Temple University, United States.
Temple University, United States.
J Anxiety Disord. 2014 Jan;28(1):57-66. doi: 10.1016/j.janxdis.2013.11.009. Epub 2013 Dec 14.
Social anxiety disorder (SAD) and antisocial personality disorder (ASPD) are not often thought of as being comorbid. However, recent research suggests the existence of a SAD subtype with characteristics atypical of SAD but common to ASPD. Thus, we explored two competing hypotheses: (1) SAD and ASPD represent opposite ends of a single dimension, or (2) SAD and ASPD exist on two separate dimensions that may be positively correlated. Data were obtained from the National Epidemiological Survey on Alcohol and Related Conditions. SAD-ASPD was related to greater impairment and psychiatric comorbidity than either disorder alone. The SAD-ASPD group was also more likely to seek treatment for their SAD symptoms and to drink before/during antisocial acts than the SAD only group. The presence of SAD for individuals with ASPD (and vice versa) does not appear to provide any "protective benefits." SAD and ASPD appear to be two separate but correlated disorders.
社交焦虑障碍（SAD）和反社会人格障碍（ASPD）通常不被认为是共病的。然而，最近的研究表明，存在一种 SAD 亚型，其特征与 SAD 不典型但与 ASPD 常见。因此，我们探讨了两个相互竞争的假设：（1）SAD 和 ASPD 代表单一维度的两个极端，或（2）SAD 和 ASPD 存在于两个可能正相关的独立维度上。数据来自全国酒精和相关条件流行病学调查。SAD-ASPD 与更大的损伤和精神共病有关，比任何一种疾病单独存在的情况都要严重。SAD-ASPD 组比仅 SAD 组更有可能寻求治疗他们的 SAD 症状，并在反社会行为之前/期间饮酒。ASPD 患者的 SAD（反之亦然）的存在似乎并没有提供任何“保护益处”。SAD 和 ASPD 似乎是两种独立但相关的疾病。
