Financial disclosures: No authors have competing financial interests to declare.
EVALUATION OF THE PROPOSED SOCIAL ANXIETY DISORDER SPECIFIER CHANGE FOR DSM-5 IN A TREATMENT-SEEKING SAMPLE OF ANXIOUS YOUTH
Article first published online: 14 MAR 2013
© 2013 Wiley Periodicals, Inc.
Depression and Anxiety
Volume 30, Issue 8, pages 709–715, August 2013
How to Cite
Kerns, C. E., Comer, J. S., Pincus, D. B. and Hofmann, S. G. (2013), EVALUATION OF THE PROPOSED SOCIAL ANXIETY DISORDER SPECIFIER CHANGE FOR DSM-5 IN A TREATMENT-SEEKING SAMPLE OF ANXIOUS YOUTH. Depress. Anxiety, 30: 709–715. doi: 10.1002/da.22067
Contract grant sponsor: National Institutes of Health (NIH); contract grant numbers: K23 MH090247, R01 MH068277, and R01 MH078308.
- Issue published online: 1 AUG 2013
- Article first published online: 14 MAR 2013
- Manuscript Accepted: 12 JAN 2013
- Manuscript Revised: 19 DEC 2012
- Manuscript Received: 20 SEP 2012
- National Institutes of Health (NIH). Grant Numbers: K23 MH090247, R01 MH068277, R01 MH078308
- anxiety disorders;
- diagnostic and statistical manual of mental disorders;
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.