晚年社交恐惧症的流行病学
Epidemiology of social phobia in later life.
作者信息
Cairney John, McCabe Laura, Veldhuizen Scott, Corna Laurie M, Streiner David, Herrmann Nathan
机构信息
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Ontario, Canada.
出版信息
Am J Geriatr Psychiatry. 2007 Mar;15(3):224-33. doi: 10.1097/01.JGP.0000235702.77245.46. Epub 2007 Jan 9.
OBJECTIVE
Although anxiety disorders, including social phobia (SP), are common among older adults, very little is known about the epidemiology of SP in later life.
METHOD
Using data drawn from a large, nationally representative sample of older adults from Canada (N=12,792), the authors estimate lifetime and 12-month prevalence of social phobia and examine demographic predictors and patterns of comorbidity of current SP in this population.
RESULTS
The results reveal that SP is a prevalent disorder in later life with lifetime and 12-month prevalence estimates of 4.94% and 1.32%, respectively. Current SP (12-month) declines with age and is more common in individuals with other psychiatric disorders. Interestingly, there is no correlation between current SP and gender, marital status, or socioeconomic status.
CONCLUSIONS
SP remains a highly prevalent disorder even in late life with the pattern of feared/avoided situations being strikingly similar to that of younger populations.
目的
尽管焦虑症，包括社交恐惧症（SP），在老年人中很常见，但对于晚年社交恐惧症的流行病学情况却知之甚少。
方法
作者使用从加拿大具有全国代表性的大量老年人样本（N = 12792）中获取的数据，估计社交恐惧症的终生患病率和12个月患病率，并研究该人群中当前社交恐惧症的人口统计学预测因素和共病模式。
结果
结果显示，社交恐惧症在晚年是一种普遍存在的疾病，终生患病率和12个月患病率估计分别为4.94%和1.32%。当前社交恐惧症（12个月患病率）随年龄增长而下降，在患有其他精神疾病的个体中更为常见。有趣的是，当前社交恐惧症与性别、婚姻状况或社会经济地位之间没有相关性。
结论
即使在晚年，社交恐惧症仍然是一种高度普遍的疾病，其恐惧/回避情境的模式与年轻人群体惊人地相似。
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