Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
Acta Psychiatr Scand. 2010 Jul;122(1):4-10. doi: 10.1111/j.1600-0447.2010.01559.x. Epub 2010 Apr 8.
To examine the prognosis and incidence of social fears and phobia in an elderly population sample followed for 5 years.
A general population sample (N = 612) of non-demented men (baseline age 70) and women (baseline age 70 and 78-86) was investigated in 2000-2001 and in 2005-2006 with semi-structured psychiatric examinations including the Comprehensive Psychopathological Rating Scale, and the Mini International Neuropsychiatric Interview. Social phobia was diagnosed according to the DSM-IV criteria.
Among nine individuals with DSM-IV social phobia in 2000, 5 (55.6%) had no social fears in 2005, and 1 (11.1%) still met the criteria for DSM-IV social phobia. Among individuals without DSM-IV social phobia in 2000 (N = 603), 12 (2.0%) had DSM-IV social phobia in 2005.
These findings challenge the notion that social phobia is a chronic disorder with rare occurrence in old age.
在一项随访 5 年的老年人群样本中，研究社交恐惧和恐惧症的预后和发生率。
2000-2001 年和 2005-2006 年，对一组非痴呆的男性（基线年龄 70 岁）和女性（基线年龄 70 岁和 78-86 岁）的一般人群样本（N=612）进行了半结构式精神病学检查，包括全面精神病学评定量表和迷你国际神经精神访谈。根据 DSM-IV 标准诊断社交恐惧症。
在 2000 年的 9 名 DSM-IV 社交恐惧症患者中，有 5 名（55.6%）在 2005 年没有社交恐惧，1 名（11.1%）仍符合 DSM-IV 社交恐惧症的标准。在 2000 年没有 DSM-IV 社交恐惧症的患者中（N=603），有 12 名（2.0%）在 2005 年患有 DSM-IV 社交恐惧症。
这些发现挑战了社交恐惧症在老年人群中是一种罕见的慢性疾病的观点。
