Article: Social anxiety disorder in older adults: Evidence from the National Epidemiologic Survey on alcohol and related conditions

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TitleSocial anxiety disorder in older adults: Evidence from the National Epidemiologic Survey on alcohol and related conditions
AuthorsChou, KL1
Issue Date2009
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jad
CitationJournal Of Affective Disorders, 2009, v. 119 n. 1-3, p. 76-83 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.jad.2009.04.002
AbstractObjective: This study aims to investigate the following: 1) the association of social anxiety disorder with childhood parental loss and recent stressful life events; 2) the coexistence of social anxiety disorder and major depressive disorders (MDD); and 3) the impact of social anxiety disorder on medical conditions, obesity, health service utilization, and health-related quality of life. Design: Cross-sectional observational study. Setting: The National Epidemiologic Survey on Alcohol and Related Conditions (2001-2002), a national representative survey of the U.S. noninstitutionalized household population. Participants: 13,420 respondents aged 55 and above. Measurements: Social anxiety disorder was assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version (AUDADIS-IV). Demographic characteristics, psychosocial risk factors, psychiatric disorders, health-related quality of life, obesity, medical conditions, and health service utilization were measured. Results: The current and lifetime prevalence rates of specific phobia were found to be 1.83% and 3.50%, respectively. Multivariate analyses revealed that social anxiety disorder was more common among the younger age groups and those who reported stressful life events. In addition, MDD, specific phobia, and personality disorder were significantly related to social anxiety disorder. Lastly, after adjusting for other psychiatric comorbidities, the association of social anxiety disorder with health-related quality of life, medical condition, and health care service utilization became insignificant. Conclusion: The correlation between social anxiety disorder and MDD raises further questions about the nature of social anxiety disorder among older adults, but this study does not support the notion that this disorder has a strong impact on the quality of life in old age independent of other psychiatric comorbidities. © 2009 Elsevier B.V. All rights reserved.
ISSN0165-0327
2011 Impact Factor: 3.517
2011 SCImago Journal Rankings: 0.172
DOIhttp://dx.doi.org/10.1016/j.jad.2009.04.002
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChou, KL
dc.date.accessioned2012-10-30T06:20:47Z
dc.date.available2012-10-30T06:20:47Z
dc.date.issued2009
dc.description.abstractObjective: This study aims to investigate the following: 1) the association of social anxiety disorder with childhood parental loss and recent stressful life events; 2) the coexistence of social anxiety disorder and major depressive disorders (MDD); and 3) the impact of social anxiety disorder on medical conditions, obesity, health service utilization, and health-related quality of life. Design: Cross-sectional observational study. Setting: The National Epidemiologic Survey on Alcohol and Related Conditions (2001-2002), a national representative survey of the U.S. noninstitutionalized household population. Participants: 13,420 respondents aged 55 and above. Measurements: Social anxiety disorder was assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version (AUDADIS-IV). Demographic characteristics, psychosocial risk factors, psychiatric disorders, health-related quality of life, obesity, medical conditions, and health service utilization were measured. Results: The current and lifetime prevalence rates of specific phobia were found to be 1.83% and 3.50%, respectively. Multivariate analyses revealed that social anxiety disorder was more common among the younger age groups and those who reported stressful life events. In addition, MDD, specific phobia, and personality disorder were significantly related to social anxiety disorder. Lastly, after adjusting for other psychiatric comorbidities, the association of social anxiety disorder with health-related quality of life, medical condition, and health care service utilization became insignificant. Conclusion: The correlation between social anxiety disorder and MDD raises further questions about the nature of social anxiety disorder among older adults, but this study does not support the notion that this disorder has a strong impact on the quality of life in old age independent of other psychiatric comorbidities. © 2009 Elsevier B.V. All rights reserved.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationJournal Of Affective Disorders, 2009, v. 119 n. 1-3, p. 76-83 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.jad.2009.04.002
dc.identifier.citeulike4714566
dc.identifier.doihttp://dx.doi.org/10.1016/j.jad.2009.04.002
dc.identifier.epage83
dc.identifier.issn0165-0327
2011 Impact Factor: 3.517
2011 SCImago Journal Rankings: 0.172
dc.identifier.issue1-3
dc.identifier.pmid19394088
dc.identifier.scopuseid_2-s2.0-70349775830
dc.identifier.spage76
dc.identifier.urihttp://hdl.handle.net/10722/172224
dc.identifier.volume119
dc.languageeng
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jad
dc.publisher.placeNetherlands
dc.relation.ispartofJournal of Affective Disorders
dc.relation.referencesReferences in Scopus
dc.subject.meshAged
dc.subject.meshAged, 80 And Over
dc.subject.meshChi-Square Distribution
dc.subject.meshChild, Orphaned - Psychology
dc.subject.meshDepressive Disorder, Major - Complications - Epidemiology
dc.subject.meshFemale
dc.subject.meshHealth Status
dc.subject.meshHealth Surveys
dc.subject.meshHumans
dc.subject.meshLife Change Events
dc.subject.meshLinear Models
dc.subject.meshLogistic Models
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshOdds Ratio
dc.subject.meshPhobic Disorders - Complications - Epidemiology - Etiology
dc.subject.meshPrevalence
dc.subject.meshRegression Analysis
dc.subject.meshUnited States - Epidemiology
dc.titleSocial anxiety disorder in older adults: Evidence from the National Epidemiologic Survey on alcohol and related conditions
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong