Personological characteristics and indicators of the quality of life of patients with social phobia comorbid with personality disorders and other mental disorders

Personological characteristics and indicators of the quality of life of patients with social phobia comorbid with personality disorders and other mental disorders

 

Authors

 

A.V. Didenko

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation; Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of the Russian Federation, Tomsk, Russian Federation

O.K. Alenina

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation

A.A. Ivanova

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation; Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of the Russian Federation, Tomsk, Russian Federation

E.E. Choinzonova

Federal State Budgetary Educational Institution of Higher Education “St. Petersburg State Medical University named after I.P. Pavlov» of the Ministry of Health of the Russian Federation

L. Tolstoy Street 6/8, 197022, St. Petersburg, Russian Federation

T.V. Kazennykh

Mental Health Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation; Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of the Russian Federation, Tomsk, Russian Federation

 

https://doi.org/10.26617/1810-3111-2023-3(120)-37-44

 

Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2023; 3 (120):  37-44.

 

Abstract

Background. Radical changes in modern society are due to the high prevalence of various types of phobias (social phobia, agoraphobia), developing against the background of stress of varying intensity. The rapid increase in the number of patients with social phobias, including those with comorbid mental disorders, reflects the significance of this problem in psychiatric practice. Objective: to identify the structure of personality pathology comorbid with social phobia, comparative analysis of correlations between personal characteristics and quality of life parameters of patients with social phobia, comorbid with personality disorders and other mental disorders, to clarify the etiology and pathogenesis, determine clinical and diagnostic differences in comorbid diseases with subsequent planning of therapeutic approaches. Material. The study sample (n=135) consisted of patients aged 18-47 years with the diagnosis of non-psychotic mental disorders according to ICD-10, with an average duration of social phobia of 13.1±8.1 years. Methods: psychodiagnostics testing: 1) sMMPI ‒ a standardized multifactorial method of personality research; 2) Russian version of the general health questionnaire MOS SF-36. Statistical data processing was carried out using STATISTICA version 10.0 with nonparametric methods. Results. Comorbid personality pathology was expressed by mixed personality disorders (n=18; 13.3%). The prevalence of comorbidity of social phobia with other mental disorders was revealed (n=117; 86.7%): mixed anxiety-depressive (n=27; 20.0%), adjustment disorder (n=21; 15.6%), somatoform dysfunction of the autonomic nervous system (n=18; 13.3%), dysthymia (n=14; 10.4%), panic (n=11; 8.1%), recurrent depression (n=8; 5.9%), obsessive-compulsive (n=7; 5.2%), generalized anxiety (n=6; 4.4%), bipolar (n=3; 2.2%), mild depressive episode (n=2; 1.6%). For all types of personality disorders comorbid with social phobia, common characterological features have been established in the form of social avoidance associated with unstable self-esteem and high self-esteem instability, increased sensitivity to external evaluative signals and uncertainty in self-acceptance The leading features of the personality profile of patients with social phobia, comorbid with personality disorders, were identified: high values on the scales “Hypochondriasis”, “Depression”, “Psychiatric Asthenia”, “Schizoid Personality” and low values on the scale “Hypomania”. The specificity of correlations between quality of life parameters and personality profile scales has been established, depending on the presence or absence of comorbid personality pathology. The findings can be used in the differential diagnosis of social phobia and will allow for pharmacotherapy and psychotherapy taking into account the identified disorders.

 

Keywords: social phobia, personality disorder, comorbidity, quality of life.

 

Article (pdf)

 

Contacts

This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Materials  

For citation: Didenko A.V., Alenina O.K., Ivanova A.A., Choinzonova E.E., Kazennykh T.V. Personological characteristics and indicators of the quality of life of patients with social phobia comorbid with personality disorders and other mental disorders. Siberian Herald of Psychiatry and Addiction Psychiatry.2023; 3 (120): 37-44. https://doi.org/10.26617/1810-3111-2023-3(120)-37-44.

 

REFERENCES

  1. Berezin FB, Miroshnikov MP, Sokolova ED. Methodology for multilateral personality research. Structure, basics of interpretation, some areas of application. Preface by T. Barlas. 3rd edition, corrected and updated. Moscow, 2011:320(in Russian).
  2. Novik AA, Ionova TI. Handbook of the study of quality of life in medicine / YuL Shevchenko, ed. 2nd edition. Moscow: Publishing House “OLMA Media Group”, 2007:114-124 (in Russian).
  3. Dyck IR, Phillips KA, Warshaw MG, Dolan RT, Shea MT, Stout RL, Massion AO, Zlotnick C, Keller MB. Patterns of personality pathology in patients with generalized anxiety disorder, panic disorder with and without agoraphobia, and social phobia. J Pers Disord. 2001 Feb;15(1):60-71. doi: 10.1521/pedi.15.1.60.18643. PMID: 11236815.
  4. Eikenaes I, Hummelen B, Abrahamsen G, Andrea H, Wilberg T. Personality functioning in patients with avoidant personality disorder and social phobia. J Pers Disord. 2013 Dec;27(6):746-63. doi: 10.1521/pedi_2013_27_109. Epub 2013 Jun 20. PMID: 23786266.
  5. Pellecchia G, Moroni F, Colle L, Semerari A, Carcione A, Fera T, Fiore D, Nicolò G, Pedone R, Procacci M. Avoidant personality disorder and social phobia: Does mindreading make the difference? Compr Psychiatry. 2018 Jan;80:163-169. doi: 10.1016/j.comppsych.2017.09.011. Epub 2017 Sep 28. PMID: 29096207.
  6. Sanderson WC, Wetzler S, Beck AT, Betz F. Prevalence of personality disorders among patients with anxiety disorders. Psychiatry Res. 1994 Feb;51(2):167-74. doi: 10.1016/0165-1781(94)90036-1. PMID: 8022951.
  7. Frandsen FW, Simonsen S, Poulsen S, Sørensen P, Lau ME. Social anxiety disorder and avoidant personality disorder from an interpersonal perspective. Psychol Psychother. 2020 Mar;93(1):88-104. doi: 10.1111/papt.12214. Epub 2019 Jan 17. PMID: 30656823.
  8. Koyuncu A, İnce E, Ertekin E, Tükel R. Comorbidity in social anxiety disorder: diagnostic and therapeutic challenges. Drugs Context. 2019 Apr 2;8:212573. doi: 10.7573/dic.212573. PMID: 30988687; PMCID: PMC6448478.