Social anxiety disorder among children and adolescents: A nationwide survey of prevalence, socio-demographic characteristics, risk factors and co-morbidities

Mohammadi, Mohammad Reza and Salehi, Mona and Khaleghi, Ali and Hooshyari, Zahra and Mostafavi, Seyed Ali and Ahmadi, Nastaran and Hojjat, Seyed Kaveh and Safavi, Parvin and Amanat, Man (2020) Social anxiety disorder among children and adolescents: A nationwide survey of prevalence, socio-demographic characteristics, risk factors and co-morbidities. Journal of Affective Disorders, 263. pp. 450-457. ISSN 01650327

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Abstract

Background: Social anxiety disorder is a frequent psychiatric disorder. We aimed to estimate the life-time prevalence, socio-demographic characteristics, risk factors and co-morbidities of this condition among children and adolescents. Methods: This was a cross sectional national survey conducted in Iranian individuals aged 6 to 18 years. Face-to-face household interviews were performed by trained clinical psychologists. The Farsi version of the kiddie schedule for affective disorders and schizophrenia for school-age children/present and lifetime version (K-SADS-PL) was administered to estimate the SAD prevalence. Parental personality traits and their psychopathologies were also obtained using Millon clinical multiaxial inventory, third edition (MCMI-III) to find the possible risk factors. Results: From 29,878 participants, 585 individuals were diagnosed with SAD and weighted lifetime prevalence of 1.8 was observed. The odds of this condition was significantly higher among older adolescents (odds ratio (OR):1.47; 95 confidence interval(CI): 1.11-1.95) and individuals with paternal history of psychiatric hospitalization (OR: 2.96; 95CI: 1.29-6.79). Higher means of persistent depression disorder (OR: 1.009; 95CI: 1.000-1.018) and melancholic personality trait (OR: 1.007; 95CI: 1.001-1.014) in mothers as well as schizophrenia spectrum (OR: 1.014; 95CI: 1.001-1.027) and anxiety (OR: 1.010; 95CI: 1.010-1.021) in fathers were statistically associated with higher odds of SAD in their children. Other anxiety disorders and behavioral disorders were the most prevalent co-morbidities. Limitations: The cross-sectional analysis does not enable analyses of possible causal associations. Lacking control group and follow-up periods were other major limitations that should be resolved in future studies. Conclusion: Clinicians and researchers need to continue studying this condition at all levels and in all developmental periods.

Item Type: Article
Uncontrolled Keywords: adolescent; adolescent smoking; adult; anxiety disorder; Article; behavior disorder; child; child hospitalization; child psychiatry; comorbidity; cross-sectional study; demography; depression; eating disorder; father; female; follow up; health survey; human; incontinence; Iran; Iranian people; major clinical study; male; medical history; melancholia; mental health care; Millon Clinical Multiaxial Inventory; mood disorder; mother; personality; prevalence; priority journal; psychosis; risk factor; rural population; Schedule for Affective Disorders and Schizophrenia; schizophrenia; social phobia; urban population
Subjects: WL Nervous system
WM Psychiatry
WS Pediatrics
Divisions: Faculty of Medicine
Depositing User: zeynab . bagheri
Date Deposited: 30 May 2020 04:15
Last Modified: 30 May 2020 04:15
URI: http://eprints.skums.ac.ir/id/eprint/8471

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