title: [Social phobia--an anxiety disorder underdiagnosed in outpatient and consultation-liaison service?].
abstract: Social fears are common, whereas Social Phobia is diagnosed infrequently. Therefore, we compared the clinical diagnoses (ICD-10) in an outpatient and CL service of a psychosomatic university hospital to patients' self ratings in social fears on the Liebowitz Social Anxiety Scale (LSAS). Over the course of one year 688 patients could be characterized regarding their clinical diagnoses, LSAS-scores, symptom severity (SCL-90R) and psychosomatic complaints (GBB-24). Patients were assigned to three groups by their levels of social fears (LSAS). Social Phobia was diagnosed rarely by clinicians (5.5%), but generalized social fears (LSAS>60) were commonly reported by patients (14.6%). Patients with social fears reported higher distress and more psychosomatic complaints. They were more often diagnosed with Depression, Agoraphobia or Panic Disorder and Posttraumatic Stress Disorder. Effective manualized psychotherapeutic short-term approaches are available for patients with Social Phobia. Therefore, a better clinical identification of this group of patients is desirable.
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz. wiltink@psychosomatik.klinik.uni-mainz.de
authors.forename: Jörg
authors.initials: J
authors.lastname: Wiltink
authors.forename: Antje
authors.initials: A
authors.lastname: Haselbacher
authors.forename: Achim
authors.initials: A
authors.lastname: Knebel
authors.forename: Regine
authors.initials: R
authors.lastname: Tschan
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Zwerenz
authors.forename: Matthias
authors.initials: M
authors.lastname: Michal
authors.forename: Claudia
authors.initials: C
authors.lastname: Subic-Wrana
authors.forename: Manfred E
authors.initials: ME
authors.lastname: Beutel
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000523:psychology; D008875:Middle Aged; D010698:Phobic Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D011602:Psychophysiologic Disorders / Q000150:complications / Q000523:psychology; D012017:Referral and Consultation