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A European perspective on social anxiety disorder

Published online by Cambridge University Press:  16 April 2020

Y. Lecrubier ,
H.U. Wittchen ,
C. Faravelli ,
J. Bobes ,
A. Patel  and
M. Knapp
Y. Lecrubier
Affiliation:
Inserm, Hôpital de la Salpêtrière,Paris, France
H.U. Wittchen
Affiliation:
Max Planck Institute for Psychiatry, Clinical Psychology and Epidemiology,Munich, Germany
C. Faravelli
Affiliation:
Department of Neurologic and Psychiatric Sciences, University of Florence,Florence, Italy
J. Bobes
Affiliation:
Facultad de Medicina, Servicio de Psiquiatria,Oviedo,Spain
A. Patel
Affiliation:
Centre for the Economics of Mental Health, Institute of Psychiatry,London, UK
M. Knapp
Affiliation:
Centre for the Economics of Mental Health, Institute of Psychiatry,London, UK
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Summary

Epidemiologic surveys conducted across Europe indicate that the lifetime prevalence of social anxiety disorder in the general population is close to 7%. The disorder in adulthood rarely presents in its ‘pure’ form and 70–80% of patients have at least one other psychiatric disorder, most commonly depression. Social anxiety disorder is a risk factor for the development of depression and alcohol/substance use or dependence, especially in cases with an early onset (< 15 years). Individuals with social anxiety disorder have significant functional impairment, notably in the areas of initiation and maintenance of social/romantic relationships and educational and work achievement. The economic consequences of social anxiety disorder are considerable, with a high level of diminished work productivity, unemployment and an increased utilisation of medical services amongst sufferers. Effective treatment of social anxiety disorder would improve its course and its health and economic consequences.

Keywords

co-morbiditydisabilityEuropeprevalencesocial anxiety disordersocioeconomic
Type
Review
Information
European Psychiatry , Volume 15 , Issue 1 , 2000 , pp. 5 - 16
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2000

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References

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IIIR). 3rd ed. rev. 1987 Washington, DC: APAGoogle Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) 4th ed. 1994 Washington, DC: APAGoogle Scholar
Angst, J.Comorbidity of panic disorder in a community sample. Clin Neuropharmacol 15 Suppl 1 1992 176–17710.1097/00002826-199201001-00093CrossRefGoogle Scholar
Angst, J.Dobler-Mikola, A.The Zurich Study: anxiety and phobia in young adults. Eur Arch Psychiatr Neurol Sci 1995; 235: 171–17810.1007/BF00380989CrossRefGoogle Scholar
Arillo, A.Aguinaga, I.Guillén, F.Prevelencia de enfermedades mentales en mujeres de una zona urbana. Aten Primaria 1998; 21: 5Google Scholar
Aspendorf, J.B.Shyness as a final common pathway for two different kinds of inhibition. J Pers Social Psychol 1989; 57: 481–49210.1037/0022-3514.57.3.481CrossRefGoogle Scholar
Ballenger, J.C.Davidson, J.R.T.Lecrubier, Y.Nutt, D.J.Bobes, J.Beidel, D.C. et al. Consensus statement on social anxiety disorder from the International Consensus Group on Depression and Anxiety. J Clin Psychiatry 1998; 59: 54–60Google Scholar
Bisserbe, J.C.Weiller, E.Boyer, P.Lepine, J.P.Lecrubier, Y.Social phobia in primary care: level of recognition and drug use. Int Clin Psychopharmacol 1996; 11: 25–28CrossRefGoogle ScholarPubMed
Bijl, R.V.Ravelli, A.VanZessen, G.Prevalence of psychiatric disorder in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatr Epidemiol 1998; 33: 587–59510.1007/s001270050098CrossRefGoogle ScholarPubMed
Bobes, J.Badía, X.Lque, A.García, M.González, M.P.Dal-Ré, R.Grupo De Validación En Español De Cuestionarios De Evaluación De La Fobia Social. Validación de las versiones en español do los cuestionarios Liebowitz Social Anxiety Scale Social Anxiety and Distress Scale y Sheehan Disability Inventory para la evaluación de la fobia social Med Clin (Barc) 1999; 112: 530–538Google Scholar
Boyd, J.H.Rae, D.S.Thompson, J.W.Burns, B.J.Bourdon, K.Locke, B.Z. et al. Phobia: prevalence and risk factors. Soc Psychiatry Psychiatr Epidemiol 1990; 25: 314–32310.1007/BF00782887CrossRefGoogle ScholarPubMed
Carta, M.G.Rudas, N.Uno studio sul benessere psicologico degli emigratti sari a Parigi a confronto con I sardi residenti in Sardegna e con I parigini.In: Progressi in Psichiatria Transculturale, Parte IV. 1998 Cagliari: CUEC Editore 97–118Google Scholar
Davidson, J.R.T.Hughes, D.L.George, L.K.Blazer, D.G.The epidemiology of social phobia: findings from the Duke epidemiological Catchment Area Study. Psychol M 1993; 23: 709–71810.1017/S0033291700025484CrossRefGoogle ScholarPubMed
Davidson, J.R.T.Pharmacotherapy of social anxiety disorder. J Clin Psychiatry 1998; 59: 47–53Google ScholarPubMed
Degonda, M.Angst, J.The Zurich Study. XX. Social phobia and agoraphobia. Eur Arch Psychiatry Clin Neurosci 1993; 243: 95–102CrossRefGoogle ScholarPubMed
Eaton, W.W.Dryman, A.Weissman, M.M.Panic and phobia.Robins, L.NRegier, D.APsychiatric disorders in America: The epidemiologic catchment area study 1991 New York: The Free Press 155–179Google Scholar
Faravelli, C.Guerrini Degl'Innocenti, B.Giardinelli, L.Epidemiology of anxiety disorders in Florence. Acta Psychiatr Scand 1989; 79: 308–312CrossRefGoogle ScholarPubMed
Faravelli, C.Zucchi, T.Viviani, B.Salmoria, R.Perone, A.Epidemiology of social phobia: a clinical approach. Eur Psychiatry 2000; 15: 17–24CrossRefGoogle ScholarPubMed
Godart, N.T.Flament, M.F.Lecrubier, Y.Jeammet, P.Anxiety disorders in anexoria nervosa: Co-morbidity and chronology of appearance. Eur Psychiatry 2000; 15: 38–4510.1016/S0924-9338(00)00212-1CrossRefGoogle ScholarPubMed
Heimberg, R.G.Stein, M.B.Hirirpi, E.V.A.Kessler, R.C.Trends in the prevalence of social phobia in the United States: A synthetic cohort analysis of changes over four decades. Eur Psychiatry 2000; 15: 29–37CrossRefGoogle ScholarPubMed
Kessler, R.C.McGonagle, K.A.Zhao, S. et al. Lifetime and 12-month prevalence of DSM-IIIR psychiatric disorders in the United States: results from the National Comorbidity Survey. Arch Gen Psychiatry 1994; 51: 8–1910.1001/archpsyc.1994.03950010008002CrossRefGoogle Scholar
Kessler, R.C.Crum, R.M.Warner, L.A.Nelson, C.B.Schulenberg, J.Anthony, J.C.Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Study. Arch Gen Psychiatry 1997; 54: 313–32110.1001/archpsyc.1997.01830160031005CrossRefGoogle Scholar
Kessler, R.C.Stang, P.Wittchen, H.U.Stein, M.Walters, E.E.Lifetime comorbidities between social phobia and mood disorders in the US National Comorbidity Survey. Psychol M 1999; 29: 555–56710.1017/S0033291799008375CrossRefGoogle ScholarPubMed
Lecrubier, Y.Weiller, E.Comorbidities in social phobia. Int Clin Pyschopharmacol 1997; 12: S17–2110.1097/00004850-199710006-00004CrossRefGoogle ScholarPubMed
Lépine, J.P.Lellouch, J.Diagnosis and epidemiology of agoraphobia and social phobia. Clin Neuropharmacol 1995; 18: S15–26CrossRefGoogle Scholar
Lépine, J.P.Pélissolo, A.Epidemiology and comorbidity of social anxiety disorder.Westenberg, H.G.Mden Boer, J.AFocus on Psychiatry. Social anxiety disorder 1999 Amsterdam: Syn-Thesis Publishers 29–43Google Scholar
Lindal, E.Stefansson, J.G.The lifetime prevalence of anxiety disorders in Iceland as estimated by the US National Institute of Mental Health Diagnostic Interview Schedule. Acta Psychiatr Scand 1993; 88: 29–3410.1111/j.1600-0447.1993.tb03410.xCrossRefGoogle ScholarPubMed
Magee, W.J.Eaton, W.W.Wittchen, H.U.McGonagle, K.A.Kessler, R.C.Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Arch Gen Psychiatry 1996; 53: 159–16810.1001/archpsyc.1996.01830020077009CrossRefGoogle ScholarPubMed
Marks, I;M.The classification of phobic disorders. Br J Psychiatry 1970; 116: 377–38610.1192/bjp.116.533.377CrossRefGoogle ScholarPubMed
Merikangas, K.R.Angst, J.Comorbidity and social phobia; evidence from clinical, epidemiologic, and genetic studies. Eur Arch Psychiatry Clin Neurosci 1995; 244: 297–30310.1007/BF02190407CrossRefGoogle ScholarPubMed
Pakriev, S.Vasar, V.Aluoja, A.Saarma, M.Shlik, J.Prevalence of mood disorders in the rural population of Udmurtia. Acta Psychiatr Scand 1998; 97: 169–17410.1111/j.1600-0447.1998.tb09983.xCrossRefGoogle ScholarPubMed
Pini, S.Cassano, G.B.Simonini, E.Savino, M.Russo, A.Montgomery, S.A.Prevalence of anxiety disorders comorbidity in bipolar depression, unipolar depression and dysthymia. J Affect Disord 1997; 42: 145–153CrossRefGoogle ScholarPubMed
Regier, D.A.Farmer, M.E.Rae, D.S.Locke, B.Z.Keith, S.J.Judd, L.L.Comorbidity of mental disorders with alcohol and other drug abuse. Results from the epidemiologic catchment area (ECA) study. JAMA 1990; 264: 2511–2518CrossRefGoogle ScholarPubMed
Schneier, F.R.Johnson, J.Hornig, C.D.Liebowitz, M.R.Weissman, M.M.Social phobia. Comorbidity and morbidity in an epidemiological sample. Arch Gen Psychiatry 1992; 49: 282–288CrossRefGoogle Scholar
Stein, M.B.Chavira, D.A.Subtypes of social phobia and comorbidity with depression and other anxiety disorders. J Affect Disord 50 (Suppl. 1) 1998 S11–16CrossRefGoogle ScholarPubMed
Szadoczky, E.Rihmer, Z.Papp, Z.S.Furedi, J.The prevalence of affective and anxiety disorders in primary care practice in Hungary. J Affect Disord 1997; 43: 239–244CrossRefGoogle ScholarPubMed
Turner, S.M.Beidel, D.C.Larkin, K.T.Situational determinants of social anxiety in clinic and nonclinic samples; physiological and cognitive correlates. J Consult Clin Psychol 1986; 54: 523–52710.1037/0022-006X.54.4.523CrossRefGoogle ScholarPubMed
Wacker, H.R.Mulleians, R.Klein, K.H.Battegay, R.Identification of cases of anxiety disorders and affective disorders in the community according to ICD-10 and DSM-IIIR by using the composite international diagnostic interview (CIDI). Int J Meth Psychiat Research 1992; 2: 91–100Google Scholar
Weiller, E.Bisserbe, J.C.Boyer, P.Lépine, J.P.Lecrubier, Y.Social phobia in general health care. An unrecognised undertreated disabling disorder. Br J Psychiatry 1996; 168: 169–174CrossRefGoogle ScholarPubMed
Wittchen, H.U.Beloch, E.The impact of social phobia on quality of life. Int Clin Psychopharmacol 1996; 11: 15–23CrossRefGoogle ScholarPubMed
Wittchen, H.U.Ahmoi Essau, C.von Zerssen, D.Krieg, J.-C.Zaudig, M.Lifetime and six-month prevalence of mental disorders in the Munich follow-up study. Eur Arch Psychiatry Neurosci 1992; 241: 247–25810.1007/BF02190261CrossRefGoogle ScholarPubMed
Wittchen, H.U.Nelson, C.B.Lachner, G.Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychol M 1998; 28: 109–126CrossRefGoogle ScholarPubMed
Wittchen, H.U.Stein, B.Kessler, R.Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors, and comorbidity. Psychol M 1999; 29: 309–32310.1017/S0033291798008174CrossRefGoogle Scholar
Wittchen, H.U.Feutsch, M.Sonntag, H.Muller, N.Liebowitz, M.Disability and quality of life in pure and comorbid social phobia: findings from a controlled study. Eur Psychiatry 2000; 15: 46–5810.1016/S0924-9338(00)00211-XCrossRefGoogle ScholarPubMed
World Health Organization. The tenth revision of the international classification of diseases and related health problems (ICD-10). 1992 Geneva: WHO, Division of Mental HealthGoogle Scholar
Wunderlich, U.Bronisch, T.Wittchen, H.U.Comorbidity patterns in adolescents and young adults with suicide attempts. Eur Arch Psychiatry Clin Neurosci 1998; 248: 87–95CrossRefGoogle Scholar
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