Social anxiety disorder: Current status of prevalence, comorbidity, and impairment

Yıl 2023, , 448 - 467, 25.12.2023

Battal Göktürk Gök Müjgan İnözü

https://doi.org/10.5455/kpd.26024438m000101

Cited By: 2

Öz

Since the last quarter of the last century, knowledge about the epidemiology of social anxiety disorder (SAD) has continued to expand. Therefore, the present study aimed to present an up-to-date and holistic examination of the prevalence of SAD in the general population in various continents and regions worldwide. Epidemiological studies in databases since 2001 have been extensively searched and 43 community studies have been identified. Lifetime and 12-month prevalence estimates of SAD in community samples in all countries were 5.6% and 2.6%, respectively. In America, Europe, and Oceania countries with relatively high socioeconomic levels, the prevalence of SAD was the highest; in Asia, Africa, and Middle East countries, the prevalence rates were relatively the lowest. It was noteworthy that the age of onset of the disorder was quite early, and it was more common in females than males. At the same time, SAD was associated with worse mental health status and decreased quality of life in various fields—such as family, social relationships, and education. In addition, SAD stands out as a persistent and highly comorbid disorder. Although the prevalence of SAD varies in various epidemiological studies, it has been observed that it is one of the most common anxiety disorders in many studies. It was considered that understanding SAD and initiatives for treatment-seeking behavior will improve considerably with information obtained from the general population—such as the frequency of occurrence, age of onset, and the course of the disorder.

Anahtar Kelimeler

social anxiety disorder, epidemiology, prevalence, comorbidity, impairment, review

Etik Beyan

This does not require Committee approval.

Sosyal Kaygı Bozukluğu: Mevcut yaygınlık, eştanı ve bozulma durumu

Öz

Geçtiğimiz yüzyılın son çeyreğinden bu yana sosyal kaygı bozukluğu (SKB) epidemiyolojisiyle ilgili bilgi birikimi genişlemeye devam etmektedir. Bu nedenle bu çalışmada, dünyanın çeşitli kıta ve bölgelerinde, genel toplum popülasyonunda SKB epidemiyolojisinin güncel ve bütüncül bir incelemesinin sunulması amaçlanmıştır. Veri tabanlarında 2001 yılından günümüze kadar yapılan epidemiyolojik çalışmalar kapsamlı bir şekilde taranmış ve 43 çalışmaya ulaşılmıştır. SKB’nin tüm ülkelerde, toplum örneklemlerinde ortalama yaşam boyu ve 12 ay boyunca görülme sıklığı tahminleri sırasıyla %5.6 ve %2.6 olarak bulunmuştur. Yüksek sosyoekonomik düzeye sahip Amerika, Avrupa ve Okyanusya ülkelerinde bozukluğun görülme sıklığı oranlarının en yüksek düzeyde olduğu; Asya, Afrika ve Orta Doğu ülkelerinde ise oranların görece en az olduğu bulunmuştur. Dünya genelinde, başlangıç yaşının oldukça erken olması ve kadınlarda, erkeklere göre daha fazla görülmesi bir diğer önemli epidemiyolojik özelliktir. Bununla birlikte, SKB kötü seyreden ruhsal sağlık durumu ve çeşitli alanlarda (aile, sosyal ilişkiler, eğitim gibi) azalmış yaşam kalitesiyle ilişkilidir. Ayrıca, SKB ısrarcı ve yüksek düzeyde eştanılı seyreden bir bozukluk olarak ön plana çıkmaktadır. SKB’nin görülme sıklığı çeşitli epidemiyolojik çalışmalarda değişkenlik gösterse de birçok çalışmada en yaygın görülen kaygı bozukluğu türlerinden biri olduğu gözlenmiştir. Genel popülasyondan alınan örneklemlerle elde edilen görülme sıklığı, başlangıç yaşı, bozukluğun seyri ve cinsiyete göre dağılımı gibi bilgilerin, bir kaygı bozukluğu türü olarak SKB’ye yönelik anlayışı ve tedavi arama davranışını artırmaya yönelik girişimleri geliştireceği düşünülmektedir.

Anahtar Kelimeler

sosyal kaygı bozukluğu, epidemiyoloji, görülme sıklığı, eştanı, bozulma, gözden geçirme

Etik Beyan

Etik Kurul onayı gerektiren bir çalışma değildir.

Kaynakça

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