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Social phobia: a clinical overview

L L Judd1

  • 1Department of Psychiatry, University of California, San Diego 92093-0603.

The Journal of Clinical Psychiatry
|June 1, 1994
PubMed
Summary
This summary is machine-generated.

Social phobia, a common anxiety disorder, affects 13.3% of adults and often begins before age 18. This condition involves intense fear of scrutiny, leading to significant avoidance and disability.

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Area of Science:

  • Psychiatry and Behavioral Sciences
  • Epidemiology of Mental Health

Background:

  • Anxiety disorders, particularly social phobia, are increasingly recognized as significant public health concerns.
  • Social phobia remains one of the least understood and studied anxiety disorders, despite its prevalence.

Purpose of the Study:

  • To investigate the prevalence, onset, clinical course, and comorbidity of social phobia in the adult population.
  • To highlight the significant disability and underestimation associated with social phobia.

Main Methods:

  • Utilized data from the National Comorbidity Survey (NCS).
  • Analyzed lifetime prevalence, age of onset, chronicity, and co-occurring conditions in adults aged 15-54.

Main Results:

  • Lifetime prevalence of social phobia is 13.3% in adults (15-54 years).

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  • Onset typically occurs before age 18, with a chronic and unremitting course.
  • High comorbidity rates observed with simple phobia (59%), agoraphobia (45%), major depression (17%), and substance abuse (19%).

    • Conclusions:

    • Social phobia is a prevalent, early-onset, chronic anxiety disorder with substantial comorbidity.
    • Significant disability is associated with social phobia, yet it is often trivialized by the public and professionals.