Skip to main content Accessibility help
×
Home

Social anxiety disorder as a hidden psychiatric comorbidity among cancer patients

  • Tatsuo Akechi (a1), Toru Okuyama (a1), Ryuichi Sagawa (a1), Megumi Uchida (a1), Tomohiro Nakaguchi (a1), Yoshinori Ito (a1) and Toshiaki A. Furukawa (a1)...

Abstract

Objective:

Social anxiety disorder is one of the most popular psychiatric disorders in the general population and is also well known as a very common comorbid psychiatric disorder among patients with major depression. On the other hand, social anxiety disorder has been termed “the neglected anxiety disorder” because its diagnosis is often missed. Furthermore, the potential impact of social anxiety disorder on the psychological distress of cancer patients has not been reported.

Method:

We encountered two cancer patients with refractory depression after cancer diagnosis, in whom comorbid social anxiety disorder was unexpectedly detected during a subsequent follow-up.

Results:

To the best of our knowledge, this is the first report to discuss the potential impact of social anxiety disorder on cancer patients' distress. These two cases may help to improve our understanding of the complicated mental health problems of cancer patients and the potential influence of social anxiety disorder on patients' follow-up medical treatment.

Significance of results:

Comorbid social anxiety disorder should be considered when a cancer patient's depression is resistant to treatment and the existence of communication problems between the patient and the medical staff is suspected.

Copyright

Corresponding author

Address correspondence and reprint requests to: Tatsuo Akechi, Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8601Japan. E-mail: takechi@med.nagoya-cu.ac.jp

References

Hide All
Heimberg, R.G., Horner, K.J., Juster, H.R., et al. (1999). Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine, 29, 199212.
Kojima, M., Furukawa, T.A., Takahashi, H., et al. (2002). Cross-cultural validation of the Beck Depression Inventory-II in Japan. Psychiatry Research, 110, 291299.
Liebowitz, M.R. (1999). Update on the diagnosis and treatment of social anxiety disorder. Journal of Clinical Psychiatry, 60, 2226.
Mattick, R.P. & Clarke, J.C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behavior Research and Therapy, 36, 455470.
Rush, A.J., Wisniewski, S.R., Warden, D., et al. (2008). Selecting among second-step antidepressant medication monotherapies: Predictive value of clinical, demographic, or first-step treatment features. Archives of General Psychiatry, 65, 870880.
Souery, D., Oswald, P., Massat, I., et al. (2007). Clinical factors associated with treatment resistance in major depressive disorder: Results from a European multicenter study. Journal of Clinical Psychiatry, 68, 10621070.
Stark, D., Kiely, M., Smith, A., et al. (2002). Anxiety disorders in cancer patients: their nature, associations, and relation to quality of life. Journal of Clinical Oncol, 20, 31373148.
Stark, D.P. & House, A. (2000). Anxiety in cancer patients. British Journal of Cancer, 83, 12611267.
Stein, M.B. & Stein, D.J. (2008). Social anxiety disorder. Lancet, 371, 11151125.
Zimmerman, M. & Chelminski, I. (2003). Clinician recognition of anxiety disorders in depressed outpatients. Journal of Psychiatry Research, 37, 325333.

Keywords

Social anxiety disorder as a hidden psychiatric comorbidity among cancer patients

  • Tatsuo Akechi (a1), Toru Okuyama (a1), Ryuichi Sagawa (a1), Megumi Uchida (a1), Tomohiro Nakaguchi (a1), Yoshinori Ito (a1) and Toshiaki A. Furukawa (a1)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed