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Social anxiety in a multiple sclerosis clinic population
1Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.
Summary
Social anxiety symptoms are prevalent in multiple sclerosis (MS) patients, impacting quality of life but not neurological disability. Routine screening for social anxiety is crucial for comprehensive MS care.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Background:
- Social anxiety disorder (SAD) is understudied in multiple sclerosis (MS).
- Understanding SAD prevalence and impact in MS is crucial for patient care.
Purpose of the Study:
- To determine the prevalence of social anxiety symptoms in MS patients.
- To investigate the association between social anxiety and demographic/clinical factors in MS.
Main Methods:
- Utilized the Social Phobia Inventory (SPIN) to assess social anxiety.
- Employed the Hospital Anxiety and Depression Scale (HADS) and Health Utilities Index (HUI).
- Assessed neurological disability using the Expanded Disability Status Scale (EDSS).
Main Results:
- 30.6% of MS patients exhibited clinically significant social anxiety symptoms.
- Social anxiety correlated with reduced quality of life but not with neurological disability.
- Co-occurring general anxiety and depression were noted in individuals with social anxiety.
Conclusions:
- Social anxiety is common in MS and contributes to overall morbidity.
- Systematic screening for social anxiety is vital for comprehensive MS management.
- Social anxiety in MS is not linked to the severity of neurological impairment.
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