Social anxiety symptoms across diagnoses among outpatients attending a tertiary care mood and anxiety disorders service

Graystone, H.J., Garner, M.J. and Baldwin, D.S. (2009) Social anxiety symptoms across diagnoses among outpatients attending a tertiary care mood and anxiety disorders service Journal of Affective Disorders, 114, (1-3), pp. 305-309. (doi:10.1016/j.jad.2008.06.003).


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BACKGROUND: Social phobia is a common, persistent and disabling anxiety disorder in which co-existing depressive symptoms are common. However the prevalence of social anxiety symptoms in patients with other mood and anxiety disorders is uncertain.
METHOD: In consecutive patients attending a tertiary referral mood and anxiety disorders service, depressive symptoms were assessed by the Montgomery-Asberg Depression Rating Scale (MADRS) and social anxiety symptoms by the Liebowitz Social Anxiety Scale (LSAS). The Clinical Global Impression of Severity (CGI-S) was completed following the appointment.
RESULTS: 75 patients (48 women, 27 men; mean age 45.9 years) completed the study. 38 had a single diagnosis and 37 co-morbid diagnoses: 15 patients had bipolar disorder, 35 unipolar depressive disorder, 19 an anxiety disorder, and 6 other disorders. Independent samples t-tests and one-way between-subjects ANOVA revealed that the severity of social anxiety symptoms but not depressive symptoms was significantly greater in patients with co-morbid diagnoses (LSAS 73.7 vs 54.2, t(72)=2.44, p<.05; MADRS 21.9 vs 18.0, t(73)=1.76, p=.08; CGI-S 3.7 vs 3.2, t(73)=2.64, p<.05); and in anxiety disorders than in unipolar depression or bipolar disorder (respectively; LSAS 78.8 vs 59.4 vs 50.0, F(2, 65)=3.13, p=.05; MADRS 22.2 vs 19.8 vs 17.5, F(2, 66)<1, ns; CGI-S 3.9 vs 3.3 vs 3.1, F(2, 66)=5.43, p<.01). In the overall sample, correlation coefficients were MADRS and LSAS, R(2)=0.2628, p<.001; MADRS and CGI-S, R(2)=0.5863, p<.001; and LSAS and CGI-S, R(2)=0.327, p<.001. Correlations between MADRS and LSAS scores were higher in bipolar disorder (R(2)=0.4900, p<.01) than in unipolar depression (R(2)=0.376, p<.01) or anxiety disorders (R(2)=0.0041, ns).
LIMITATIONS: Small size of convenience sample undergoing varying treatments within a single specialist tertiary referral centre.
CONCLUSIONS: There was only a moderate correlation between depressive and social anxiety symptoms across a range of diagnoses. Depressive and social anxiety symptoms were most severe but least well correlated among tertiary care outpatients with anxiety disorders, emphasising the need for comprehensive evaluation and treatment.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1016/j.jad.2008.06.003
ISSNs: 0165-0327 (print)
Related URLs:
Keywords: social anxiety, depression, correlation, anxiety, bipolar disorder
ePrint ID: 62395
Date :
Date Event
April 2009Published
Date Deposited: 10 Feb 2009
Last Modified: 16 Apr 2017 17:29
Further Information:Google Scholar

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