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首页> 外文期刊>The journal of clinical psychiatry >An epidemiologic perspective on social anxiety disorder.
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An epidemiologic perspective on social anxiety disorder.

机译：社交焦虑症的流行病学观点。

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摘要

Social anxiety disorder (SAD) is among the most common mental disorders on a lifetime basis, ranging from 12% to 14%. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, categorizes SAD as either generalized (fear/avoidance of multiple social situations) or nongeneralized (fearing only a limited number of social situations), with some overlap between the 2 subtypes. Generalized SAD is associated with more comorbid mental disorders, greater functional impairment, and lower health-related quality of life. Half of SAD patients have onset by age 13 years and 90% by age 23 years; however, SAD is rarely diagnosed or treated by the pediatrician, highlighting the low awareness level of SAD and the need to increase attention among physicians. Social anxiety disorder is associated with an increased risk for depression and a more malignant course, characterized by increased likelihood of suicide attempts and greater disease chronicity. SAD has an adverse impact on outcomes in patients with other comorbid mental conditions such as bipolar disorder, eating disorders, and personality disorders.
机译：社交焦虑症（SAD）是一生中最常见的精神障碍，范围从12％到14％。 《精神疾病诊断和统计手册》第四版将SAD归类为一般性（害怕/避免多种社会状况）或非一般性（仅害怕有限数量的社会状况），两种亚型之间有些重叠。普遍的SAD与更多的合并症，更严重的功能障碍和与健康相关的生活质量降低有关。一半的SAD患者在13岁时发病，90％在23岁时发病。然而，儿科医师很少诊断或治疗SAD，这突显了SAD的认识水平较低，并且需要引起医生的更多关注。社交焦虑症与抑郁症的风险增加和病程更恶性相关，其特征在于自杀未遂的可能性增加和疾病的慢性性增加。 SAD对患有其他合并症，双相情感障碍，进食障碍和人格障碍的患者的结局产生不利影响。

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