The aim of the study was to estimate the incidence of social phobia in the general population.
The Baltimore cohort of 3481 subjects, sampled during the 1981 Epidemiologic Catchment Area study, was traced.
A total of 1920 subjects were re-interviewed from 1993 to 1996 using the Diagnostic Interview Schedule (DIS).
A subsample of 349 subjects was interviewed by psychiatrists using the Schedules for Clinical Assessment in Neuropsychiatry.
The estimated incidence of DIS/DSM-IV social phobia is 4-5/1000/year.
New cases were found in all age groups, with the highest rates in subjects with baseline depressive and panic disorders.
Psychiatric evaluations showed broad diagnostic concordance with DIS diagnoses in incident cases.
However, validity indices were highly dependent on diagnostic thresholds.
None of the psychiatrist-ascertained social phobics had received treatment for the disorder, although the majority were considered likely to benefit from treatment.
New cases of social phobia occur in adults of all age groups, and are often secondary to other psychiatric conditions.
Mots-clés Pascal : Phobie sociale, Diagnostic Interview Schedule, Psychométrie, Diagnostic and Statistical Manual IV, Classification, Diagnostic, Epidémiologie, Incidence, Environnement social, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Etude longitudinale, Adulte jeune, Homme, Adulte, Personne âgée, Trouble anxieux
Mots-clés Pascal anglais : Social phobia, Diagnostic Interview Schedule, Psychometrics, Diagnostic and Statistical Manual IV, Classification, Diagnosis, Epidemiology, Incidence, Social environment, Mental health, United States, North America, America, Follow up study, Young adult, Human, Adult, Elderly, Anxiety disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0417684
Code Inist : 002B18C08C. Création : 22/03/2000.