EVALUATION OF THE PROPOSED SOCIAL ANXIETY DISORDER SPECIFIER CHANGE FOR DSM-5 IN A TREATMENT-SEEKING SAMPLE OF ANXIOUS YOUTH
Financial disclosures: No authors have competing financial interests to declare.
Contract grant sponsor: National Institutes of Health (NIH); contract grant numbers: K23 MH090247, R01 MH068277, and R01 MH078308.
Correspondence to: Jonathan S. Comer, Ph.D., Center for Anxiety and Related Disorders, Department of Psychology, Boston University, 648 Beacon Street, 6th Floor, Boston, MA 02446. E-mail: email@example.com
The current proposal for the DSM-5 definition of social anxiety disorder (SAD) is to replace the DSM-IV generalized subtype specifier with one that specifies fears in performance situations only. Relevant evaluations to support this change in youth samples are sparse.
The present study examined rates and correlates of the DSM-IV and proposed DSM-5 specifiers in a sample of treatment-seeking children and adolescents with SAD (N = 204).
When applying DSM-IV subtypes, 64.2% of the sample was classified as having a generalized subtype of SAD, with the remaining 35.2% classifying as having a nongeneralized subtype SAD. Youth with generalized SAD, relative to those with nongeneralized SAD, were older, had more clinically severe SAD, showed greater depressive symptoms, and were more likely to have a comorbid depressive disorder. No children in the current sample endorsed discrete fear in performance situations only in the absence of fear in other social situations.
The present findings call into question the meaningfulness of the proposed changes in treatment-seeking youth with SAD.