Generalized Social Phobia
Archives of General PsychiatryPublished 1 March 1995
Salvatore Mannuzza
Citations280
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TL;DR
Generalized social phobia can be distinguished reliably from nongeneralized socialphobia, is a valid subtype, and may characterize a familial form of the disorder.
Abstract
Generalized social phobia (1) can be distinguished reliably from nongeneralized social phobia, (2) is a valid subtype, and (3) may characterize a familial form of the disorder.
Keywords
Psychology
Archives of General PsychiatrySocial Phobia
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Social phobia was associated with distress and impairment, yet was rarely treated by mental health professionals, and an increase in suicide attempts was found among subjects with social phobia overall, but this increase was mainly attributable to comorbid cases.
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Findings do suggest that in its own right and as a comparison for other anxiety disorders, social phobia should prove a fertile area for psychobiological and clinical investigation.
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Remaining diagnostic difficulties, particularly in identifying levels of agoraphobic avoidance and in reliably diagnosing generalized anxiety disorder, are discussed in the context of changes in diagnostic criteria that are under consideration for DSM-IV.
Archives of General PsychiatryPhenelzine vs Atenolol in Social Phobia
447 Citations1992Michael R. Liebowitz, Franklin R. Schneier +9 more
Overall, the findings support the responsivity of social phobia to monoamine oxidase inhibitors to phenelzine.
Journal of Psychiatric ResearchSchedule for Affective Disorders and Schizophrenia—Lifetime version modified for the study of anxiety disorders (SADS-LA): Rationale and conceptual development
397 Citations1986Salvatore Mannuzza, Abby J. Fyer +2 more
Current difficulties in assessing and conceptualizing anxiety disorders, as addressed in the SADS-LA are focused on.
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It is argued that a new measure, Cohen's k statistic, 2 was the appropriate index of diagnostic agreement in psychiatry since it took into account the fact that raters agree by chance alone some of the time and only gave a perfect value if there was total agreement among the raters.
The British Journal of PsychiatrySocial Phobia: A Comparative Clinical Study
338 Citations1983Peter Amies, Michael Gelder +1 more
The pattern of phobic situations was different in the two groups and so was the pattern of autonomic symptoms experienced in these situations and the patterns of phobia and agoraphobia were different.
The Journal of Nervous and Mental DiseaseDSM-III-R Subtypes of Social Phobia
258 Citations1990Richard G. Heimberg, Debra A. Hope +2 more
Generalized social phobic patients appeared more anxious and more depressed and expressed greater fears concerning negative social evaluation and performed more poorly on individualized behavioral tests and differed from public speaking phobics in their responses to cognitive assessment tasks.
Journal of Abnormal PsychologySocial phobia: A comparison of specific and generalized subtypes and avoidant personality disorder.
241 Citations1992Samuel M. Turner, Déborah C. Beidel +1 more
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238 Citations1992Craig S. Holt, Richard G. Heimberg +1 more
The data suggest that both the generalized subtype of social phobia and the presence ofAPD do provide useful diagnostic information but the additional diagnosis of APD may simply identify a severe subgroup of socialphobics.
Journal of Abnormal PsychologyValidity of the distinction between generalized social phobia and avoidant personality disorder.
233 Citations1992James D. Herbert, Debra A. Hope +1 more
GSP and APD seem to represent quantitatively different variants of the same spectrum of psychopathology rather than qualitatively distinct disorders.
The British Journal of PsychiatryThe Classification of Phobic Disorders
217 Citations1970Isaac Marks
Phobic disorders are a series of related disorders which need to be differentiated from phobic symptoms which are a minor accompaniment of another major psychiatric disturbance.
Journal of Anxiety DisordersThe issue of subtypes in the diagnosis of social phobia
206 Citations1993Richard G. Heimberg, Craig S. Holt +3 more
Archives of General PsychiatryA Direct Interview Family Study of Social Phobia
193 Citations1993Abby J. Fyer
A familial contribution to the development of some cases of social phobia is suggested, and the specificity of the pattern of intergenerational transmission is consistent with the current nosologic distinction between socialphobia and other anxiety disorders.
Comprehensive PsychiatryAges of onset of DSM-III anxiety disorders
192 Citations1985Bruce A. Thyer, Richard T. Parrish +3 more
Age-of-onset data is presented for 423 psychiatric outpatients seen at a University Hospital—based anxiety disorders program and the relevance of this information is discussed in terms of past research on ages of onset of the anxiety disorders, and in its bearing on the psychiatric diagnosis of these conditions.
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186 Citations1993Andrew Levin, Jihad B. Saoud +5 more
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148 Citations1989Salvatore Mannuzza
Test-retest reliability of lifetime anxiety disorder diagnoses was determined using the Schedule for Affective Disorders and Schizophrenia-Lifetime Anxiety version and major sources of disagreement were reviewed, and implications for DSM-IV are proposed.
Comprehensive PsychiatryThe relationship of social phobia subtypes and avoidant personality disorder
138 Citations1991Franklin R. Schneier, Robert L. Spitzer +3 more
The diagnoses of social phobia (SP) and avoidant personality disorder (APD) have evolved from different historical sources, but their criteria appear to converge in DSM-III-R.
PubMedInsomnia in the elderly.
129 Citations1992Mark Monane, M B Stein +2 more
The results of this study lend further support for the validity of the DSM-III-R nosologic distinctions between social phobia and panic disorder and provide less support for considering panic disorder with agoraphobia to be distinct from panic disorder without agorphobia.
Clinical Psychology ReviewSocial phobia: Clinical syndrome, diagnosis, and comorbidity
115 Citations1989Samuel M. Turner, Déborah C. Beidel
Social phobia is a newly defined disorder about which relatively little is currently known and the clinical syndrome, diagnostic issues and comorbidity with other disorders are examined.
American Journal of PsychiatryMajor depression in patients with social phobia
108 Citations1990Murray B. Stein, Manuel E. Tancer +3 more
The authors examined the longitudinal course of affective illness retrospectively in 63 patients with social phobia and 54 patients with panic disorder, finding that significantly fewer of the patients withsocial phobia than patients withpanic disorder had experienced at least one major depressive episode.
The British Journal of PsychiatryDelineating Social Phobia
101 Citations1986L. Solyom, Barry Ledwidge +1 more
The social phobia group differed from the agoraphobia group by having a lower mean age, fewer females and married members, and a higher educational and occupational status, and was less fearful generally, less obsessive, and less likely to follow a fluctuating or phasic course.
American Journal of PsychiatrySymptom profiles of patients with DSM-III anxiety disorders
74 Citations1986Oliver G. Cameron, Bruce A. Thyer +2 more
The authors used symptom profiles, demographic data, and other variables to compare 316 patients representing all specific DSM-III anxiety disorders except posttraumatic stress disorder to each other and to published norms for both an unselected psychiatric outpatient population and normal subjects.
Journal of Anxiety DisordersDelineating the boundaries of social phobia: Its relationship to panic disorder and agoraphobia
73 Citations1990Salvatore Mannuzza, Abby J. Fyer +2 more
Critical features for formulating a differential diagnosis include distinguishing type and pattern of panic attacks and determining what the patient fears.
Journal of Psychiatric ResearchAn extension of the acquaintanceship procedure in family studies of mental disorder
18 Citations1992Salvatore Mannuzza, Abby J. Fyer +5 more
It is concluded that using the relatives of well acquaintances is a cost-effective control selection methodology which maximizes the detection of intergenerational transmission in family studies of mental disorder.