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Considering comorbidity in social phobia.

Mariette J Chartier1, John R Walker, Murray B Stein

  • 1Dept. of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. mariette_chartier@umanitoba.ca

Social Psychiatry and Psychiatric Epidemiology
|December 23, 2003
PubMed
Summary
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Social phobia frequently co-occurs with other mental health conditions, particularly anxiety and mood disorders. Addressing social fears early may prevent the onset of these additional disorders.

Area of Science:

  • Psychiatry
  • Epidemiology
  • Mental Health Research

Background:

  • Comorbidity in social phobia is crucial for understanding causal pathways and refining psychiatric classifications.
  • Previous research on social phobia comorbidity is limited, with few studies utilizing the Composite International Diagnostic Interview (CIDI) or examining subtypes.
  • This study addresses lifetime social phobia comorbidity and the age of onset of social fears relative to other disorders.

Purpose of the Study:

  • To evaluate the lifetime prevalence of comorbidity in social phobia with other common mental disorders.
  • To examine comorbidity patterns within social phobia subtypes.
  • To investigate the age of onset of social fears compared to comorbid conditions.

Main Methods:

  • Utilized data from the Mental Health Supplement to the Ontario Health Survey (n=8,116).

Related Experiment Videos

  • Employed the Composite International Diagnostic Interview (CIDI) for psychiatric diagnoses, noted for its sensitivity in diagnosing social phobia.
  • Analyzed data from Canadian respondents aged 15-64.

    • Main Results:

    • Over half of individuals with social phobia (52%) reported at least one other lifetime mental disorder; 27% reported three or more.
    • Strong comorbidity was observed with anxiety and affective disorders, and moderate comorbidity with substance abuse disorders.
    • The 'not-exclusively-speaking' social phobia subgroup, often indicative of generalized social phobia, showed the highest odds ratios for comorbidity. Social fears preceded comorbid conditions in a significant percentage of cases (32% anxiety, 71% affective, 80% substance abuse).

    Conclusions:

    • Findings on comorbidity and relative age of onset align with existing epidemiologic data on social phobia.
    • Clinicians must be alert to comorbidity in social phobia and tailor treatments accordingly.
    • Early intervention for social fears or social phobia can potentially mitigate the risk of developing comorbid disorders.