Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.
J Psychiatr Res. 2010 Oct;44(14):887-93. doi: 10.1016/j.jpsychires.2010.02.013. Epub 2010 Apr 7.
Military mental health research has rarely investigated social anxiety disorder, despite its known serious consequences in the general population, and what work has been conducted has used specialized samples (e.g., veterans) not representative of all military personnel.
Data were from the 2002 Canadian Community Health Survey-Canadian Forces Supplement, a representative survey of 8441 active regular and reserve military personnel.
Social anxiety disorder has a high lifetime (8.2%) and past-year (3.2%) prevalence in the military. It is associated with increased odds of depression, panic attacks/disorder, generalized anxiety disorder, and post-traumatic stress disorder (AOR range 4.16-16.29). Being female, ages 35-44, or separated/divorced/widowed increases the odds of having social anxiety disorder, while being an officer or a reservist decreases the odds. Treatment-seeking, as in the general population, is relatively rare. Overall, military personnel with social anxiety disorder experience significant rates of role impairment in all domains (53.1-88.3% report some impairment), with the rate of role impairment increasing with the number of social fears. Notably, many (70.6%) report at least some impairment at work (i.e., in their job with the military).
Social anxiety disorder is an important disorder to take into account when considering military mental health. Observing low rates of treatment-seeking for social anxiety disorder among military personnel highlights the importance of initiatives to allow its identification and treatment.
军事心理健康研究很少涉及社交焦虑障碍，尽管这种障碍在普通人群中已知会产生严重后果，但已开展的工作仅使用了特定样本（例如退伍军人），而不是所有军人的代表性样本。
数据来自于 2002 年加拿大社区健康调查-加拿大军队补充调查，这是一项针对 8441 名现役正规军和预备役军人的代表性调查。
社交焦虑障碍在军人中的终身（8.2%）和过去一年（3.2%）患病率很高。它与抑郁、惊恐发作/障碍、广泛性焦虑障碍和创伤后应激障碍的几率增加有关（AOR 范围为 4.16-16.29）。女性、35-44 岁或离异/丧偶会增加患有社交焦虑障碍的几率，而军官或预备役人员则会降低这种几率。与普通人群一样，寻求治疗的情况相对较少。总体而言，患有社交焦虑障碍的军人在所有领域的角色受损率都很高（53.1-88.3%报告有一定程度的受损），随着社交恐惧的数量增加，角色受损率也会增加。值得注意的是，许多（70.6%）人报告至少在工作中有一定程度的受损（即在与军队相关的工作中）。
社交焦虑障碍是在考虑军事心理健康时需要考虑的一个重要障碍。观察到军人中社交焦虑障碍寻求治疗的比率较低，突出了采取措施识别和治疗这种障碍的重要性。
