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International Journal of Mental Health and Addiction

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01-08-2020 | Mood Disorders | Original Article

Social Phobia Among Depressed Individuals Entering Residential Rehabilitation Programmes: Prevalence and Correlates

Authors: Katrina Prior, Joanne Ross, Katherine Mills, Maree Teesson

Published in: International Journal of Mental Health and Addiction | Issue 4/2020

Abstract

Social phobia commonly co-occurs with substance use disorders and depression; however, the prevalence and correlates of social phobia among individuals with both of these disorders remain unknown. Interviews were conducted with 120 individuals entering residential rehabilitation for substance use treatment, who endorsed criteria for major depression and were recruited to a randomised controlled trial. Nearly three quarters (72.5%) of the sample met diagnostic criteria for social phobia. These individuals were more likely to report problematic drinking, more severe anxiety and depressive rumination, and lower distress tolerance, compared to individuals without social phobia. When examining the impact of applying diagnostic exclusion rules for social phobia among this cohort, results indicate that one third (32.2%) of those with social phobia specified their fear was related to a co-occurring mental health and/or substance use disorder. This group—who would not have met diagnostic criteria for social phobia if exclusion rules were strictly followed—experienced more severe depression, anxiety, depressive rumination, and repetitive negative thinking than those who did not make such attributions. The high prevalence and burden associated with social phobia among depressed substance users highlight the importance of screening for, assessing, and treating the disorder upon entry to treatment, irrespective of whether symptoms are related to other conditions.

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Title: Social Phobia Among Depressed Individuals Entering Residential Rehabilitation Programmes: Prevalence and Correlates
Authors: Katrina Prior
Joanne Ross
Katherine Mills
Maree Teesson
Publication date: 01-08-2020
Publisher: Springer US
Keywords: Mood Disorders
Affective Disorder
Social Anxiety Disorder
Anxiety
Published in: International Journal of Mental Health and Addiction / Issue 4/2020
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-019-00131-z

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Social Phobia Among Depressed Individuals Entering Residential Rehabilitation Programmes: Prevalence and Correlates

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