Comorbid generalized anxiety disorder in primary social phobia: Symptom severity, functional impairment, and treatment response

Journal of Anxiety Disorders

Volumn 14, Issue 4, 2000, Pages 325-343

  Mennin, Douglas S ^a   Heimberg, Richard G ^a   Jack, MacAndrew S ^a  

^a TEMPLE UNIVERSITY   (United States)

Author keywords

Cognitive behavioral treatment; Generalized anxiety disorder; Social phobia; Worry comorbidity

Indexed keywords

ADULT; AGED; ANXIETY NEUROSIS; ARTICLE; AVOIDANCE BEHAVIOR; BEHAVIOR THERAPY; COGNITION; COGNITIVE THERAPY; COMORBIDITY; DEMOGRAPHY; DEPRESSION; DISEASE SEVERITY; FEMALE; FUNCTIONAL DISEASE; HAMILTON SCALE; HUMAN; INTERVIEW; MAJOR CLINICAL STUDY; MALE; SELF REPORT; SOCIAL PHOBIA; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGED; ANXIETY; COGNITIVE THERAPY; FEMALE; HUMANS; MALE; MIDDLE AGED; PHOBIC DISORDERS; PSYCHIATRIC STATUS RATING SCALES; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 0034622214     PISSN: 08876185     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0887-6185(00)00026-8     Document Type: Article

References (48)

1. Angold A., Costello E.J. Depressive comorbidity in children and adolescents. Empirical, theoretical and methodological issues American Journal of Psychiatry. 150:1993;1779-1791.
2. Diagnostic and statistical manual of mental disorders. 3rd ed., revised:1987;Author, Washington, DC.
3. Diagnostic and statistical manual of mental disorders. 4th ed:1994;Author, Washington, DC.
4. Barlow D.H. Comorbidity in social phobia. Implications for cognitive-behavioral treatment Bulletin of the Menninger Clinic. 58(2 Suppl A):1994;A43-A57.
5. Barlow D.H., DiNardo P.A., Vermilyea B.B., Vermilyea J., Blanchard E.B. Co-morbidity and depression among the anxiety disorders. Issues in diagnosis and classification. Journal of Nervous and Mental Disease. 174:1986;63-72.
6. Beidel D.C., Turner S.M. Shy children, phobic adults. Nature and treatment of social phobia:1998;American Psychological Association, Washington, DC.
7. Borkovec T.D., Abel J.L., Newman H. Effects of psychotherapy on comorbid conditions in generalized anxiety disorder. Journal of Consulting and Clinical Psychology. 63:1995;479-483.
8. Borkovec T.D., Shadick R.N., Hopkins M. The nature of normal and pathological worry. Rapee R.M., Barlow D.H. Chronic anxiety. Generalized anxiety disorder and mixed anxiety-depression:1991;21-51 Guilford, New York.
9. Brawman-Mintzer O., Lydiard R.B., Emmanuel N., Payeur R., Johnson M., Roberts J., Jarrell M.P., Ballenger J.C. Psychiatric comorbidity in patients with generalized anxiety disorder. American Journal of Psychiatry. 150:1993;1216-1218.
10. Brown E.J., Turovsky J., Heimberg R.G., Juster H.R., Brown T.A., Barlow D.H. Validation of the Social Interaction Anxiety Scale and the Social Phobia Scale across the anxiety disorders. Psychological Assessment. 9:1997;21-27.
11. Brown T.A., Antony M.M., Barlow D.H. Diagnostic comorbidity in panic disorder. Effect on treatment outcome and course of comorbid diagnoses following treatment Journal of Consulting and Clinical Psychology. 63:1995;408-418.
12. Brown T.A., Barlow D.H. Comorbidity among anxiety disorders. Implications for treatment and DSM-IV Journal of Consulting and Clinical Psychology. 60:1992;835-844.
13. Brown T.A., Barlow D.H., Liebowitz M.R. The empirical basis of generalized anxiety disorder. American Journal of Psychiatry. 151:1994;1272-1280.
14. Clarkin J.F., Kendall P.C. Comorbidity and treatment planning. Summary and future directions Journal of Consulting and Clinical Psychology. 60:1992;904-908.
15. Craske M.G., Rapee R.M., Jackel L., Barlow D.H. Qualitative dimensions of worry in DSM-III-R generalized anxiety disorder subjects and nonanxious controls. Behaviour Research and Therapy. 27:1989;397-402.
16. DeGood E.D., Buckelew S.P., Tait R.C. Cognitive-somatic anxiety response patterning in chronic pain patients and nonpatients. Journal of Consulting and Clinical Psychology. 53:1985;137-138.
17. Delmonte M.M., Ryan G.M. The Cognitive-Somatic Anxiety Questionnaire (CSAQ). A factor analysis British Journal of Clinical Psychology. 22:1983;209-212.
18. Derogatis L.R. SCL-90-R. Administration, scoring, and procedures manual I:1977;Clinical Psychometrics Research, Baltimore.
19. deRuiter C., Rijken H., Garssen B., vanSchaik A., Kraaimaat F. Comorbidity among the anxiety disorders. Journal of Anxiety Disorders. 3:1989;57-68.
20. DiNardo P.A., Barlow D.H. Anxiety Disorders Interview Schedule-Revised. 1988;Graywind Publications, Albany, NY.
21. DiNardo P., Moras K., Barlow D.H., Rapee R.M., Brown T.A. Reliability of DSM-III-R anxiety disorder categories. Using the Anxiety Disorders Interview Schedule-Revised (ADIS-R) Archives of General Psychiatry. 50:1993;251-256.
22. Gross P.R., Oei T.P.S., Evans L. Generalized anxiety symptoms in phobic disorders and anxiety states. A test of the worry hypothesis Journal of Anxiety Disorders. 3:1989;159-169.
23. Hamilton M. The assessment of anxiety states by rating. British Journal of Medical Psychology. 32:1959;50-55.
24. Hamilton M. A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry. 23:1960;56-62.
25. Heimberg R.G. Cognitive behavioral treatment for social phobia in a group setting. A treatment manual 2nd ed:1991;Adult Anxiety Clinic, Department of Psychology, Temple University, Philadelphia.
26. Heimberg R.G., Gansler D., Dodge C.S., Becker R.E. Convergent and discriminant validity of the Cognitive-Somatic Anxiety Questionnaire in a social phobic population. Behavioral Assessment. 9:1987;379-388.
27. Heimberg R.G., Horner K.J., Juster H.R., Safren S.A., Brown E.J., Schneier F.R., Liebowitz M.R. Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine. 29:1999;199-211.
28. Heimberg R.G., Juster H.R. Treatment of social phobia in cognitive-behavioral groups. Journal of Clinical Psychiatry. 55(6 Suppl):1994;38-46.
29. Heimberg R.G., Mueller G.P., Holt C.S., Hope D.A., Liebowitz M.R. Assessment of anxiety in social interaction and being observed by others. The Social Interaction Anxiety Scale and the Social Phobia Scale Behavior Therapy. 23:1992;53-73.
30. Heimberg R.G., Juster H.R., Hope D.A., Mattia J.I. Cognitive behavioral group treatment for social phobia. Description, case presentation and empirical support Stein M.B. Social phobia. Clinical and research perspectives:1995;293-321 American Psychiatric Press, Washington, DC.
31. Heimberg R.H., Liebowitz M.R., Hope D.A., Schneier F.R., Holt C.S., Welkowitz L.A., Juster H.R., Campeas R., Bruch M.A., Cloitre M., Fallon B., Klein D.F. Cognitive-behavioral group therapy versus phenelzine in social phobia. 12-week outcome Archives of General Psychiatry. 55:1998;1133-1141.
32. Juster H.R., Heimberg R.G. Social phobia. Bellack A.S., Hersen M. Comprehensive clinical psychology (Vol. 6). 1998;475-498 Pergamon, Oxford.
33. Liebowitz M.R. Social phobia. Modern Problems in Pharmacopsychiatry. 22:1987;141-173.
34. Magee W.J., Eaton W.W., Wittchen H.U., McGonagle K.A., Kessler R.C. Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Archives of General Psychiatry. 53:1996;159-168.
35. Marks I.M., Mathews A.M. Brief standard rating for phobic patients. Behaviour Research and Therapy. 17:1979;263-267.
36. Massion A.O., Warshaw M.G., Keller M.B. Quality of life and psychiatric morbidity in panic disorder and generalized anxiety disorder. American Journal of Psychiatry. 150:1993;600-607.
37. Mattick R.P., Clarke J.C. Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy. 36:1998;455-470.
38. Reich J., Noyes R., Yates W. Anxiety symptoms distinguishing social phobia from panic and generalized anxiety disorders. Journal of Nervous and Mental Disease. 176:1988;510-513.
39. Roemer L., Molina S., Borkovec T.D. An investigation of worry content among generally anxious individuals. Journal of Nervous and Mental Disease. 185:1997;314-320.
40. Sanderson W.C., Barlow D.H. A description of patients diagnosed with DSM-III-R generalized anxiety disorder. Journal of Nervous and Mental Disease. 178:1990;588-591.
41. Sanderson W.C., DiNardo P.A., Rapee R.M., Barlow D.H. Syndrome comorbidity in patients diagnosed with a DSM-III-R anxiety disorder. Journal of Abnormal Psychology. 99:1990;308-312.
42. Schneier F.R., Heckelman L.R., Garfinkel R., Campeas R., Fallon B.A., Gitow A., Street L., Del Bene D., Liebowitz M.R. Functional impairment in social phobia. Journal of Clinical Psychiatry. 55:1994;322-331.
43. Schwartz G.E., Davidson R.J., Goleman D.J. Patterning of cognitive and somatic processes in the self-regulation of anxiety. Effects of meditation versus exercise Psychosomatic Medicine. 40:1978;321-328.
44. Tamaran A.J., Carney R.J., Allen T.W. Assessment of cognitive and somatic anxiety. A preliminary validation study Behavioral Assessment. 7:1985;192-202.
45. Turner S.M., Beidel D.C., Borden J.W., Stanley M.A., Jacob R.G. Social phobia. Axis I and II correlates Journal of Abnormal Psychology. 100:1991;102-106.
46. Versiani M., Mundim F.D., Nardi A.E., Liebowitz M.R. Tranylcypromine in social phobia. Journal of Clinical Psychopharmacology. 8:1988;279-283.
47. Watson D., Friend R. Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology. 33:1969;448-457.
48. Wittchen H.U., Zhao S., Kessler R.C., Eaton W.W. DSM-III-R generalized anxiety disorder in the national comorbidity survey. Archives of General Psychiatry. 51:1994;355-364.