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Social phobia: Axis I and II correlates.

S M Turner¹, D C Beidel, J W Borden

¹Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pennsylvania 15213-2593.

Journal of Abnormal Psychology

|February 1, 1991

Summary

Social phobia patients frequently have co-occurring Axis I and Axis II disorders. Additional Axis I diagnoses increase anxiety and depression, impacting social phobia

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Area of Science:

Psychiatry
Clinical Psychology

Background:

Social phobia is a prevalent anxiety disorder.
Comorbidities significantly impact patient outcomes.
Understanding co-occurring disorders is crucial for effective treatment.

Purpose of the Study:

To examine the prevalence of Axis I and Axis II disorders in social phobia patients.
To assess the impact of these comorbidities on anxiety, depression, and neuroticism.

Main Methods:

Cross-sectional study of 71 social phobic patients.
Diagnostic assessment for Axis I and Axis II disorders.
Utilized measures of anxiety, depression, neuroticism, interpersonal sensitivity, and agoraphobia.

Main Results:

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Generalized anxiety disorder and simple phobia were common Axis I comorbidities.
Avoidant and obsessive-compulsive personality disorders were prevalent Axis II diagnoses (88% of sample).
Patients with additional Axis I disorders reported higher anxiety and depression.
Patients with additional Axis II disorders reported higher depression, but not anxiety.

Conclusions:

Social phobia frequently co-occurs with other mental health conditions.
Comorbidities influence symptom severity and potentially treatment response.
Further research is needed on the etiology and treatment of social phobia with comorbidities.