Social Phobia in Patients with Alcohol Dependence
Baková N., Raboch J., Popov P.
Psychiatrická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. J. Raboch, DrSc. Oddělení pro léčbu závislostí VFN, Praha, primář MUDr. P. Popov |
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Summary:
Social phobia is a common anxiety disorder characterised by marked fear and diskomfort in
situations involving possible scrutiny or evaluating by others. The condition is associated with
considerable impairment of function and a great deal of comorbidity like depression or alcohol
dependence. The purpose of this study was to determine symptoms of social phobia in alcoholics.
Subjects included 100 patients, 60 male and 40 female, who met DSM-IV criteria for alcohol
dependence. Diagnosis of social phobia was established by a psychiatric interview and also according to DSM-IV. Liebowitz Social Anxiety Scale and Sheehan Disability Scale evaluated symptoms
and psychosocial adaptation of patients. We determined the symptoms of social phobia in alcoholics, 19 per cent of them having this diagnosis. Epidemiological and clinical evidence suggests
a relationship between social phobia and alcoholism, with our study showing that social phobia
often precedes alcohol problems.
Key words:
social phobia, anxiety disorders, alcohol dependence.
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