Senior Resident, Dept. of Psychiatry, Ward E1, Civil Hospital, Ahmedabad 380016, INDIA.
Indian J Psychiatry. 2004 Jul;46(3):221-7.
Social Anxiety Disorder (SAD) is a chronic, disabling and treatable disorder with common onset in adolescence. Virtually there are no Indian studies on SAD. The study was conducted to find out frequency, demographic and phenomenological characteristics of SAD, family related risk factors, academic impairment and comorbidity of depression among adolescents. 421 adolescents in one high-school were screened for SAD and depression and associated factors with academic impairment. 54 (12.8%) had SAD. The most common manifestation of SAD was avoiding giving speeches. SAD was equally common among both genders, was associated with difficulty in coping with studies, concern about weight, having less friends, lack of intimacy with parents, and being treated differently from siblings. In conclusion, SAD is a common adolescent disorder, with major depression as a comorbidity and associated with impairment in academic functioning. All adolescents especially with depression consulting medical professionals should be interviewed for SAD and treated.
社交焦虑障碍（SAD）是一种慢性、致残且可治疗的障碍，常见于青少年时期。实际上，印度尚无关于 SAD 的研究。本研究旨在调查青少年社交焦虑障碍和抑郁的发生率、人口统计学和现象学特征、与家庭相关的风险因素、学业障碍以及与抑郁共病的情况。对一所高中的 421 名青少年进行了 SAD 和抑郁筛查，以及与学业障碍相关的因素。54 名（12.8%）患有 SAD。SAD 最常见的表现是避免演讲。SAD 在男女中同样常见，与应对学习困难、担心体重、朋友较少、与父母缺乏亲密关系以及与兄弟姐妹受到不同待遇有关。总之，SAD 是一种常见的青少年障碍，主要与重度抑郁共病，并与学业功能障碍有关。所有青少年，特别是有抑郁症状咨询医疗专业人员的青少年，都应该接受 SAD 访谈和治疗。
