Background. The paper describes prevalence, impairments,
patterns of co-morbidity and other
correlates of DSM-IV social phobia in adolescents and young adults, separating
generalized and
non-generalized social phobics.Methods. Data are derived from the baseline investigation of
the Early Developmental Stages of
Psychopathology Study (EDSP), a prospective longitudinal community study
of 3021 subjects, aged
14–24. Diagnoses were based on the DSM-IV algorithms of an expanded
version of the Composite
International Diagnostic Interview.Results. Lifetime prevalence of DSM-IV/CIDI social phobia
was 9·5% in females and 4·9% in
males, with about one-third being classified as generalized social phobics.
Twelve-month prevalence
was only slightly lower, indicating considerable persistence. Respondents
with generalized social
phobia reported an earlier age of onset, higher symptom persistence, more
co-morbidity, more
severe impairments, higher treatment rates and indicated more frequently
a parental history of
mental disorders than respondents with non-generalized social phobia.Conclusions. History of DSM-IV social phobia was found to be
quite prevalent in 14–24 year-olds.
The generalized subtype of social phobia was found to have different correlates
and to be
considerably more persistent, impairing and co-morbid than non-generalized
social phobia.
Although generalized social phobics are more likely than non-generalized
social phobics to receive
mental health treatments, the treatment rate in this sample was low despite
the fact that mental
health services are free in Germany.