Francis G, Last C G, Strauss C C
Brown University School of Medicine, RI.
J Am Acad Child Adolesc Psychiatry. 1992 Nov;31(6):1086-9. doi: 10.1097/00004583-199211000-00014.
The diagnoses of avoidant disorder and social phobia in children have received little research attention. Although DSM-III-R describes avoidant disorder and social phobia as data are available to support this notion. The current study examined characteristics of avoidant disorder and social phobia by comparing outpatient youngsters with avoidant disorder, social phobia, and avoidant disorder plus social phobia on demographic variables and patterns of comorbidity. The psychiatric groups were compared with matched normal controls on symptom measures of depression and fear. Findings indicated that the three psychiatric groups were strikingly similar on all but one variable, age at intake. These findings question the notion of avoidant disorder and social phobia as distinct disorders in children and adolescents.
儿童回避型障碍和社交恐惧症的诊断很少受到研究关注。尽管《精神疾病诊断与统计手册第三版修订本》(DSM-III-R)描述了回避型障碍和社交恐惧症,但目前尚无数据支持这一观点。本研究通过比较患有回避型障碍、社交恐惧症以及回避型障碍合并社交恐惧症的门诊青少年在人口统计学变量和共病模式方面的特征,对回避型障碍和社交恐惧症的特点进行了研究。将这些精神疾病组与匹配的正常对照组在抑郁和恐惧症状指标上进行了比较。研究结果表明,除了一个变量(入院年龄)外,这三个精神疾病组在所有方面都惊人地相似。这些研究结果对回避型障碍和社交恐惧症在儿童和青少年中是不同疾病的观点提出了质疑。