Social anxiety disorder: what are we losing with the current diagnostic criteria?

Filho, A. S.; Hetem, L. A. B.; Ferrari, M. C. F.; Trzesniak, C.; Martín‐Santos, R.; Borduqui, T.; De Lima Osório, F.; Loureiro, S. R.; Busatto Filho, G.; Zuardi, A. W.; Crippa, J. A. S.

doi:10.1111/j.1600-0447.2009.01459.x

Cited by 87Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentPersonality Disorders and Psychopathology

Social anxiety disorder: what are we losing with the current diagnostic criteria?

Filho, A. S., Hetem, L. A. B., Ferrari, M. C. F., Trzesniak, C., Martín‐Santos, R., Borduqui, T., De Lima Osório, F., Loureiro, S. R. +3 more·2010·Acta Psychiatrica Scandinavica

DOI 10.1111/j.1600-0447.2009.01459.x

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Abstract

Filho AS, Hetem LAB, Ferrari MCF, Trzesniak C, Martín‐Santos R, Borduqui T, de Lima Osório F, Loureiro SR, Busatto Filho G, Zuardi AW, Crippa JAS. Social anxiety disorder: what are we losing with the current diagnostic criteria? Objective: To assess the rate of comorbidities and the functional impairment associated with the social anxiety disorder (SAD), with an emphasis on the so‐called subthreshold clinical signs and symptoms. Method: Psychiatric comorbidities and psychosocial functioning were evaluated in 355 volunteers (college students) who had been diagnosed as SAD (n = 141), Subthreshold SAD (n = 92) or Controls (n = 122). Results: The rate of comorbidities was 71.6% in the SAD group and 50% in subjects with Subthreshold SAD, both significantly greater than Controls (28.7%). Concerning psychosocial functioning, the SAD group had higher impairment than the other two groups in all domains evaluated, and subjects with Subthreshold SAD presented intermediate values. Conclusion: The rates of psychiatric comorbidities and the impairment of psychosocial functioning increase progressively along the spectrum of social anxiety. The fact that Subthreshold SAD causes considerable disability and suffering in comparison with control subjects justifies a review of the validity of the diagnostic criteria.

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Generalized SAD is one of the most common anxiety conditions and is associated with impairment in social adjustment, increased disability, dysfunction, and loss of productivity.
“Generalized Social Anxiety Disorder (SAD) is one of the most common anxiety conditions with impairment in social life.”
From Cannabidiol Reduces the Anxiety Induced by Simulated Public Speaking in Treatment-Naïve Social Phobia Patients (2011) · cites this paper as Filho et al, 2010
Some undesired outcomes, such as decreased social functioning, quality of life, and occupational performance, are shared across mental disorders.
“some undesired outcomes, such as decreased social functioning, quality of life, and occupational performance, are shared across mental disorders [98, 99]”
From Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care? (2020) · cites this paper as [98]

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Authors: Filho, A. S., Hetem, L. A. B., Ferrari, M. C. F., Trzesniak, C., Martín‐Santos, R., Borduqui, T., De Lima Osório, F., Loureiro, S. R., Busatto Filho, G., Zuardi, A. W., & Crippa, J. A. S.
Affiliations: Universidade de São Paulo (BR)
Centro de Investigación Biomédica en Red de Salud Mental (ES)
Corresponding author: Filho, A. S.
ORCID: Trzesniak, C.
Martín‐Santos, R.
Zuardi, A. W.
Venue: Acta Psychiatrica Scandinavica
Publisher: Wiley
Published: 2010-02-08
Volume: 121
Issue: 3
Pages: 216-226
ISSN: 0001-690X (ISSN-L)
1600-0447
DOI: 10.1111/j.1600-0447.2009.01459.x
OpenAlex: W2063350227
Cited by: 87
References: 45
Citations by year: 2025: 3 · 2024: 3 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 5 · 2019: 1 · 2018: 4 · 2017: 7 · 2016: 6 · 2015: 4 · 2014: 6 · 2013: 7 · 2012: 12
FWCI: 13.14
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Acta Psychiatrica Scandinavica (publishedVersion)
PubMed (publishedVersion)
Scientific Electronic Library Online (São Paulo Research Foundation, Latin American and Caribbean Center on Health Sciences Information, Conselho Nacional de Desenvolvimento Científico e Tecnológico) (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: social anxiety disorder, diagnostic criteria, psychiatric comorbidity, functional disability, psychosocial functioning, university students, diagnostic validity
MeSH terms: Adolescent, Adult, Anxiety, Diagnosis, Differential, Female, Humans, Male, Phobic Disorders, Severity of Illness Index, Social Behavior, Comorbidity, Young Adult

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Social anxiety disorder: what are we losing with the current diagnostic criteria?

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