Comorbidity in social anxiety disorder: diagnostic and therapeutic challenges - PubMed (original) (raw)
Review
Comorbidity in social anxiety disorder: diagnostic and therapeutic challenges
Ahmet Koyuncu et al. Drugs Context. 2019.
Abstract
Comorbid disorders are highly prevalent in patients with social anxiety disorder, occurring in as many as 90% of patients. The presence of comorbidity may affect the course of the disease in several ways such as comorbidity in patients with social anxiety disorder (SAD) is related to earlier treatment-seeking behavior, increased symptom severity, treatment resistance and decreased functioning. Moreover, comorbidities cause significant difficulties in nosology and diagnosis, and may cause treatment challenges. In this review, major psychiatric comorbidities that can be encountered over the course of SAD as well as comorbidity associated diagnostic and therapeutic challenges will be discussed.
Keywords: alcohol use disorder; anxiety; bipolar disorder; comorbidity; major depression; mood disorders; personality disorder; social anxiety disorder.
Conflict of interest statement
Disclosure and potential conflicts of interest: The authors declare that they have no conflicts of interest. The International Committee of Medical Journal Editors (ICMJE) Potential Conflicts of Interests form for the authors are available for download at http://www.drugsincontext.com/wp-content/uploads/2019/02/dic.212573-COI.pdf
Similar articles
- The effect of comorbid major depressive disorder or bipolar disorder on cognitive behavioral therapy for social anxiety disorder.
Fracalanza K, McCabe RE, Taylor VH, Antony MM. Fracalanza K, et al. J Affect Disord. 2014 Jun;162:61-6. doi: 10.1016/j.jad.2014.03.015. Epub 2014 Mar 24. J Affect Disord. 2014. PMID: 24767007 - When social anxiety and depression go together: A population study of comorbidity and associated consequences.
Adams GC, Balbuena L, Meng X, Asmundson GJ. Adams GC, et al. J Affect Disord. 2016 Dec;206:48-54. doi: 10.1016/j.jad.2016.07.031. Epub 2016 Jul 18. J Affect Disord. 2016. PMID: 27466742 - The characteristics of the comorbidity between social anxiety and separation anxiety disorders in adult patients.
Dogan B, Yoldas C, Kocabas O, Memis CO, Sevincok D, Sevincok L. Dogan B, et al. Nord J Psychiatry. 2019 Aug;73(6):380-386. doi: 10.1080/08039488.2019.1642381. Epub 2019 Jul 19. Nord J Psychiatry. 2019. PMID: 31322453 - [Bipolar disorders and comorbid anxiety: prognostic impact and therapeutic challenges].
Cazard F, Ferreri F. Cazard F, et al. Encephale. 2013 Feb;39(1):66-74. doi: 10.1016/j.encep.2012.04.005. Epub 2012 Jun 15. Encephale. 2013. PMID: 23095585 Review. French. - The epidemiology of generalized anxiety disorder.
Kessler RC, Keller MB, Wittchen HU. Kessler RC, et al. Psychiatr Clin North Am. 2001 Mar;24(1):19-39. doi: 10.1016/s0193-953x(05)70204-5. Psychiatr Clin North Am. 2001. PMID: 11225507 Review.
Cited by
- Substance Abuse, Depression, and Social Anxiety: Case Study and Application of Cognitive Psychotherapy.
Abu Al-Khair F. Abu Al-Khair F. Case Rep Psychiatry. 2023 Aug 8;2023:3430636. doi: 10.1155/2023/3430636. eCollection 2023. Case Rep Psychiatry. 2023. PMID: 37588770 Free PMC article. - Mitigating the impact of adolescence isolation on the development of social anxiety: A potential role for oxytocin.
Johnston MP, Wanat MJ. Johnston MP, et al. Front Behav Neurosci. 2022 Oct 13;16:1038236. doi: 10.3389/fnbeh.2022.1038236. eCollection 2022. Front Behav Neurosci. 2022. PMID: 36311867 Free PMC article. Review. - Dissociations in cortical thickness and surface area in non-comorbid never-treated patients with social anxiety disorder.
Zhang X, Luo Q, Wang S, Qiu L, Pan N, Kuang W, Lui S, Huang X, Yang X, Kemp GJ, Gong Q. Zhang X, et al. EBioMedicine. 2020 Aug;58:102910. doi: 10.1016/j.ebiom.2020.102910. Epub 2020 Jul 30. EBioMedicine. 2020. PMID: 32739867 Free PMC article. - Predictors of social anxiety disorder with major depressive episodes among Japanese university students.
Watanabe S, Mitsui N, Asakura S, Toyoshima K, Takanobu K, Fujii Y, Kako Y, Kusumi I. Watanabe S, et al. PLoS One. 2021 Sep 27;16(9):e0257793. doi: 10.1371/journal.pone.0257793. eCollection 2021. PLoS One. 2021. PMID: 34570818 Free PMC article. - A latent profile analysis of social anxiety, depression, and pregaming motives among heavy-drinking college students.
Fitzke RE, Atieh T, Davis JP, Canning L, Tran DD, Buch K, Hummer JF, Pedersen ER. Fitzke RE, et al. Alcohol Clin Exp Res (Hoboken). 2024 Jan;48(1):142-152. doi: 10.1111/acer.15221. Epub 2024 Jan 7. Alcohol Clin Exp Res (Hoboken). 2024. PMID: 38184800 Free PMC article.
References
- American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: APA; 2013.
Publication types
LinkOut - more resources
Full Text Sources