Articlebronze2008

Incidence of social phobia and identification of its risk indicators: a model for prevention

Ceren Acartürk · Filip Smit · Ron de Graaf · Annemieke van Straten · Margreet ten Have · Pim J. Cuijpers

72 citations0/0 files storedActa Psychiatrica Scandinavica

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Child and Adolescent Psychosocial and Emotional Development Mental Health Treatment and Access

Abstract

OBJECTIVE: This study seeks to examine the incidence of social phobia in the general population and to establish a number of risk indicators. METHOD: Data were derived from the Netherlands Mental Health Survey and Incidence Study (NEMESIS) which is a population based prospective study (n=7076). A sample of adults aged 18-64 years (n=5618) were re-interviewed 1 year later using Composite International Diagnostic Interview (CIDI). RESULTS: The 12-month incidence of DSM-III-R social phobia was 1.0%. Low education, low mastery, low self-esteem, emotional neglect in childhood and ongoing difficulties were found to be risk indicators. After including other mental disorders as risk indicators in the model, the incidence was found to be more common among those with low mastery, major depression, subthreshold social phobia, emotional neglect, negative life events, and low education. CONCLUSION: The incidence of social phobia can be predicted relatively well with psychosocial variables and comorbidity.

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References

1978The Structure of Coping 1981The Stress Process 1992The Structured Clinical Interview for DSM-III-R (SCID)1988The Composite International Diagnostic Interview 1979The social origins of depression 1997Childhood adversity and adult psychiatric disorder in the US National Comorbidity Survey 1992Social Phobia 1996Agoraphobia, Simple Phobia, and Social Phobia in the National Comorbidity Survey

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