title: Social anxiety disorder in the Chinese military: prevalence, comorbidities, impairment, and treatment-seeking.
abstract: The objective of this work is To investigate the prevalence, comorbidities, impairment, and treatment-seeking of social anxiety disorder in the Chinese military personnel. Military personnel (n=11,527) were surveyed from May to August 2007 using a multistage whole cohort probability sampling method. A Chinese version of the World Health Organization Composite International Diagnostic Interview (CIDI) was used for assessment, and a military-related socio-demographic questionnaire was used to describe the prevalence distribution. A unified survey was performed to investigate 11 different social situations. The short-form health survey was used to assess role impairment. The 12-month and lifetime prevalence rates of social anxiety disorder were 3.34% (95% CI: 3.25-3.42%) and 6.22% (95% CI: 6.11-6.32%), respectively. Social anxiety disorder was associated with increased odds of depression, substance abuse, panic attacks/disorder, and generalized anxiety disorder. Childhood foster, female, stressful life events, younger age, and being divorced/widowed increase the incidence of social anxiety disorder. Treatment-seeking was relatively rare. Social anxiety disorder is a common disorder in military personnel in China, and it is a risk factor for subsequent depressive illness, substance abuse and other mental disorder. Early detection and treatment of social anxiety disorder are important because of the low rate of treatment-seeking.
authors.affiliation: Department of Psychiatry, Xijing Hospital, The Fourth Military Medical University, No. 15 Changle Road, Xi׳an 710032, China.
authors.forename: Huaning
authors.initials: H
authors.lastname: Wang
authors.affiliation: Department of Psychiatry, Xijing Hospital, The Fourth Military Medical University, No. 15 Changle Road, Xi׳an 710032, China.
authors.forename: Ruiguo
authors.initials: R
authors.lastname: Zhang
authors.affiliation: Department of Psychiatry, Xijing Hospital, The Fourth Military Medical University, No. 15 Changle Road, Xi׳an 710032, China.
authors.forename: Yunchun
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Psychiatry, Xijing Hospital, The Fourth Military Medical University, No. 15 Changle Road, Xi׳an 710032, China.
authors.forename: Huaihai
authors.initials: H
authors.lastname: Wang
authors.affiliation: Department of Psychiatry, Xijing Hospital, The Fourth Military Medical University, No. 15 Changle Road, Xi׳an 710032, China.
authors.forename: Yahong
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Psychiatry, 91 Hospital of People׳s Liberation Army, No. 239 Gongye Road, Jiao׳zuo 454003, China.
authors.forename: Jingli
authors.initials: J
authors.lastname: Gan
authors.affiliation: Department of Psychiatry, 102 Hospital of People׳s Liberation Army, No. 55 Heping Road, Chang׳zhou 213003, China.
authors.forename: Liyi
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Department of Psychiatry, Xijing Hospital, The Fourth Military Medical University, No. 15 Changle Road, Xi׳an 710032, China. Electronic address: tanqingr@fmmu.edu.cn.
authors.forename: Qingrong
authors.initials: Q
authors.lastname: Tan
mesh_terms: D000293:Adolescent; D002681:China / Q000453:epidemiology; D015331:Cohort Studies; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000150:complications / Q000453:epidemiology; D004185:Disability Evaluation; D005260:Female; D006306:Health Surveys; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology* / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D010698:Phobic Disorders / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology / Q000523:psychology*; D015995:Prevalence; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Chinese military personnel; Comorbidity; Epidemiology; Social anxiety disorders