Generalized social phobia and avoidant personality disorder: meaningful distinction or useless duplication?

Chambless, Dianne L.; Fydrich, Thomas; Rodebaugh, Thomas L.

doi:10.1002/da.20266

Cited by 69Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and PsychopathologyPersonality Traits and Psychology

Generalized social phobia and avoidant personality disorder: meaningful distinction or useless duplication?

Chambless, Dianne L., Fydrich, Thomas, Rodebaugh, Thomas L.·2008·Depression and Anxiety

DOI 10.1002/da.20266

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Abstract

Participants with generalized social phobia (GSP) with (n=36) and without (n=19) avoidant personality disorder (AVPD) were compared via contrasts of group means and classification analysis on purported core features of AVPD. GSP-AVPD participants proved to be more severely impaired or distressed on some group contrasts. Cluster analysis identified two groups in the sample, with group membership significantly correlated to AVPD diagnosis. However, almost all significant findings were nullified when severity of social phobia was statistically controlled. Thus, at least where participants with social phobia are concerned, it seems most parsimonious to consider AVPD a severe form of GSP rather than a separate diagnostic category.

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The leading hypothesis is that SP and AvPD are on a spectrum and are only different in terms of severity (the severity continuum hypothesis).
“Still, the leading hypothesis is that the disorders are on a spectrum and are only different in terms of severity (the severity continuum hypothesis [16]).”
From Results of a randomized controlled superiority trial of the effect of modified collaborative assessment vs. standard assessment on patients’ readiness for psychotherapy (CO-ASSM-RCT) (2024) · cites this paper as [16]
The dominant conceptualization is that avoidant personality disorder (AvPD) and social phobia (SP) represent a spectrum, differing from each other only in severity (the severity continuum hypothesis).
“the dominant conceptualization is that the two disorders represent a spectrum, differing from each other only in severity (the severity continuum hypothesis [14]).”
From Social phobia and evasiveness: trial protocol for a randomized controlled feasibility and superiority trial of the effect of Modified Collaborative Assessment vs. standard assessment on patients’ readiness for psychotherapy (CO-ASSM-RCT) (2023) · cites this paper as [14]

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Authors: Chambless, D. L., Fydrich, T., & Rodebaugh, T. L.
Affiliations: University of Pennsylvania (US)
Humboldt-Universität zu Berlin (DE)
University of North Carolina at Chapel Hill (US)
Corresponding author: Chambless, Dianne L.
ORCID: Chambless, Dianne L.
Fydrich, Thomas
Rodebaugh, Thomas L.
Venue: Depression and Anxiety
Publisher: Hindawi Limited
Published: 2008-01
Volume: 25
Issue: 1
Pages: 8-19
ISSN: 1091-4269 (ISSN-L)
1520-6394
DOI: 10.1002/da.20266
OpenAlex: W2070399277
Cited by: 69
References: 69
Citations by year: 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 6 · 2015: 2 · 2014: 6 · 2013: 8 · 2012: 6
FWCI: 5.44
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 2800 d)
Locations: Depression and Anxiety (publishedVersion, public-domain)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r03mh047968-02)
National Institute of Mental Health (R03-MH47968)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords: generalized social phobia, avoidant personality disorder, diagnostic classification, symptom overlap, clustering, diagnostic validity, personality disorders
MeSH terms: Adult, Ambulatory Care, Mental Disorders, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Models, Psychological, Personality Disorders, Personality Inventory, Phobic Disorders, Surveys and Questionnaires, Role Playing, Self Concept, Severity of Illness Index, Social Adjustment, Comorbidity, Cluster Analysis

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Generalized social phobia and avoidant personality disorder: meaningful distinction or useless duplication?

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