiology of social phobia: findings from the Duke Epidemiologic Catchment Area Study. Psychol Med 23:709–718

    Google Scholar 

  • Degonda M, Angst J (1993) The Zurich study. XX. Social phobia and agoraphobia. Eur Arch Psychiatry Clin Neurosci 243:95–102

    Google Scholar 

  • Dixon JJ, De Monchaux C, Sandler J (1957) Patterns of anxiety: an analysis of social anxieties. Br J Med Psychol 30:107–112

    Google Scholar 

  • Eaton WW, Dryman A, Weissman MM (1991) Panic and phobia. In: Robins LN, Regier DA (eds) Psychiatric disorders in America. The Epidemiologic Catchment Area Study. The Free Press, New York, pp 155–179

    Google Scholar 

  • Faravelli C, Degl'Innocenti BG, Giardinelli L (1989) Epidemiology of anxiety disorders in Florence. Acta Psychiatr Scand 79:308–312

    Google Scholar 

  • Greenberg D, Stravynski A (1983) Social phobia (letter). Br J Psychiatry 143:526

    Google Scholar 

  • Hwu HG, Yeh EK, Chang LY (1989) Prevalence of psychiatric disorders in Taiwan defined by the Chinese Diagnostic Interview Schedule. Acta Psychiatr Scand 79:136–147

    Google Scholar 

  • Janet P (1903) Les obsessions et la psychasthénie. Alcan, Paris

    Google Scholar 

  • Kashani JH, Orvaschel H (1990) A community study of anxiety in children and adolescents. Am J Psychiatry 147(3):313–318

    Google Scholar 

  • Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen HU, Kendler KS (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Arch Gen Psychiatry 51:8–19

    Google Scholar 

  • Lee CK, Kwak YS, Yamamoto J, Rhee H, Kim YS, Han JH, Choi JO, Lee YH (1990a) Psychiatric epidemiology in Korea. Part II: urban and rural differences. J Nerv Ment Dis 178(4):247–252

    Google Scholar 

  • Lee CK, Kwak YS, Yamamoto J, Rhee H, Kim YS, Han JH, Choi JO, Lee YH (1990b) Psychiatric epidemiology in Korea. Part I: gender and age differences in Seoul. J Nerv Ment Dis 178:242–246

    Google Scholar 

  • Lépine JP, Lellouch J, Lovell A, Téhérani M, Ha C, Verdier-Taillefer MH, Rambourg N, Lempérière T (1989) Anxiety and Depressive disorders in a French population: methodology and preliminary results. Psychiatry Psychobiol 4:267–274

    Google Scholar 

  • Lépine JP, Lellouch J, Lovell A, Téhérani M, Pariente P (1993a) L'épidémiologie des troubles anxieux et dépressifs dans une population générale française. Confront Psychiatriques 35:139–161

    Google Scholar 

  • Lépine JP, Wittchen HU, Essau CA, and participants of the WHO/ADAMHA CIDI field trials (1993b) Lifetime and curent comorbidity of anxiety and depressive disorders: results from the international WHO/ADAMHA CIDI field trials. Int J Methods Psychiatr Res 3:67–77

    Google Scholar 

  • Liebowitz MR, Gorman JM, Fyer AJ et al. (1985) Social phobia: review of a neglected anxiety disorder. Arch Gen Psychiatry 42:729–736

    Google Scholar 

  • Marks I (1970) The classification of phobic disorders. Br J Psychiatry 116:377–386

    Google Scholar 

  • Marks I (1987) Fears, phobias and rituals. Oxford University Press, New York

    Google Scholar 

  • Marks IM, Gelder MG (1966) Different ages of onset of varieties of phobia. Am J Psychiatry 123:218–221

    Google Scholar 

  • McGee R, Feehan M Williams S, Partridge F, Silva PA, Kelly J (1990) DSM-III disorders in a large sample of adolescents. J Am Acad Child Adolesc Psychiatry 29(4):611–619

    Google Scholar 

  • Merikangas KR, Angst J (1993) Comorbidity and social phobia: evidence from epidemiologic and genetic studies. Eur Neuevidence from epidemiologic and genetic studies. Eur Neuropsychopharmacology 3(3):223–229

    Google Scholar 

  • Ost LG (1987) Age of onset in different phobias. J Abnorm Psychol 96:223–229

    Google Scholar 

  • Pariente P, Lépine JP, Lellouch J (1992) Self-reported psychotropic drug use and associated factors in a French community sample. Psychol Med 22:181–190

    Google Scholar 

  • Reinherz HZ, Giaconia RM, Lefkowitz ES, Pakiz B, Frost AK (1993) Prevalence of psychiatric disorders in a community population of older adolescents. J Am Acad Child Adolesc Psychiatry 32:369–377

    Google Scholar 

  • Robins LN, Wing J, Wittchen HU, Helzer JE, Babor TF, Burke J, Farmer A, Jablenski A, Pickens R, Regier DA, Sartorius N, Towle LH (1988) The Composite International Diagnostic Interview: an epidemiological instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Arch Gen Psychiatry 45:1069–1077

    Google Scholar 

  • Schneier FR, Johnson J, Hornig CD, Liebowitz MR, Weissman MM (1992) Social phobia. Comorbidity and morbidity in an epidemiologic sample. Arch Gen Psychiatry 49:282–288

    Google Scholar 

  • Solyom L, Ledwidge B, Solyom C (1986) Delineating social phobia. Br J Psychiatry 149:464–470

    Google Scholar 

  • Thyer BA, Parrish RT, Curtis GC, Nesse RM, Cameron OG (1985) Ages of onset of DSM-III anxiety disorders. Compr Psychiatry 26:113–121

    Google Scholar 

  • Wacker HR, Müllejans R, Klein KH Battegay R (1992) Identification of cases of anxiety disorders and affective disorders in the community according to ICD-10 and DSM-III-R by using the Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 2:91–100

    Google Scholar 

  • Wells JE, Bushnell JA, Hornblow AR, Joyce PR, Oakley-Browne MA (1989) Christchurch psychiatric epidemiology study. I Methodology and lifetime prevalence for specific psychiatric disorders. Aust N Z J Psychiatry 23:315–326

    Google Scholar 

  • Wittchen HU, Essau CA (1993) Epidemiology of anxiety disorders. In: Michels R (ed) Psychiatry. Lippincott, Philadelphia, 1, 3/.1. 1–25

    Google Scholar 

  • Wittchen HU, Essau CA, Zerssen D von, Kieg JC, Zaudig M (1992) Lifetime and six-month prevalence of mental disorders in the Munich follow-up study. Eur Arch Psychiatry Clin Neurosci 241:247–258

    Google Scholar 

  • World Health Organization (1993) The ICD-10 classification of mental and behavioural disorders—diagnostic criteria for research. World Health Organization, Geneva

    Google Scholar 

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Lépine, JP., Lellouch, J. Classification and epidemiology of social phobia. Eur Arch Psychiatry Clin Nuerosci 244, 290–296 (1995). https://doi.org/10.1007/BF02190406

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  • DOI: https://doi.org/10.1007/BF02190406

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