The clinical impact of mood disorder comorbidity on social anxiety disorder |
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Authors: | Ahmet Koyuncu Erhan Ertekin Zerrin Binbay ?lker Özy?ld?r?m Ça?r? Yüksel Ra?it Tükel |
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Institution: | 1. Bahat Group Hospitals, Psychiatry Unit, Istanbul, Turkey;2. Istanbul University, Istanbul Medical Faculty, Psychiatry Department, Istanbul, Turkey;3. Kanuni Sultan Süleyman Hospital, Psychiatric Clinic, Istanbul, Turkey;4. Psychiatrist in private practice, Istanbul, Turkey |
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Abstract: | BackgroundHigh 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.MethodsThe 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.ResultsAround 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.ConclusionsMood disorder comorbidity might be associated with increased severity and decreased functionality in patients with SAD. |
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