General population data were used to study co-morbidities between lifetime social phobia and mood disorders.
Data come from the US National Comorbidity Survey (NCS).
Strong associations exist between lifetime social phobia and major depressive disorder (odds ratio 2.9), dysthymia (2.7) and bipolar disorder (5.9).
Odds ratios increase in magnitude with number of social fears.
Reported age of onset is earlier for social phobia than mood disorders in the vast majority of co-morbid cases.
Temporally-primary social phobia predicts subsequent onset of mood disorders, with population attributable risk proportions of 10-15%. Social phobia is also associated with severity and persistence of co-morbid mood disorders.
Social phobia is a commonly occurring, chronic and seriously impairing disorder that is seldom treated unless it occurs in conjunction with another co-morbid condition.
The adverse consequences of social phobia include increased risk of onset, severity and course of subsequent mood disorders.
Early outreach and treatment of primary social phobia might not only reduce the prevalence of this disorder itself, but also the subsequent onset of mood disorders.
Mots-clés Pascal : Phobie sociale, Association morbide, Dysthymie, Etat dépressif, Trouble bipolaire, Age apparition, Enquête, Epidémiologie, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Homme, Trouble anxieux, Trouble humeur
Mots-clés Pascal anglais : Social phobia, Concomitant disease, Dysthymia, Depression, Bipolar disorder, Age of onset, Survey, Epidemiology, Mental health, United States, North America, America, Human, Anxiety disorder, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0350091
Code Inist : 002B18C08C. Création : 14/12/1999.