Citation

Yoshimura C. Osaka-shi Igakkai Zasshi 2011; 60(1-2): 17-24.

Copyright

(Copyright © 2011, Osaka City Medical Center)

DOI

unavailable

PMID

unavailable

Abstract

[Objective]: The current study investigated the clinical features of women with comorbid social anxiety disorder (SAD) and atypical depression. [Methods]: Subjects consisted of 58 female patients with SAD who consulted at the Department of Neuropsychiatry, Osaka City University Hospitals between April 2006 and April 2010. All subjects underwent the Structured Clinical Interview for DSM-IV (SCID-I) and the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II) to assess major depressive episode (MDE) with atypical features, personality disorders, physical abuse and behavioral problems such as suicide attempt, self-mutilation, shoplifting and sexual promiscuity. The patients were categorized into 3 groups (Atypical MDE, MDE, and not MDE) and these clinical features were compared. [Results]: Thirty-nine (67%) subjects had at least one major depressive episodes in their life time. Onset of SAD preceded the major depressive episode in all cases. In eighteen (46%) of 39 patients, major depressive episode showed atypical features. Subjects with major depressive episodes showing atypical features had significantly earlier onset of major depressive episode and were rated significantly higher for comorbid borderline personality disorder and suicidal attempt. [Conclusions]: These results suggest that SAD patients with atypical depression were more likely to show suicidal attempts and borderline personality disorder. It appears necessary to develop a therapy that considers these perspectives.

Language: ja

Keywords

human; female; suicide attempt; major depression; comorbidity; article; major clinical study; personality disorder; behavior disorder; clinical feature; automutilation; borderline state; social phobia; atypical depression; DSM-IV; physical abuse; Structured Clinical Interview for DSM Disorders; sexual promiscuity