Occupational impairment and Social Anxiety Disorder in a sample of primary care patients
Occupational impairment and Social Anxiety Disorder in a sample of primary care patients
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DOI：
10.1016/j.jad.2010.09.024
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发表时间：
2011-04-01
影响因子：
6.6
通讯作者：
Keller, Martin B.
中科院分区：
文献类型：
--
作者：
Moitra, Ethan;Beard, Courtney;Keller, Martin B.
背景：社交焦虑障碍（SAD）是美国第二大流行的精神疾病。由于SAD的固有性质，它可能会导致工作场所功能障碍，特别是与其他不一定导致社交障碍的焦虑症相比。在这项研究中，我们比较了工作场所的功能在初级保健SAD患者与其他焦虑症和共病的严重抑郁症（MDD）患者。方法：数据来自初级保健焦虑项目（PCAP），一个自然的，纵向研究焦虑症在539个初级保健患者。我们研究了摄入人口统计和面试官评估的评级工作场所functioning.Results：结果显示，SAD和MDD患者的工作场所功能显着下降，与其他焦虑症的个人相比。此外，结果显示，SAD患者失业的可能性是其他患者的两倍多，但预计会工作。局限性：工作场所功能没有客观测量，样本可能不代表一般人群。结论：这些调查结果突出表明，特别需要评估是否存在教育不足和工作表现不佳的情况，或就业不足的个人与SAD，因为他们是在这些障碍的风险最大。此外，对SAD患者或有SAD风险的患者进行早期检测和干预可能会抑制社交焦虑对职业成就的未来影响。(C)2010 Elsevier B.V.保留所有权利。
Background: Social Anxiety Disorder (SAD) is the second most prevalent psychiatric condition in the US. Because of the inherent nature of SAD, it may cause impairments in workplace functioning, particularly compared to other anxiety disorders that do not necessarily lead to social impairments. In this study, we compared workplace functioning in primary care patients with SAD to patients with other anxiety disorders and comorbid Major Depressive Disorder (MDD).Methods: Data are obtained from the Primary Care Anxiety Project (PCAP), a naturalistic, longitudinal study of anxiety disorders in 539 primary care patients. We examined intake demographic and interviewer-assessed ratings of workplace functioning.Results: Results revealed that patients with SAD and MDD had significantly decreased workplace functioning, compared to individuals with other anxiety disorders. Furthermore, results showed that patients with SAD were greater than two-times more likely to be unemployed, but expected to work, than all other patients.Limitations: Workplace functioning was not measured objectively and the sample may not be representative of the general population.Conclusions: These findings highlight the particular need to assess for the presence of undereducation and underperformance at work and/or underemployment in individuals with SAD, as they are at most risk for these impairments. Additionally, early detection and intervention in individuals with or at risk for SAD may curb the future impact of social anxiety on occupational attainment. (C) 2010 Elsevier B.V. All rights reserved.