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Social anxiety symptoms across diagnoses among outpatients attending a tertiary care mood and anxiety disorders service.
J Affect Disord. 2009 Apr; 114(1-3):305-9.JA

Abstract

BACKGROUND

Social phobia is a common, persistent and disabling anxiety disorder in which co-existing depressive symptoms are common. However the prevalence of social anxiety symptoms in patients with other mood and anxiety disorders is uncertain.

METHOD

In consecutive patients attending a tertiary referral mood and anxiety disorders service, depressive symptoms were assessed by the Montgomery-Asberg Depression Rating Scale (MADRS) and social anxiety symptoms by the Liebowitz Social Anxiety Scale (LSAS). The Clinical Global Impression of Severity (CGI-S) was completed following the appointment.

RESULTS

75 patients (48 women, 27 men; mean age 45.9 years) completed the study. 38 had a single diagnosis and 37 co-morbid diagnoses: 15 patients had bipolar disorder, 35 unipolar depressive disorder, 19 an anxiety disorder, and 6 other disorders. Independent samples t-tests and one-way between-subjects ANOVA revealed that the severity of social anxiety symptoms but not depressive symptoms was significantly greater in patients with co-morbid diagnoses (LSAS 73.7 vs 54.2, t(72)=2.44, p<.05; MADRS 21.9 vs 18.0, t(73)=1.76, p=.08; CGI-S 3.7 vs 3.2, t(73)=2.64, p<.05); and in anxiety disorders than in unipolar depression or bipolar disorder (respectively; LSAS 78.8 vs 59.4 vs 50.0, F(2, 65)=3.13, p=.05; MADRS 22.2 vs 19.8 vs 17.5, F(2, 66)<1, ns; CGI-S 3.9 vs 3.3 vs 3.1, F(2, 66)=5.43, p<.01). In the overall sample, correlation coefficients were MADRS and LSAS, R(2)=0.2628, p<.001; MADRS and CGI-S, R(2)=0.5863, p<.001; and LSAS and CGI-S, R(2)=0.327, p<.001. Correlations between MADRS and LSAS scores were higher in bipolar disorder (R(2)=0.4900, p<.01) than in unipolar depression (R(2)=0.376, p<.01) or anxiety disorders (R(2)=0.0041, ns).

LIMITATIONS

Small size of convenience sample undergoing varying treatments within a single specialist tertiary referral centre.

CONCLUSIONS

There was only a moderate correlation between depressive and social anxiety symptoms across a range of diagnoses. Depressive and social anxiety symptoms were most severe but least well correlated among tertiary care outpatients with anxiety disorders, emphasising the need for comprehensive evaluation and treatment.

Authors+Show Affiliations

Clinical Neuroscience Division, School of Medicine, University of Southampton, University Department of Mental Health, RSH Hospital, Brintons Terrace, Southampton, SO14 0YG UK.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18656267

Citation

Graystone, H J., et al. "Social Anxiety Symptoms Across Diagnoses Among Outpatients Attending a Tertiary Care Mood and Anxiety Disorders Service." Journal of Affective Disorders, vol. 114, no. 1-3, 2009, pp. 305-9.
Graystone HJ, Garner MJ, Baldwin DS. Social anxiety symptoms across diagnoses among outpatients attending a tertiary care mood and anxiety disorders service. J Affect Disord. 2009;114(1-3):305-9.
Graystone, H. J., Garner, M. J., & Baldwin, D. S. (2009). Social anxiety symptoms across diagnoses among outpatients attending a tertiary care mood and anxiety disorders service. Journal of Affective Disorders, 114(1-3), 305-9. https://doi.org/10.1016/j.jad.2008.06.003
Graystone HJ, Garner MJ, Baldwin DS. Social Anxiety Symptoms Across Diagnoses Among Outpatients Attending a Tertiary Care Mood and Anxiety Disorders Service. J Affect Disord. 2009;114(1-3):305-9. PubMed PMID: 18656267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social anxiety symptoms across diagnoses among outpatients attending a tertiary care mood and anxiety disorders service. AU - Graystone,H J, AU - Garner,M J, AU - Baldwin,D S, Y1 - 2008/07/25/ PY - 2008/03/13/received PY - 2008/06/04/revised PY - 2008/06/05/accepted PY - 2008/7/29/pubmed PY - 2009/7/23/medline PY - 2008/7/29/entrez SP - 305 EP - 9 JF - Journal of affective disorders JO - J Affect Disord VL - 114 IS - 1-3 N2 - BACKGROUND: Social phobia is a common, persistent and disabling anxiety disorder in which co-existing depressive symptoms are common. However the prevalence of social anxiety symptoms in patients with other mood and anxiety disorders is uncertain. METHOD: In consecutive patients attending a tertiary referral mood and anxiety disorders service, depressive symptoms were assessed by the Montgomery-Asberg Depression Rating Scale (MADRS) and social anxiety symptoms by the Liebowitz Social Anxiety Scale (LSAS). The Clinical Global Impression of Severity (CGI-S) was completed following the appointment. RESULTS: 75 patients (48 women, 27 men; mean age 45.9 years) completed the study. 38 had a single diagnosis and 37 co-morbid diagnoses: 15 patients had bipolar disorder, 35 unipolar depressive disorder, 19 an anxiety disorder, and 6 other disorders. Independent samples t-tests and one-way between-subjects ANOVA revealed that the severity of social anxiety symptoms but not depressive symptoms was significantly greater in patients with co-morbid diagnoses (LSAS 73.7 vs 54.2, t(72)=2.44, p<.05; MADRS 21.9 vs 18.0, t(73)=1.76, p=.08; CGI-S 3.7 vs 3.2, t(73)=2.64, p<.05); and in anxiety disorders than in unipolar depression or bipolar disorder (respectively; LSAS 78.8 vs 59.4 vs 50.0, F(2, 65)=3.13, p=.05; MADRS 22.2 vs 19.8 vs 17.5, F(2, 66)<1, ns; CGI-S 3.9 vs 3.3 vs 3.1, F(2, 66)=5.43, p<.01). In the overall sample, correlation coefficients were MADRS and LSAS, R(2)=0.2628, p<.001; MADRS and CGI-S, R(2)=0.5863, p<.001; and LSAS and CGI-S, R(2)=0.327, p<.001. Correlations between MADRS and LSAS scores were higher in bipolar disorder (R(2)=0.4900, p<.01) than in unipolar depression (R(2)=0.376, p<.01) or anxiety disorders (R(2)=0.0041, ns). LIMITATIONS: Small size of convenience sample undergoing varying treatments within a single specialist tertiary referral centre. CONCLUSIONS: There was only a moderate correlation between depressive and social anxiety symptoms across a range of diagnoses. Depressive and social anxiety symptoms were most severe but least well correlated among tertiary care outpatients with anxiety disorders, emphasising the need for comprehensive evaluation and treatment. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/18656267/Social_anxiety_symptoms_across_diagnoses_among_outpatients_attending_a_tertiary_care_mood_and_anxiety_disorders_service_ DB - PRIME DP - Unbound Medicine ER -