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The epidemiology of social phobia: findings from the Duke Epidemiological Catchment Area Study
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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“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].”
From Social support, emotion regulation and mindfulness: A linkage towards social anxiety among adolescents attending secondary schools in Birgunj, Nepal (2020) · cites this paper as [13]
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de Lima Osório, F., Crippa, J. A., & Loureiro, S. R. (2007) · European Psychiatry · doi:10.1016/j.eurpsy.2007.01.003 · Cited by 80
Hedman, E., El Alaoui, S., Lindefors, N., Andersson, E., Rück, C., Ghaderi, A., Kaldo, V., Lekander, M., Andersson, G., & Ljótsson, B. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.05.010 · Cited by 79
Metadata
- 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
- Publisher
- Cambridge University Press (CUP)
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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