کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
909995 1473050 2006 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Social anxiety disorder comorbidity in patients with bipolar disorder: A clinical replication
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
پیش نمایش صفحه اول مقاله
Social anxiety disorder comorbidity in patients with bipolar disorder: A clinical replication
چکیده انگلیسی

BackgroundThe authors investigated frequency, clinical correlates and onset temporal relationship of social anxiety disorder (SAD) in adult patients with a diagnosis of bipolar I disorder.MethodsSubjects were 189 patients whose diagnoses were assessed by the Structured Clinical Interview for DSM-III-R—Patient Version.ResultsTwenty-four patients (12.7%) met DSM-III-R criteria for lifetime SAD; of these, 19 (10.1% of entire sample) had SAD within the last month. Significantly more bipolar patients with comorbid SAD also had substance use disorders compared to those without. On the HSCL-90, levels of interpersonal sensitivity, obsessiveness, phobic anxiety and paranoid ideation were significantly higher in bipolar patients with SAD than in those without. Bipolar patients with comorbid SAD recalled separation anxiety problems (school refusal) more frequently during childhood than those without. Lifetime SAD comorbidity was associated with an earlier age at onset of syndromal bipolar disorder. Pre-existing OCD tended to delay the onset of bipolarity.ConclusionsSocial anxiety disorder comorbidity is not rare among patients with bipolar disorder and is likely to affect age of onset and phenomenology of bipolar disorder. These findings may influence treatment planning and the possibility of discovering a pathophysiological relationship between SAD and bipolarity.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Anxiety Disorders - Volume 20, Issue 8, 2006, Pages 1148–1157
نویسندگان
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