Social anxiety disorder in older adults: Evidence from the National Epidemiologic Survey on alcohol and related conditions
Social anxiety disorder in older adults: Evidence from the National Epidemiologic Survey on alcohol and related conditions
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DOI：
10.1016/j.jad.2009.04.002
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发表时间：
2009-12-01
影响因子：
6.6
通讯作者：
Chou, Kee-Lee
中科院分区：
文献类型：
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作者：
Chou, Kee-Lee
目的：本研究旨在探讨以下几个方面：1)社交焦虑障碍与儿童期父母失亲和近期应激性生活事件的关系；2)社交焦虑障碍和严重抑郁障碍(MDD)的共存：3)社交焦虑障碍对医疗条件、肥胖、卫生服务利用和健康相关生活质量的影响。设计：横断面观察性研究。地点：美国全国酒精及相关疾病流行病学调查(2001-2002)，这是一项全国性的非制度化家庭人口调查。参与者：13,420名55岁及以上的受访者。测量：使用酒精使用障碍和相关残疾访谈量表-DSM-IV版本(AUDIS-IV)评估社交焦虑障碍。调查对象的人口学特征、心理社会危险因素、精神障碍、与健康相关的生活质量、肥胖、医疗条件和卫生服务利用情况。结果：当前和终生恐惧症患病率分别为1.83%和3.50%。多变量分析显示，社交焦虑症在较年轻的年龄组和那些报告有压力的生活事件的人中更常见。此外，MDD、特定恐惧症和人格障碍与社交焦虑障碍显著相关。最后，在调整了其他精神疾病的并存因素后，社交焦虑障碍与健康相关的生活质量之间的关联。结论：社交焦虑障碍与MDD之间的相关性对老年人社交焦虑障碍的性质提出了进一步的疑问，但这项研究不支持这种疾病独立于其他精神疾病而对老年人的生活质量产生强烈影响的观点。(C)2009爱思唯尔B.V.保留所有权利。
Objective: This study aims to investigate the following: 1) the association of social anxiety disorder with childhood parental loss and recent stressful life events; 2) the coexistence of social anxiety disorder and major depressive disorders (MDD): and 3) the impact of social anxiety disorder on medical conditions, obesity, health service utilization, and health-related quality of life.Design: Cross-sectional observational study.Setting: The National Epidemiologic Survey on Alcohol and Related Conditions (2001-2002), a national representative survey of the U.S. noninstitutionalized household population.Participants: 13,420 respondents aged 55 and above.Measurements: Social anxiety disorder was assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version (AUDADIS-IV). Demographic characteristics, psychosocial risk factors, psychiatric disorders, health-related quality of life, obesity, medical conditions, and health service utilization were measured.Results: The current and lifetime prevalence rates of specific phobia were found to be 1.83% and 3.50%, respectively. Multivariate analyses revealed that social anxiety disorder was more common among the younger age groups and those who reported stressful life events. In addition, MDD, specific phobia, and personality disorder were significantly related to social anxiety disorder. Lastly, after adjusting for other psychiatric comorbidities, the association of social anxiety disorder with health-related quality of life. medical condition, and health care service utilization became insignificant.Conclusion: The correlation between social anxiety disorder and MDD raises further questions about the nature of social anxiety disorder among older adults, but this study does not support the notion that this disorder has a strong impact on the quality of life in old age independent of other psychiatric comorbidities. (C) 2009 Elsevier B.V. All rights reserved.