Department of Psychiatry, New York State Psychiatric Institute and College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
J Psychiatr Res. 2011 Dec;45(12):1557-63. doi: 10.1016/j.jpsychires.2011.08.004. Epub 2011 Aug 27.
Social anxiety disorder (SAD) is highly prevalent and impairing. Little is known about rates and predictors of persistence of SAD in the community. The current study derived data from the National Epidemiologic Survey on Alcohol and Related Conditions, Wave 1 (2001-2002, n = 43,093) and Wave 2 (2004-2005, n = 34,653), a large survey of a representative sample of the United States adult population. Individuals with current DSM-IV SAD at Wave 1 were re-interviewed 3 years later at Wave 2 using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM IV Version (AUDADIS-IV). We found that in the community, 22.3% of respondents with SAD at the Wave 1 evaluation met DSM-IV criteria for SAD three years later, and endorsement of social interaction fears and a higher number of avoided social situations, treatment-seeking during past year, and comorbidity with mood disorders independently predicted persistence of SAD. These results suggest that persistence of SAD in the community is common and associated with symptom severity and comorbid mood disorders.
社交焦虑障碍（SAD）的发病率很高，且会造成损害。关于社区中 SAD 的持续率及其预测因素，人们知之甚少。本研究的数据来源于国家酒精相关情况流行病学调查，第一波（2001-2002 年，n=43093）和第二波（2004-2005 年，n=34653），这是对美国成年人口的代表性样本进行的一项大型调查。在第一波调查中被诊断为 DSM-IV 社交焦虑障碍的个体，在 3 年后的第二波调查中使用酒精使用障碍及相关障碍访谈表-DSM-IV 版本（AUDADIS-IV）再次接受访谈。我们发现，在社区中，在第一波评估中患有 SAD 的受访者中，有 22.3%在 3 年后符合 DSM-IV 社交焦虑障碍标准，对社交互动的恐惧和更多避免社交的情况、过去一年的治疗寻求以及与心境障碍的共病与 SAD 的持续存在独立相关。这些结果表明，社区中 SAD 的持续存在很常见，与症状严重程度和共患心境障碍有关。
