George M S, Lydiard R B
Biological Psychiatry Branch, National Institute of Mental Health (NIMH), Bethesda, MD 20892.
Psychosomatics. 1994 Nov-Dec;35(6):520-3. doi: 10.1016/s0033-3182(94)71720-5.
Persons with physical disabilities cannot be diagnosed as having social phobia under current DSM-III-R criteria. The DSM-III-R social phobia diagnosis excludes persons where a physical disorder causes the distress and phobic avoidance. However, the authors have noted in clinical practice that social phobia and physical disabilities sometimes coexist. A review of the published literature reveals that stutterers and BET patients frequently have social phobia-like symptoms. No prevalence data on comorbid DSM-III-R-defined social phobia were found in these groups (i.e., social phobia occurring in areas where the disability does not cause the distress and avoidance). Further research is warranted to determine the prevalence of social phobic behaviors occurring in conjunction with certain physical disabilities.
根据目前的《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准，身体残疾者不能被诊断为患有社交恐惧症。DSM-III-R的社交恐惧症诊断排除了因身体障碍导致痛苦和恐惧回避的人。然而，作者在临床实践中注意到社交恐惧症和身体残疾有时会同时存在。对已发表文献的回顾表明，口吃者和身体畸形障碍患者经常有类似社交恐惧症的症状。在这些群体中未发现关于共病的DSM-III-R定义的社交恐惧症的患病率数据（即社交恐惧症发生在残疾不会导致痛苦和回避的领域）。有必要进行进一步研究以确定与某些身体残疾同时出现的社交恐惧行为的患病率。
