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Functional impairment in social phobia.
J Clin Psychiatry. 1994 Aug; 55(8):322-31.JC

Abstract

BACKGROUND

This study examined the nature of impairment of functioning in persons with social phobia and assessed the validity of two new rating scales for describing impairment in social phobia.

METHOD

In 32 patients with social phobia and 14 normal control subjects, impairment was assessed using the Disability Profile and the Liebowitz Self-Rated Disability Scale, new instruments designed to provide clinician- and patient-rated descriptive measures of current and lifetime functional impairment related to emotional problems. Validity of the new scales was assessed by measuring internal consistency, comparing scores for patients and controls, and comparing scores with those on standard measures of disability, social phobia symptoms, and social support.

RESULTS

More than half of all social phobic patients reported at least moderate impairment at some time in their lives, due to social anxiety and avoidance, in areas of education, employment, family relationships, marriage/romantic relationships, friendships/social network, and other interests. Social phobic patients were rated more impaired than normal controls on nearly all items on both measures. Both scales were internally consistent, with Cronbach's alpha coefficients for lifetime and current disability subscales in the range of .87 to .92. Significant positive correlations of scores on the new scales with scores on coadministered standard scales of social phobia symptoms and disability demonstrated concurrent validity. Disability was not significantly correlated with measures of social support.

CONCLUSION

Social phobia is associated with impairment in most areas of functioning, and the new scales appear useful in assessing functional impairment related to social phobia.

Authors+Show Affiliations

Department of Therapeutics, New York State Psychiatric Institute, College of Physicians and Surgeons, Columbia University, New York 10032.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8071299

Citation

Schneier, F R., et al. "Functional Impairment in Social Phobia." The Journal of Clinical Psychiatry, vol. 55, no. 8, 1994, pp. 322-31.
Schneier FR, Heckelman LR, Garfinkel R, et al. Functional impairment in social phobia. J Clin Psychiatry. 1994;55(8):322-31.
Schneier, F. R., Heckelman, L. R., Garfinkel, R., Campeas, R., Fallon, B. A., Gitow, A., Street, L., Del Bene, D., & Liebowitz, M. R. (1994). Functional impairment in social phobia. The Journal of Clinical Psychiatry, 55(8), 322-31.
Schneier FR, et al. Functional Impairment in Social Phobia. J Clin Psychiatry. 1994;55(8):322-31. PubMed PMID: 8071299.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional impairment in social phobia. AU - Schneier,F R, AU - Heckelman,L R, AU - Garfinkel,R, AU - Campeas,R, AU - Fallon,B A, AU - Gitow,A, AU - Street,L, AU - Del Bene,D, AU - Liebowitz,M R, PY - 1994/8/1/pubmed PY - 1994/8/1/medline PY - 1994/8/1/entrez SP - 322 EP - 31 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 55 IS - 8 N2 - BACKGROUND: This study examined the nature of impairment of functioning in persons with social phobia and assessed the validity of two new rating scales for describing impairment in social phobia. METHOD: In 32 patients with social phobia and 14 normal control subjects, impairment was assessed using the Disability Profile and the Liebowitz Self-Rated Disability Scale, new instruments designed to provide clinician- and patient-rated descriptive measures of current and lifetime functional impairment related to emotional problems. Validity of the new scales was assessed by measuring internal consistency, comparing scores for patients and controls, and comparing scores with those on standard measures of disability, social phobia symptoms, and social support. RESULTS: More than half of all social phobic patients reported at least moderate impairment at some time in their lives, due to social anxiety and avoidance, in areas of education, employment, family relationships, marriage/romantic relationships, friendships/social network, and other interests. Social phobic patients were rated more impaired than normal controls on nearly all items on both measures. Both scales were internally consistent, with Cronbach's alpha coefficients for lifetime and current disability subscales in the range of .87 to .92. Significant positive correlations of scores on the new scales with scores on coadministered standard scales of social phobia symptoms and disability demonstrated concurrent validity. Disability was not significantly correlated with measures of social support. CONCLUSION: Social phobia is associated with impairment in most areas of functioning, and the new scales appear useful in assessing functional impairment related to social phobia. SN - 0160-6689 UR - https://www.unboundmedicine.com/medline/citation/8071299/Functional_impairment_in_social_phobia_ L2 - https://ClinicalTrials.gov/search/term=8071299 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -