Social phobia and potential childhood risk factors in a community sample
Social phobia and potential childhood risk factors in a community sample
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DOI：
10.1017/s0033291701003348
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发表时间：
2001-02-01
影响因子：
6.9
通讯作者：
Stein, MB
中科院分区：
文献类型：
--
作者：
Chartier, MJ;Walker, JR;Stein, MB
背景。本研究在一个流行病学样本中检验了潜在的童年风险因素与社交恐惧症之间的关系。识别诸如童年逆境等风险因素通常能够揭示一种疾病病因的重要线索。这些信息还使医疗服务提供者能够预测哪些个体最有可能患上这种疾病。
方法。数据来自安大略健康调查的心理健康补充部分，该调查涵盖了8116名年龄在15 - 64岁的加拿大受访者。社交恐惧症是使用复合性国际诊断访谈（CIDI）进行诊断的。童年风险因素通过一系列标准化问题进行评估。
结果。观察到社交恐惧症与以下因素之间存在正相关关系：与成年人缺乏亲密关系、（仅在男性中）不是长子、原生家庭中的婚姻冲突、父母有精神障碍病史、童年时期搬家超过三次、涉及少年司法和儿童福利问题、离家出走、童年遭受身体和性虐待、留级、9岁前需要特殊教育以及高中辍学。在控制了恐惧症、重度抑郁症和酗酒因素后，其中许多变量仍然具有显著意义。数据还表明，一些童年风险因素可能与性别相互作用，从而影响社交恐惧症的发展。
结论。尽管发现社交恐惧症与童年风险因素之间存在关联，但仍需要自然主义的前瞻性研究来阐明这些以及其他潜在风险因素对该疾病病因的重要性。
Background. This study examined the relationship between potential childhood risk factors and social phobia in an epidemiological sample. Identifying risk factors such as childhood adversities can often uncover important clues as to the aetiology of a disorder. This information also enables health care providers to predict which individuals are most likely to develop the disorder.Methods. Data came from the Mental Health Supplement to the Ontario Health Survey of a survey of 8116 Canadian respondents, aged 15-64. Social phobia was diagnosed using the Composite International Diagnostic Interview (CIDI). Childhood risk factors were assessed by a series of standardized questions.Results. A positive relationship was observed between social phobia and lack of close relationship with an adult, not being first born tin males only), marital conflict in the family of origin, parental history of mental disorder, moving more than three times as a child, juvenile justice and child welfare involvement, running away from home, childhood physical and sexual abuse, failing a grade, requirement of special education before age 9 and dropping out of high school. Many of these variables remained significant after controlling for phobias, major depressive disorder and alcohol abuse. The data also suggest that some childhood risk factors may interact with gender to influence the development of social phobia.Conclusions. Although an association was detected between social phobia and childhood risk factors, naturalistic prospective studies are needed to clarify the aetiological importance of these and other potential risk factors for the disorder.