Lépine J P, Pélissolo A
Department of Psychiatry, Hôpital Fernand Widal, Assistance Publique Hôpitaux de Paris, France.
Int Clin Psychopharmacol. 1996 Jun;11 Suppl 3:35-41.
Both epidemiological and clinical studies indicate that social phobia is highly comorbid with anxiety and affective disorders and, to a lesser extent, with substance use disorders. In epidemiological surveys, about one in five subjects with social phobia has been reported as having no other lifetime disorder. Other patterns of comorbidity with eating disorders, personality disorders and medical morbidity have been studied more recently and are reviewed here. Comorbidity has a strong influence on impairment, health-seeking behavior and suicidality. These results have major implications for improving the recognition, assessment and treatment of this disorder by physicians and for the design of new research perspectives.
流行病学和临床研究均表明，社交恐惧症与焦虑症和情感障碍高度共病，在较小程度上也与物质使用障碍共病。在流行病学调查中，据报道约五分之一的社交恐惧症患者一生中未患其他疾病。最近对与饮食失调、人格障碍和内科疾病的其他共病模式进行了研究，本文将对此进行综述。共病对功能损害、寻求医疗行为和自杀行为有很大影响。这些结果对于提高医生对该疾病的识别、评估和治疗水平以及设计新的研究视角具有重要意义。
