Barriers to the treatment of social anxiety
Barriers to the treatment of social anxiety
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DOI：
10.1176/appi.ajp.157.4.521
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发表时间：
2000-04-01
影响因子：
17.7
通讯作者：
Klein, DF
中科院分区：
文献类型：
--
作者：
Olfson, M;Guardino, M;Klein, DF
目的：本文评估了参加 1996 年全国焦虑症筛查日的患有社交焦虑症的成年人所报告的治疗障碍。方法：将筛查日有社交焦虑症状的参与者 (N=6,130) 的背景特征与无社交焦虑症状的参与者 (N=4,507) 的背景特征进行比较。比较了有和没有社交焦虑症状的参与者报告的先前心理健康治疗的障碍。结果：社交焦虑与功能障碍、社会孤立感和自杀意念密切相关。与没有社交焦虑的参与者相比，患有社交焦虑的参与者更有可能表示经济障碍、不确定去哪里寻求帮助以及担心别人的想法或言论阻碍了他们寻求治疗。然而，他们报告自己避免治疗的可能性明显较小，因为他们不相信自己患有焦虑症。在被转介进行进一步评估的有社交焦虑症状的参与者中，大约有三分之一（N=1,400，共 3,682 人，38.0%）被专门转介接受社交恐惧症评估。结论：社交焦虑与独特的治疗障碍模式相关。通过提高公众对当地可用服务的认识、减轻接受治疗的心理和经济负担以及提高医疗保健专业人员对其临床意义的认识，可以改善治疗的可及性。
Objective: This article evaluates barriers to treatment reported by adults with social anxiety who participated in the 1996 National Anxiety Disorders Screening Day. Method: The background characteristics of screening day participants with symptoms of social anxiety (N=6,130) were compared with those of participants without social anxiety (N=4,507). Barriers to previous mental health treatment reported by participants with and without symptoms of social anxiety were compared. Results: Social anxiety was strongly associated with functional impairment, feelings of social isolation, and suicidal ideation. Compared to participants without social anxiety, those with social anxiety were significantly more likely to report that financial barriers, uncertainty over where to go for help, and fear of what others might think or say prevented them from seeking treatment. However, they were significantly less likely to report they avoided treatment because they did not believe they had an anxiety disorder. Roughly one-third (N=1,400 of 3,682, 38.0%) of the participants with symptoms of social anxiety who were referred for further evaluation were specifically referred for an evaluation for social phobia. Conclusions: Social anxiety is associated with a distinct pattern of treatment barriers. Treatment access may be improved by building public awareness of locally available services, easing the psychological and financial burden of entering treatment, and increasing health care professionals' awareness of its clinical significance.