Family History and Anxiety #2

Family History and Anxiety - In addition to anxiety in general, studies have examined the familial history if individuals with social phobia.

ID Articolo: 29449 - Pubblicato il: 19 aprile 2013
Messaggio pubblicitario SFU Magistrale
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Family History Anxiety #2. - Immagine: © altanaka - Fotolia.comFamily History and Anxiety – In addition to anxiety in general, studies have examined the familial history if individuals with social phobia.

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Family studies have shown specificity in familial aggregation of social phobia. Reich and Yates (1988) examined the family histories of three groups of individuals: 1) panic disorder; 2) healthy controls; 3) social phobia. The family histories revealed those with social phobia had more relatives with social phobia than both panic disorder and control relatives.

Using DSM – III diagnostic criteria, Fyer, and colleagues (1993) interviewed first-degree relatives of 83 individuals with social phobia and 231 healthy controls.

Family History and Anxiety. - Immagine: © altanaka - Fotolia.com

Recommended: Family History and Anxiety #1

The results revealed a 16% risk of developing social phobia for individuals with a family member who had a social phobia diagnosis, compared to 5% for those with no history of a mental illness. Importantly for transmission specificity, this increase in risk was only associated with social phobia and not associated with any other anxiety disorder.

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Stein, and colleagues (1998) used DSM-IV diagnostic criteria and examined the family aggregation of social phobia. Interviews were conducted with 106 first-degree relatives of 23 patients with social phobia and 74 first-degree relatives of 24 participants without social phobia. This study aimed to examine the family history of the two social phobia subtypes: 1) performance; 2) generalized. The results demonstrated that 26.4% of the 106 first-degree relatives of the social phobia sample had generalized social phobia themselves, compared to 2.7% of the 74 first-degree relatives without social phobia.

In regard to the familial aggregation of performance social phobia, 14.2% of the 106 first-degree relatives of the social phobia sample had performance social phobia themselves, compared to 14.9% of 74 first-degree relatives of probands without social phobia.

Although conclusions from family history studies are to be interpreted with caution because they are retrospective, these studies (Reich et al. 1988; Fyer et al. 1993; Stein et al. 1998) demonstrate the familial aggregation of anxiety and specificity of social phobia. However, further evidence of intergenerational aggregations is needed using both top-down and bottom-up methodology.

 

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