PMID- 27720603 OWN - NLM STAT- MEDLINE DCOM- 20180117 LR - 20220330 IS - 1545-7214 (Electronic) IS - 1064-7481 (Linking) VI - 24 IP - 12 DP - 2016 Dec TI - DSM-IV and DSM-5 Prevalence of Social Anxiety Disorder in a Population Sample of Older People. PG - 1237-1245 LID - S1064-7481(16)30201-9 [pii] LID - 10.1016/j.jagp.2016.07.023 [doi] AB - OBJECTIVES: To examine the prevalence of social anxiety disorders (SAD) with (DSM-IV) and without (DSM-5) the person's own assessment that the fear was unreasonable, in a population sample of older adults. Further, to determine whether clinical and sociodemographic correlates of SAD differ depending on the criteria applied. DESIGN: Cross-sectional. SETTING: General population in Gothenburg, Sweden. PARTICIPANTS: A random population-based sample of 75- and 85-year olds (N = 1200) without dementia. MEASUREMENTS: Psychiatric research nurses carried out a semi-structured psychiatric examination including the Comprehensive Psychopathological Rating Scale. DSM-IV SAD was diagnosed with the Mini International Neuropsychiatric Interview. SAD was diagnosed according to DSM-IV and DSM-5 criteria. The 6-month duration criterion in DSM-5 was not applied because of lack of information. Other assessments included the Global Assessment of Functioning (GAF), the Brief Scale for Anxiety (BSA), and the Montgomery Asberg Depression Rating Scale (MADRS). RESULTS: The 1-month prevalence of SAD was 2.5% (N = 30) when the unreasonable fear criterion was defined in accordance with DSM-IV and 5.1% (N = 61) when the DSM-5 criterion was applied. Clinical correlates (GAF, MADRS, and BSA) were worse in SAD cases identified by either procedure compared with all others, and ratings for those reporting unreasonable fear suggested greater (albeit nonsignificant) overall psychopathology. CONCLUSIONS: Shifting the judgment of how reasonable the fear was, from the individual to the clinician, doubled the prevalence of SAD. This indicates that the DSM-5 version might increase prevalence rates of SAD in the general population. Further studies strictly applying all DSM-5 criteria are needed in order to confirm these findings. CI - Copyright A(c) 2016 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved. FAU - Karlsson, Bjorn AU - Karlsson B AD - Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden; Aging Research Center, Karolinska Institutet, Stockholm, Sweden. Electronic address: bjorn.karlsson@ki.se. FAU - Sigstrom, Robert AU - Sigstrom R AD - Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden. FAU - Ostling, Svante AU - Ostling S AD - Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden. FAU - Waern, Margda AU - Waern M AD - Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden. FAU - Borjesson-Hanson, Anne AU - Borjesson-Hanson A AD - Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden. FAU - Skoog, Ingmar AU - Skoog I AD - Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160803 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 - Age Factors MH - Aged MH - Aged, 80 and over MH - *Diagnostic and Statistical Manual of Mental Disorders MH - Female MH - Humans MH - Male MH - Phobia, Social/diagnosis/*epidemiology MH - Prevalence MH - Psychiatric Status Rating Scales MH - Sweden/epidemiology OTO - NOTNLM OT - epidemiology OT - old age OT - prevalence and population study OT - social anxiety disorder EDAT- 2016/10/11 06:00 MHDA- 2018/01/18 06:00 CRDT- 2016/10/11 06:00 PHST- 2015/12/02 00:00 [received] PHST- 2016/06/19 00:00 [revised] PHST- 2016/07/28 00:00 [accepted] PHST- 2016/10/11 06:00 [pubmed] PHST- 2018/01/18 06:00 [medline] PHST- 2016/10/11 06:00 [entrez] AID - S1064-7481(16)30201-9 [pii] AID - 10.1016/j.jagp.2016.07.023 [doi] PST - ppublish SO - Am J Geriatr Psychiatry. 2016 Dec;24(12):1237-1245. doi: 10.1016/j.jagp.2016.07.023. Epub 2016 Aug 3.