TY - JOUR
T1 - Social anxiety disorder in veterans affairs primary care clinics
AU - Kashdan, Todd B.
AU - Christopher Frueh, B.
AU - Knapp, Rebecca G.
AU - Hebert, Renée
AU - Magruder, Kathryn M.
N1 - Funding Information:
This work was partially supported by Grant VCR-99-010-2 from the Veterans Affairs Health Services Research and Development program to Dr. Magruder, and fellowships from the National Institute of Mental Health (F31-MH63565) and the Anxiety Disorder Association of America to Todd B. Kashdan. This work also was supported by the Office of Research and Development, Medical Research Service, Department of Veterans Affairs. We thank Ken Ruggerio for his feedback on earlier versions.
PY - 2006/2
Y1 - 2006/2
N2 - To examine the prevalence and correlates of social anxiety disorder (SAD) in veterans, 733 veterans from four VA primary care clinics were evaluated using self-report questionnaires, telephone interviews, and a 12-month retrospective review of primary care charts. We also tested the concordance between primary care providers' detection of anxiety problems and diagnoses of SAD from psychiatric interviews. For the multi-site sample, 3.6% met criteria for SAD. A greater rate of SAD was found in veterans with than without post-traumatic stress disorder (PTSD) (22.0% vs. 1.1%), and primary care providers detected anxiety problems in only 58% of veterans with SAD. The elevated rate of comorbid psychiatric diagnoses and suicidal risk associated with SAD was not attributable to PTSD symptom severity. Moreover, even after controlling for the presence of major depressive disorder, SAD retained unique, adverse effects on PTSD diagnoses and severity, the presence of other psychiatric conditions, and suicidal risk. These results attest to strong relations between SAD and PTSD, the inadequate recognition of SAD in primary care settings, and the significant distress and impairment associated with SAD in veterans.
AB - To examine the prevalence and correlates of social anxiety disorder (SAD) in veterans, 733 veterans from four VA primary care clinics were evaluated using self-report questionnaires, telephone interviews, and a 12-month retrospective review of primary care charts. We also tested the concordance between primary care providers' detection of anxiety problems and diagnoses of SAD from psychiatric interviews. For the multi-site sample, 3.6% met criteria for SAD. A greater rate of SAD was found in veterans with than without post-traumatic stress disorder (PTSD) (22.0% vs. 1.1%), and primary care providers detected anxiety problems in only 58% of veterans with SAD. The elevated rate of comorbid psychiatric diagnoses and suicidal risk associated with SAD was not attributable to PTSD symptom severity. Moreover, even after controlling for the presence of major depressive disorder, SAD retained unique, adverse effects on PTSD diagnoses and severity, the presence of other psychiatric conditions, and suicidal risk. These results attest to strong relations between SAD and PTSD, the inadequate recognition of SAD in primary care settings, and the significant distress and impairment associated with SAD in veterans.
KW - Comorbidity
KW - Post-traumatic stress disorder
KW - Social anxiety disorder
KW - Specificity
KW - Suicidality
KW - Veterans
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U2 - 10.1016/j.brat.2005.02.002
DO - 10.1016/j.brat.2005.02.002
M3 - Article
C2 - 16389063
AN - SCOPUS:29744436249
SN - 0005-7967
VL - 44
SP - 233
EP - 247
JO - Behaviour Research and Therapy
JF - Behaviour Research and Therapy
IS - 2
ER -