Social phobia and number of social fears, and their association with comorbidity, health-related quality of life and help seeking
Social phobia and number of social fears, and their association with comorbidity, health-related quality of life and help seeking
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DOI：
10.1007/s00127-008-0309-1
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发表时间：
2008-04-01
影响因子：
4.4
通讯作者：
Cuijpers, P.
中科院分区：
文献类型：
--
作者：
Acarturk, C.;de Graaf, Ron;Cuijpers, P.
目的探讨社交恐惧症与合并症、生活质量和服务利用之间的关系。此外，还研究了社会恐惧的数量与这些领域的相关性。方法数据来自荷兰心理健康调查和发病率研究（NEMESIS） （N = 7076）。根据DSM-III-R和综合国际诊断访谈（CIDI）评估社交恐惧症；根据Short-Form-36健康调查（SF-36）评估生活质量。结果12个月社交恐惧症患病率为4.8%。女性、年轻、受教育程度低、单亲、独居、没有带薪工作以及患有躯体疾病都与12个月的社交恐惧症有关。社交恐惧症发病的平均年龄和中位年龄分别为19.1岁和16.0岁，平均持续时间和中位持续时间分别为16.8岁和14.0岁。66%的社交恐惧症受访者至少有一种合并症。12个月社交恐惧症与较低的生活质量和较高的服务利用率显著相关。在被评估的6种社交场合中，他们害怕的社交场合平均为2.73种。随着社会恐惧数量的增加，合并症和服务利用率增加，生活质量下降。这些发现表明，随着恐惧的社交情境数量的增加，社交恐惧症的负担也会增加。换句话说，就像共病或生活质量下降一样，社交恐惧的数量也是社交恐惧症严重程度的重要指标。我们认为，从公共卫生的角度来看，精神卫生保健提供者应注意社交恐惧的数量，以检查社交恐惧的严重程度。
Objectives Community based data were used to examine the association between social phobia and comorbidity, quality of life and service utilization. In addition, the correlations of the number of social fears with these domains were studied. Method Data are from the Netherlands Mental Health Survey and Incidence Study (NEMESIS) (N = 7,076). Social phobia was assessed according to DSM-III-R with the Composite International Diagnostic Interview (CIDI); quality of life was assessed according to the Short-Form-36 Health Survey (SF-36). Results The 12-month prevalence of social phobia was 4.8%. Being female, young, low educated, a single parent, living alone, not having a paid job and having a somatic disorder are associated with 12-month social phobia. Mean and median ages of onset of social phobia were 19.1 and 16.0 years, respectively, and mean and median duration were 16.8 and 14.0 years, respectively. 66% of respondents with social phobia had at least one comorbid condition. 12-month social phobia was significantly related to lower quality of life and higher service utilization. The mean number of feared social situations was 2.73 out of the 6 assessed. As the number of social fears increases, comorbidity and service utilization increases, and the quality of life decreases. Conclusions These findings suggest as the number of feared social situations increases, the burden of social phobia rises. In other words, like comorbidity or decreased quality of life, the number of social fears is also an important indicator of the severity of social phobia. We conclude that from a public health perspective, mental health care givers should pay attention to the number of social fears in order to check the severity of social phobia.