PMID- 19172681
OWN - NLM
STAT- MEDLINE
DCOM- 20090227
LR  - 20191111
IS  - 1545-7214 (Electronic)
IS  - 1064-7481 (Linking)
VI  - 17
IP  - 2
DP  - 2009 Feb
TI  - Prevalence of social phobia in non-demented elderly from a swedish population 
      study.
PG  - 127-35
AB  - OBJECTIVE: To examine the prevalence of social phobia, and how the different 
      Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) 
      diagnostic components of social phobia influence prevalence rates, among a 
      population sample aged 70 years and older. DESIGN: A general population sample 
      was investigated in 2000-2001 with semistructured psychiatric examinations, 
      including the Comprehensive Psychopathological Rating Scale, the Mini 
      International Neuropsychiatric Interview, the Global Assessment of Functioning 
      (GAF) scale, and the Mini Mental State Examination. SETTING: General population 
      Participants: Randomized sample of 914 nondemented elderly, response rate 68%. 
      The sample was stratified into two age groups: 70-year olds (N = 338 women and 
      224 men) and aged 78 and above (N = 352 women). MEASUREMENTS: Social phobia 
      according to DSM-IV requiring: a) fearing social situations, b) experiencing the 
      fear as unreasonable or excessive, c) avoiding feared social situations or 
      enduring them with intense anxiety or distress, and d) that this causes social 
      consequences. RESULTS: The 1-month prevalence of social phobia was 1.9% (N = 17), 
      an additional 1.6% (N = 15) fulfilled criteria a, c, and d, but not b. Thus, 3.5% 
      had "social phobia" that caused social consequences. This was related to lower 
      GAF-score and concurrent depression,panic attacks, and agoraphobia. Almost one 
      fourth (N = 220) of the total sample feared social situations. This was more 
      common in 70-year-old women compared with 70-year-old men (29.9% versus 20.5%), 
      and to women aged 78-92 years (21.0%). CONCLUSIONS: Our results indicate that 
      DSM-IV criteria exclude a large group of individuals with social phobia. It could 
      be discussed whether DSM-IV criteria should be revised to also encompass these 
      individuals.
FAU - Karlsson, Bjorn
AU  - Karlsson B
AD  - Department of Psychiatry and Neurochemistry, Institute of Neuroscience and 
      Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden. 
      karlsson.bjorn@gmail.com
FAU - Klenfeldt, Isak Freden
AU  - Klenfeldt IF
FAU - Sigstrom, Robert
AU  - Sigstrom R
FAU - Waern, Margda
AU  - Waern M
FAU - Ostling, Svante
AU  - Ostling S
FAU - Gustafson, Deborah
AU  - Gustafson D
FAU - Skoog, Ingmar
AU  - Skoog I
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Am J Geriatr Psychiatry
JT  - The American journal of geriatric psychiatry : official journal of the American 
      Association for Geriatric Psychiatry
JID - 9309609
SB  - IM
MH  - Aged
MH  - Agoraphobia/epidemiology
MH  - Cross-Sectional Studies
MH  - Depression/epidemiology
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Geriatric Assessment
MH  - Humans
MH  - Male
MH  - Panic Disorder/epidemiology
MH  - Phobic Disorders/diagnosis/*epidemiology
MH  - Population Surveillance
MH  - Psychiatric Status Rating Scales
MH  - Severity of Illness Index
MH  - Sex Factors
MH  - Sweden/epidemiology
EDAT- 2009/01/28 09:00
MHDA- 2009/02/28 09:00
CRDT- 2009/01/28 09:00
PHST- 2009/01/28 09:00 [entrez]
PHST- 2009/01/28 09:00 [pubmed]
PHST- 2009/02/28 09:00 [medline]
AID - S1064-7481(12)60732-5 [pii]
AID - 10.1097/jgp.0b013e3181860051 [doi]
PST - ppublish
SO  - Am J Geriatr Psychiatry. 2009 Feb;17(2):127-35. doi: 
      10.1097/jgp.0b013e3181860051.