The relationship between avoidant personality disorder and social phobia

Hummelen, Benjamin; Wilberg, Theresa; Pedersen, Geir; Karterud, Sigmund

doi:10.1016/j.comppsych.2007.03.004

Cited by 72 publications

(69 citation statements)

References 41 publications

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“…These findings are inconsistent with a simple severity hypothesis. Data from several recent studies [125][126][127] also challenge the severity hypothesis. In sum, although SAD typically is more comorbid with AVPD than with other PDs and AVPD more comorbid with SAD than with other anxiety disorders, in neither case is the relationship at all exclusive, nor close enough to support a simple severity hypothesis.…”

Section: Social Anxiety Disorder Versus Avoidant Personality Disordermentioning

confidence: 90%

“…Many recent studies find similar results and draw the same conclusion (e.g., [128,129] ). However, other recent studies have reported some qualitative differences between the two disorders, such as a more complex clinical picture in AVPD (e.g., comorbidity with eating disorders and other PDs) [126] or a broader avoidant pattern. [130] Importantly, the last was found using DSM-IV, even though the nonsocial avoidance criterion that had been in DSM-III-R and still is in ICD-10 was revised so that it became another social avoidance criterion in DSM-IV.…”

Section: Social Anxiety Disorder Versus Avoidant Personality Disordermentioning

confidence: 96%

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Social anxiety disorder: questions and answers for the DSM-V

et al. 2010

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Background: This review evaluates the DSM-IV criteria of social anxiety disorder (SAD), with a focus on the generalized specifier and alternative specifiers, the considerable overlap between the DSM-IV diagnostic criteria for SAD and avoidant personality disorder, and developmental issues. Method: A literature review was conducted, using the validators provided by the DSM-V Spectrum Study Group. This review presents a number of options and preliminary recommendations to be considered for DSM-V. Results/Conclusions: Little supporting evidence was found for the current specifier, generalized SAD. Rather, the symptoms of individuals with SAD appear to fall along a continuum of severity based on the number of fears. Available evidence suggested the utility of a specifier indicating a ''predominantly performance'' variety of SAD. A specifier based on ''fear of showing anxiety symptoms'' (e.g., blushing) was considered. However, a tendency to show anxiety symptoms is a core fear in SAD, similar to acting or appearing in a certain way. More research is needed before considering subtyping SAD based on core fears. SAD was found to be a valid diagnosis in children and adolescents. Selective mutism could be considered in part as a young child's avoidance response to social fears. Pervasive test anxiety may belong not only to SAD, but also to generalized anxiety disorder. The data are equivocal regarding whether to consider avoidant personality disorder simply a severe form of SAD. Secondary data analyses, field trials, and validity tests are needed to investigate the recommendations and options. Depression and Anxiety 27:168-189, 2010. Key words: DSM-V; social anxiety disorder; social phobia; subtypes; classification; interpersonal; performance; test anxiety; selective mutism; avoidant personality disorder INTRODUCTIONThis review evaluates several issues pertaining to the diagnostic criteria for social phobia or social anxiety disorder (SAD) (Table 1), in light of empirical evidence gathered since DSM-IV. The review was guided by questions posed in the DSM-IV Sourcebook (Vol. 2), chapters titled ''Social phobia'' [1] and ''Social phobia subtypes,''[2] a review conducted as part of the DSM-V Stress Induced and Fear Circuitry Disorders Workgroup Conference, titled ''Social Phobia: Towards DSM V, '' [3] by questions posed by the DSM-V Anxiety, OC Spectrum, Posttraumatic, and Dissociative Disorder Work Group and by issues raised by consulted experts and advisors. The main issues to be addressed are the generalized specifier and its alternatives, the overlap with avoidant personality disorder, and developmental issues including the relationship that SAD shows in childhood with selective mutism (SM) and test anxiety. STATEMENT OF THE ISSUESThis review addresses the following questions, using the validators provided by the DSM-V Task Force: (1) What is the evidence/utility of the DSM-IV generalized specifier? If there is insufficient evidence/utility for a generalized specifier, what is the utility/evidence for alternative sub...

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Section: Social Anxiety Disorder Versus Avoidant Personality Disordermentioning

confidence: 90%

Section: Social Anxiety Disorder Versus Avoidant Personality Disordermentioning

confidence: 96%

Social anxiety disorder: questions and answers for the DSM-V

et al. 2010

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“…This fact is of the greatest importance because introversion and emotional instability cause life distress and consequently a significantly poor quality of life. 23,24 We believe that this brief self-report instrument, the Cervantes Personality Scale, is an important potential complementary measure of personality traits interrelated with anxiety, depression, and psychosomatic complaints frequently reported by women during the climacteric years. This fact links the personality traits with quality of life 25 and justifies the need for specific tools; however, it is clear that future research to understand how personality traits are linked with quality of life is needed.…”

Section: Discussionmentioning

confidence: 99%

Understanding how personality factors may influence quality of life

et al. 2008

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“…Many researchers have concluded that AVPD is merely a more severe form of SAD [65] based on symptom profiles [66] and family studies [67]. However, other researchers have argued that AVPD and SAD are two distinct disorders based on studies that have indicated a sufficient percentage of individuals diagnosed with AVPD without SAD [68], and on studies that have associated AVPD with schizophrenia spectrum disorders [69], although findings in this area have been mixed [65]. There continues to be no definitive answer to this debate; therefore, at this time, they continue to be viewed as different disorders and both can be diagnosed concurrently under the current nomenclature [1].…”

Section: Are Sad and Avpd The Same Disorder Or Distinct Categories?mentioning

confidence: 99%

Issues and controversies surrounding the diagnosis and treatment of social anxiety disorder

Dalrymple

2012

Expert Review of Neurotherapeutics

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The relationship between avoidant personality disorder and social phobia

Cited by 72 publications

References 41 publications

Social anxiety disorder: questions and answers for the DSM-V

Social anxiety disorder: questions and answers for the DSM-V

Understanding how personality factors may influence quality of life

Issues and controversies surrounding the diagnosis and treatment of social anxiety disorder

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