Cited by 435Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional Development

The epidemiology of social phobia: Findings from the Duke Epidemiological Catchment Area Study

Davidson, J. R. T., Hughes, D. L., George, L. K., Blazer, D. G.·1993·Psychological Medicine

Abstract

Social phobia was studied in a North Carolina community, using DSM-III criteria. Two kinds of comparison were made: social phobia v. non-social phobia, and comorbid social phobia v. non-comorbid social phobia. Six-month and lifetime prevalence rates were 2.7 and 3.8% respectively. Social phobia had an early onset, lasted a long time and rarely recovered. Predictors of good outcome recovery in a logistic regression analysis were onset of phobia after age 11, absence of psychiatric comorbidity and greater education. The disorder was often missed in medical consultation. Increased rates of psychiatric comorbidity existed, especially for other anxiety disorders and for schizophrenia/schizophreniform disorder. There was increased risk of neurological disorder. Social phobia was also associated with an increased rate of suicide attempts, antisocial behaviour and impaired school performance during adolescence, impaired medical health, increased health-seeking behaviour, poor employment performance, reduced social interaction and impaired social support. Comorbidity accounted for some, but not all observed differences.

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Crossref · 10.1017/s0033291700025484

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  • Social anxiety is linked with deterioration in adolescents' functioning including hampered social and personal relationships, school absenteeism or dropout, depression, suicide, substance abuse, and increased behavioral problems such as fighting and cheating.

    “Social anxiety is linked with deterioration in adolescents’ functioning including: hampered social and personal relationships, school absenteeism or dropout, depression, suicide, substance abuse, and increased behavioral problems such as fighting, and cheating [11–15].”

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Authors
Davidson, J. R. T., Hughes, D. L., George, L. K., & Blazer, D. G.
Affiliations
Duke Medical Center (US)
Corresponding author
Davidson, J. R. T.
Venue
Psychological Medicine
Published
1993-08
Volume
23
Issue
3
Pages
709-718
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
OpenAlex
W2137886748
Cited by
435
References
31
Citations by year
2026: 3 · 2025: 5 · 2024: 3 · 2022: 6 · 2021: 12 · 2020: 10 · 2019: 5 · 2018: 9 · 2017: 7 · 2016: 14 · 2015: 10 · 2014: 20 · 2013: 19 · 2012: 15
FWCI
9.14
Type
journal article
Language
en
Open access
closed
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5u01mh035386-05)
  • National Institute of Mental Health (UO1MH35386)
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 › Child and Adolescent Psychosocial and Emotional Development
Keywords
social anxiety disorder, prevalence, psychiatric comorbidity, anxiety disorders, schizophrenia, neurological disorders, suicide attempts, antisocial behavior, academic performance, health-seeking behavior, employment performance, social support, predictors of recovery, age of onset, educational attainment
MeSH terms
Adolescent, Adult, Age Factors, Mental Disorders, Educational Status, Employment, Family, Female, Health Status, Humans, Male, Middle Aged, Mothers, Patient Acceptance of Health Care, Phobic Disorders, Prognosis, Sex Factors, Social Support, Socialization, Socioeconomic Factors, United States, Comorbidity, Prevalence, Age of Onset

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