Department of Social Work and Social Administration, University of Hong Kong, Pokfulam Road, Hong Kong, China.
J Affect Disord. 2009 Dec;119(1-3):76-83. doi: 10.1016/j.jad.2009.04.002. Epub 2009 Apr 24.
This study aims to investigate the following: 1) the association of social anxiety disorder with childhood parental loss and recent stressful life events; 2) the coexistence of social anxiety disorder and major depressive disorders (MDD); and 3) the impact of social anxiety disorder on medical conditions, obesity, health service utilization, and health-related quality of life.
Cross-sectional observational study.
The National Epidemiologic Survey on Alcohol and Related Conditions (2001-2002), a national representative survey of the U.S. noninstitutionalized household population.
13,420 respondents aged 55 and above.
Social anxiety disorder was assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version (AUDADIS-IV). Demographic characteristics, psychosocial risk factors, psychiatric disorders, health-related quality of life, obesity, medical conditions, and health service utilization were measured.
The current and lifetime prevalence rates of specific phobia were found to be 1.83% and 3.50%, respectively. Multivariate analyses revealed that social anxiety disorder was more common among the younger age groups and those who reported stressful life events. In addition, MDD, specific phobia, and personality disorder were significantly related to social anxiety disorder. Lastly, after adjusting for other psychiatric comorbidities, the association of social anxiety disorder with health-related quality of life, medical condition, and health care service utilization became insignificant.
The correlation between social anxiety disorder and MDD raises further questions about the nature of social anxiety disorder among older adults, but this study does not support the notion that this disorder has a strong impact on the quality of life in old age independent of other psychiatric comorbidities.
本研究旨在探讨以下问题：1）社交焦虑障碍与儿童期父母丧失和近期应激性生活事件的关联；2）社交焦虑障碍与重性抑郁障碍（MDD）的共存；3）社交焦虑障碍对医疗状况、肥胖、卫生服务利用和健康相关生活质量的影响。
横断面观察性研究。
美国非机构化家庭人群的全国代表性调查——国家酒精相关状况流行病学调查（2001-2002 年）。
13420 名 55 岁及以上的受访者。
使用酒精使用障碍和相关障碍访谈表 DSM-IV 版（AUDADIS-IV）评估社交焦虑障碍。测量人口统计学特征、心理社会风险因素、精神障碍、健康相关生活质量、肥胖、医疗状况和卫生服务利用。
特定恐惧症的现患率和终身患病率分别为 1.83%和 3.50%。多变量分析显示，社交焦虑障碍在年龄较小的人群和报告应激性生活事件的人群中更为常见。此外，MDD、特定恐惧症和人格障碍与社交焦虑障碍显著相关。最后，在调整其他精神共病后，社交焦虑障碍与健康相关生活质量、医疗状况和卫生保健服务利用之间的关联变得不显著。
社交焦虑障碍与 MDD 的相关性进一步提出了关于老年人社交焦虑障碍本质的问题，但本研究并不支持这种障碍对晚年生活质量有独立于其他精神共病的强烈影响的观点。
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