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Social phobia with sudden onset--post-panic social phobia?
Ann Suhl Kristensen1, Erik Lykke Mortensen, Ole Mors
1Centre for Psychiatric Research, Aarhus University Hospital, Risskov, Denmark. ask@psykiatri.aaa.dk
Journal of Anxiety Disorders
|August 31, 2007
Summary
Social phobia (SP) developing after a panic attack (sudden onset) shares characteristics with comorbid SP and panic disorder (PD). This suggests a distinct subtype of social phobia may exist.
Area of Science:
- Psychiatry
- Clinical Psychology
- Anxiety Disorders
Background:
- Significant overlap exists between social phobia (SP) and panic disorder (PD).
- A potential explanation for this overlap is the development of SP following a panic attack in a social situation, termed post-panic SP.
- Cases of post-panic SP are characterized by a sudden onset.
Purpose of the Study:
- To investigate if patients with sudden-onset SP are more similar to patients with comorbid SP and PD than to those with non-sudden onset SP.
- To compare age of onset, extraversion, and anxiety symptoms across these groups.
Main Methods:
- Recruitment of 182 patients with a lifetime diagnosis of PD and/or SP.
- Classification of SP patients into sudden-onset and non-sudden onset groups.
- Comparison of demographic and clinical variables between groups.
Main Results:
- Patients with sudden-onset SP differed from those with non-sudden onset SP in age of onset and extraversion, as hypothesized.
- No significant difference in anxiety symptoms was found between sudden-onset SP and non-sudden onset SP.
- Sudden-onset SP patients showed similarities to patients with comorbid SP and PD.
Conclusions:
- Sudden-onset social phobia appears distinct from non-sudden onset SP.
- Findings support the concept of post-panic social phobia as a potentially separate entity.
- Further research into the etiology and clinical presentation of post-panic SP is warranted.
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