BACKGROUND: The current proposal for the DSM-5 definition of social anxiety disorder (SAD) is to replace the DSM-IV generalized subtype specifier with one that specifies fears in performance situations only. Relevant evaluations to support this change in youth samples are sparse. METHODS: The present study examined rates and correlates of the DSM-IV and proposed DSM-5 specifiers in a sample of treatment-seeking children and adolescents with SAD (N = 204). RESULTS: When applying DSM-IV subtypes, 64.2% of the sample was classified as having a generalized subtype of SAD, with the remaining 35.2% classifying as having a nongeneralized subtype SAD. Youth with generalized SAD, relative to those with nongeneralized SAD, were older, had more clinically severe SAD, showed greater depressive symptoms, and were more likely to have a comorbid depressive disorder. No children in the current sample endorsed discrete fear in performance situations only in the absence of fear in other social situations. CONCLUSIONS: The present findings call into question the meaningfulness of the proposed changes in treatment-seeking youth with SAD.
BACKGROUND: The current proposal for the DSM-5 definition of social anxiety disorder (SAD) is to replace the DSM-IV generalized subtype specifier with one that specifies fears in performance situations only. Relevant evaluations to support this change in youth samples are sparse. METHODS: The present study examined rates and correlates of the DSM-IV and proposed DSM-5 specifiers in a sample of treatment-seeking children and adolescents with SAD (N = 204). RESULTS: When applying DSM-IV subtypes, 64.2% of the sample was classified as having a generalized subtype of SAD, with the remaining 35.2% classifying as having a nongeneralized subtype SAD. Youth with generalized SAD, relative to those with nongeneralized SAD, were older, had more clinically severe SAD, showed greater depressive symptoms, and were more likely to have a comorbid depressive disorder. No children in the current sample endorsed discrete fear in performance situations only in the absence of fear in other social situations. CONCLUSIONS: The present findings call into question the meaningfulness of the proposed changes in treatment-seeking youth with SAD.
Authors: Thomas H Ollendick; Sarah M Ryan; Nicole N Capriola-Hall; Isabel C Salazar; Vicente E Caballo Journal: J Psychopathol Behav Assess Date: 2018-09-26
Authors: Erica Crome; Rachel Grove; Andrew J Baillie; Matthew Sunderland; Maree Teesson; Tim Slade Journal: Aust N Z J Psychiatry Date: 2014-08-13 Impact factor: 5.744
Authors: Luis-Joaquin Garcia-Lopez; Lourdes Espinosa-Fernandez; Jose-Antonio Muela-Martinez; Jose Antonio Piqueras Journal: Front Psychol Date: 2021-12-02