Title
SOCIAL ANXIETY DISORDER: QUESTIONS AND ANSWERS FOR THE DSM-V
Abbreviated Journal Title
Depress. Anxiety
Keywords
DSM-V; social anxiety disorder; social phobia; subtypes; classification; interpersonal; performance; test anxiety; selective mutism; avoidant; personality disorder; AVOIDANT PERSONALITY-DISORDER; PROSPECTIVE-LONGITUDINAL-COMMUNITY; SELF-FOCUSED ATTENTION; SEROTONIN REUPTAKE INHIBITORS; NATIONAL; COMORBIDITY SURVEY; PUBLIC SPEAKING ANXIETY; 5-YEAR FOLLOW-UP; SELECTIVE; MUTISM; RISK-FACTORS; PHOBIA SUBTYPES; Psychology, Clinical; Psychiatry; Psychology
Abstract
Background: This review evaluates the DSM-IV criteria of social anxiety disorder (SAD), with a focus on the generalized specifier and alternative specifiers, the considerable overlap between the DSM-IV diagnostic criteria for SAD and avoidant personality disorder, and developmental issues. Method: A literature review was conducted, using the validators provided by the DSM-V Spectrum Study Group. This review presents a number of options and preliminary recommendations to be considered for DSM-V Results/Conclusions: Little supporting evidence was found for the current specifier, generalized SAD. Rather, the symptoms of individuals with SAD appear to fall along a continuum of severity based on the number of fears. Available evidence suggested the utility of a specifier indicating a "predominantly performance" variety of SAD. A specifier based on "fear of showing anxiety symptoms" (e.g., blushing) was considered. However, a tendency to show anxiety symptoms is a core fear in SAD, similar to acting or appearing in a certain way. More research is needed before considering subtyping SAD based on core fears. SAD was found to be a valid diagnosis in children and adolescents. Selective mutism could be considered in part as a young child's avoidance response to social fears. Pervasive test anxiety may belong not only to SAD, but also to generalized anxiety disorder. The data are equivocal regarding whether to consider avoidant personality disorder simply a severe form of SAD. Secondary data analyses, field trials, and validity tests are needed to investigate the recommendations and options. Depression and Anxiety 27:168-189, 2010.
Journal Title
Depression and Anxiety
Volume
27
Issue/Number
2
Publication Date
1-1-2010
Document Type
Review
DOI Link
Language
English
First Page
168
Last Page
189
WOS Identifier
ISSN
1091-4269
Recommended Citation
"SOCIAL ANXIETY DISORDER: QUESTIONS AND ANSWERS FOR THE DSM-V" (2010). Faculty Bibliography 2010s. 7133.
https://stars.library.ucf.edu/facultybib2010/7133
Comments
Authors: contact us about adding a copy of your work at STARS@ucf.edu