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Cited by 23Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and AccessPsychological Treatments and Assessments

Characteristics of patients with social phobia and their treatment in specialized clinics for anxiety disorders in the Netherlands

Dingemans, A.E, van Vliet, I.M, Couvée, J, Westenberg, H.G·2001·Journal of Affective Disorders
DOI 10.1016/s0165-0327(00)00238-x
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Abstract

Background Social phobia frequently occurs in the general population but is probably underreported due to comorbid disorders which mask the social phobia. Another reason might be that patients do not consult their general pratitioner due to embarrassment or an estimation of their condition. There are several treatments available for social phobia, but not enough is known about the efficacy of the different treatments strategies.Methods A retrospective, medical record-based study was carried out in four outpatient clinics specializing in treatment of anxiety disorders to investigate the characteristics of 64 patients with a DSM-IV axis diagnosis of social phobia who seeked help for their problems. Therapies for social phobia within these clinics and differences between these clinics were evaluated.Results Men with a high educational level tended to seek more help and comorbid disorders tended to cause more impairment in functioning. Further, there is a large delay between onset and therapy attendance (mean 14 years). Finally, there was consistency in the treatment of social phobia in these four clinics which consisted of cognitive behavioral therapy and/or medication.Limitations The study is retrospective and based on medical records which means there was no objective measurement of the effectiveness of the therapies.Conclusions Seventy-five percent of patients improved after treatment independent of the kind of therapy, the occurrence of comorbid disorders and the type of social phobia.

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Crossref · 10.1016/s0165-0327(00)00238-x

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  • Outpatients exhibit higher levels of anxiety and a greater number of comorbid and more complex diagnoses, as well as greater psychosocial impairment when compared with general and primary care populations.

    “Typically, outpatients exhibit higher levels of anxiety and a greater number of comorbid and more complex diagnoses, as well as greater psychosocial impairment when compared with general and primary care populations [5].”

    From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [5]

  • Because spontaneous recovery is common in depression but not in phobia, it is unlikely that the decrease in phobic complaints can be attributed to spontaneous recovery rather than to the intervention.

    “Because spontaneous recovery is common in depression [54] but not in phobia [5,6], it is unlikely that the decrease in phobic complaints can be attributed to spontaneous recovery rather than to the intervention.”

    From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [5]

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Authors
Dingemans, A. E., van Vliet, I. M., Couvée, J., & Westenberg, H. G.
Affiliations
University Medical Center Utrecht (NL)
ORCID
Dingemans, A.E
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2001-07
Volume
65
Issue
2
Pages
123-129
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/s0165-0327(00)00238-x
OpenAlex
W2130441000
Cited by
23
References
24
Citations by year
2020: 1 · 2018: 3 · 2017: 1 · 2016: 1 · 2014: 1 · 2012: 3
FWCI
1.00
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
social anxiety disorder, anxiety disorders, treatment characteristics, patient characteristics, comorbidities, help-seeking delay, cognitive behavioral therapy, pharmacotherapy, treatment efficacy, outpatient clinics, gender differences, educational attainment
MeSH terms
Adult, Educational Status, Female, Humans, Male, Middle Aged, Phobic Disorders, Retrospective Studies, Anti-Anxiety Agents, Comorbidity, Cognitive Behavioral Therapy, Treatment Outcome

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