The clinical impact of mood disorder comorbidity on social anxiety disorder.

Abstract:

BACKGROUND:High comorbidity rates of mood disorders have been reported in patients with social anxiety disorder (SAD). Our study aims to identify the frequency of comorbid Axis I disorders in patients with SAD and to investigate the impact of psychiatric comorbidity on SAD. METHODS:The study included 247 patients with SAD. Thirty eight patients with bipolar depression (SAD-BD), 150 patients with major depressive disorder (SAD-MDD) and 25 patients who do not have any mood disorder comorbidity (SAD-NOMD) were compared. RESULTS:Around 90% of SAD patients had at least one comorbid disorder. Comorbidity rates of lifetime MDD and BD were 74.5% and 15.4%, respectively. There was no comorbidity in the SAD-NOMD group. Atypical depression, total number of depressive episodes and rate of PTSD comorbidity were higher in SAD-BD than in SAD-MDD. Additionally, OCD comorbidity was higher in SAD-BD than in SAD-NOMD. SAD-MDD group had higher social anxiety severity than SAD-NOMD. CONCLUSIONS:Mood disorder comorbidity might be associated with increased severity and decreased functionality in patients with SAD.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Koyuncu A,Ertekin E,Binbay Z,Ozyıldırım I,Yüksel C,Tükel R

doi

10.1016/j.comppsych.2013.08.016

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

363-9

issue

2

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(13)00279-4

journal_volume

55

pub_type

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