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Compr Psychiatry. 2014 Feb;55(2):363-9. doi: 10.1016/j.comppsych.2013.08.016. Epub 2013 Oct 19.

The clinical impact of mood disorder comorbidity on social anxiety disorder.

Author information

1
Bahat Group Hospitals, Psychiatry Unit, Istanbul, Turkey. Electronic address: ahmet_koyu@hotmail.com.
2
Istanbul University, Istanbul Medical Faculty, Psychiatry Department, Istanbul, Turkey. Electronic address: erhanert76@yahoo.com.
3
Kanuni Sultan Süleyman Hospital, Psychiatric Clinic, Istanbul, Turkey. Electronic address: zbinbay@yahoo.com.
4
Psychiatrist in private practice, Istanbul, Turkey. Electronic address: ilkerozy@yahoo.com.
5
Istanbul University, Istanbul Medical Faculty, Psychiatry Department, Istanbul, Turkey. Electronic address: cagriyuksel@hotmail.com.
6
Istanbul University, Istanbul Medical Faculty, Psychiatry Department, Istanbul, Turkey. Electronic address: rtukel@gmail.com.

Abstract

BACKGROUND:

High comorbidity rates of mood disorders have been reported in patients with social anxiety disorder (SAD). Our study aims to identify the frequency of comorbid Axis I disorders in patients with SAD and to investigate the impact of psychiatric comorbidity on SAD.

METHODS:

The study included 247 patients with SAD. Thirty eight patients with bipolar depression (SAD-BD), 150 patients with major depressive disorder (SAD-MDD) and 25 patients who do not have any mood disorder comorbidity (SAD-NOMD) were compared.

RESULTS:

Around 90% of SAD patients had at least one comorbid disorder. Comorbidity rates of lifetime MDD and BD were 74.5% and 15.4%, respectively. There was no comorbidity in the SAD-NOMD group. Atypical depression, total number of depressive episodes and rate of PTSD comorbidity were higher in SAD-BD than in SAD-MDD. Additionally, OCD comorbidity was higher in SAD-BD than in SAD-NOMD. SAD-MDD group had higher social anxiety severity than SAD-NOMD.

CONCLUSIONS:

Mood disorder comorbidity might be associated with increased severity and decreased functionality in patients with SAD.

PMID:
24262120
DOI:
10.1016/j.comppsych.2013.08.016
[Indexed for MEDLINE]
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