Generalized social phobia and avoidant personality disorder: meaningful distinction or useless duplication?
Participants with generalized social phobia (GSP) with (n=36) and without (n=19) avoidant personality disorder (AVPD) were compared via contrasts of group means and classification analysis on purported core features of AVPD. GSP-AVPD participants proved to be more severely impaired or distressed on some group contrasts. Cluster analysis identified two groups in the sample, with group membership significantly correlated to AVPD diagnosis. However, almost all significant findings were nullified when severity of social phobia was statistically controlled. Thus, at least where participants with social phobia are concerned, it seems most parsimonious to consider AVPD a severe form of GSP rather than a separate diagnostic category.
Chambless
Dianne L
DL
Department of Psychology, University of Pennsylvania, Philadelphia, PA 19104-6241, USA. chambless@psych.upenn.edu
Fydrich
Thomas
T
Rodebaugh
Thomas L
TL
D000328:Adult; D000553:Ambulatory Care; D016000:Cluster Analysis; D015897:Comorbidity; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology; D008875:Middle Aged; D008960:Models, Psychological; D010554:Personality Disorders / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology; D010555:Personality Inventory; D010698:Phobic Disorders / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology; D012381:Role Playing; D012649:Self Concept; D012720:Severity of Illness Index; D012917:Social Adjustment; D011795:Surveys and Questionnaires