Prevalence of Social Phobia in Non-Demented Elderly From a Swedish Population Study
Prevalence of Social Phobia in Non-Demented Elderly From a Swedish Population Study
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DOI：
10.1097/jgp.0b013e3181860051
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发表时间：
2009-02-01
影响因子：
7.2
通讯作者：
Skoog, Ingmar
中科院分区：
文献类型：
--
作者：
Karlsson, Bjorn;Klenfeldt, Isak Freden;Skoog, Ingmar
目的：调查 70 岁及以上人群样本中社交恐惧症的患病率，以及《精神障碍诊断与统计手册》第四版 (DSM-IV) 中社交恐惧症的不同诊断内容如何影响患病率。设计：2000-2001 年对一般人群样本进行了半结构化精神病学检查，包括综合精神病理学评定量表、小型国际神经精神病学访谈、整体功能评估（GAF）量表和小型精神状态检查。背景：一般人群 参与者：随机抽取 914 名非痴呆老人，应答率为 68%。样本分为两个年龄组：70 岁（N = 338 名女性和 224 名男性）和 78 岁及以上（N = 352 名女性）。测量：根据 DSM-IV 的社交恐惧症要求：a）害怕社交场合，b）将恐惧视为不合理或过度，c）避免害怕的社交场合或以强烈的焦虑或痛苦忍受它们，以及 d）这会导致社会后果。结果：社交恐惧症的 1 个月患病率为 1.9%（N = 17），另有 1.6%（N = 15）满足标准 a、c 和 d，但不满足标准 b。因此，3.5%的人患有“社交恐惧症”，并造成了社会后果。这与较低的 GAF 分数以及并发的抑郁症、恐慌症和广场恐惧症有关。总样本中几乎四分之一（N = 220）的人害怕社交场合。与 70 岁男性相比，这种情况在 70 岁女性中更为常见（29.9% 对 20.5%），在 78-92 岁女性中（21.0%）更常见。结论：我们的结果表明 DSM-IV 标准排除了一大批患有社交恐惧症的个体。可以讨论是否应修订 DSM-IV 标准以也涵盖这些个人。 (Am J Geriatr Psychiatry 2009; 17:127-135)
Objective: To examine the prevalence of social phobia, and how the different Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnostic components of social phobia influence prevalence rates, among a population sample aged 70 years and older. Design: A general population sample was investigated in 2000-2001 with semistructured psychiatric examinations, including the Comprehensive Psychopathological Rating Scale, the Mini International Neuropsychiatric Interview, the Global Assessment of Functioning (GAF) scale, and the Mini Mental State Examination. Setting: General population Participants: Randomized sample of 914 nondemented elderly, response rate 68%. The sample was stratified into two age groups: 70-year olds (N = 338 women and 224 men) and aged 78 and above (N = 352 women). Measurements: Social phobia according to DSM-IV requiring: a) fearing social situations, b) experiencing the fear as unreasonable or excessive, c) avoiding feared social situations or enduring them with intense anxiety or distress, and d) that this causes social consequences. Results: The 1-month prevalence of social phobia was 1.9% (N = 17), an additional 1.6% (N = 15) fulfilled criteria a, c, and d, but not b. Thus, 3.5% had "social phobia" that caused social consequences. This was related to lower GAF-score and concurrent depression, panic attacks, and agoraphobia. Almost one fourth (N = 220) of the total sample feared social situations. This was more common in 70-year-old women compared with 70-year-old men (29.9% versus 20.5%), and to women aged 78-92 years (21.0%). Conclusions: Our results indicate that DSM-IV criteria exclude a large group of individuals with social phobia. It could be discussed whether DSM-IV criteria should be revised to also encompass these individuals. (Am J Geriatr Psychiatry 2009; 17:127-135)