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Impact of generalized social anxiety disorder in managed care.

Publication ,  Journal Article
Katzelnick, DJ; Kobak, KA; DeLeire, T; Henk, HJ; Greist, JH; Davidson, JR; Schneier, FR; Stein, MB; Helstad, CP
Published in: Am J Psychiatry
December 2001

OBJECTIVE: The authors determined the costs associated with generalized social anxiety disorder in a managed care setting. METHOD: A three-phase mail and telephone survey was conducted from July to October 1998 in two outpatient clinics of a large health maintenance organization (HMO). The survey assessed direct costs, indirect costs, health-related quality of life, and clinical severity associated with generalized social anxiety disorder, both alone and with comorbid psychopathology. RESULTS: The weighted prevalence rate of current generalized social anxiety disorder was 8.2%. In the past year, only 0.5% of subjects with generalized social anxiety disorder had been accurately diagnosed. Yet 44.1% had a mental health specialty visit or had been prescribed an antidepressant, and psychiatric comorbidity was found in 43.6%. Noncomorbid generalized social anxiety disorder was associated with significantly lower health-related quality of life, work productivity, and earnings and greater utilization of health services; generalized social anxiety disorder with comorbid psychopathology was even more disabling. Suicide was attempted by 21.9% of subjects with noncomorbid generalized social anxiety disorder. Persons with average-severity generalized social anxiety disorder had probabilities of graduating from college that were 10 percentage points lower, earned wages that were 10% lower, and had probabilities of holding a technical, professional, or managerial job that were 14 percentage points lower than the comparison group. CONCLUSIONS: In a community cohort of HMO members, generalized social anxiety disorder was rarely diagnosed or treated despite being highly prevalent and associated with significant direct and indirect costs, comorbid depression, and impairment.

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Published In

Am J Psychiatry

DOI

ISSN

0002-953X

Publication Date

December 2001

Volume

158

Issue

12

Start / End Page

1999 / 2007

Location

United States

Related Subject Headings

  • Utilization Review
  • Suicide, Attempted
  • Sampling Studies
  • Quality of Life
  • Psychiatry
  • Phobic Disorders
  • Midwestern United States
  • Middle Aged
  • Mental Disorders
  • Managed Care Programs
 

Citation

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Katzelnick, D. J., Kobak, K. A., DeLeire, T., Henk, H. J., Greist, J. H., Davidson, J. R., … Helstad, C. P. (2001). Impact of generalized social anxiety disorder in managed care. Am J Psychiatry, 158(12), 1999–2007. https://doi.org/10.1176/appi.ajp.158.12.1999
Katzelnick, D. J., K. A. Kobak, T. DeLeire, H. J. Henk, J. H. Greist, J. R. Davidson, F. R. Schneier, M. B. Stein, and C. P. Helstad. “Impact of generalized social anxiety disorder in managed care.Am J Psychiatry 158, no. 12 (December 2001): 1999–2007. https://doi.org/10.1176/appi.ajp.158.12.1999.
Katzelnick DJ, Kobak KA, DeLeire T, Henk HJ, Greist JH, Davidson JR, et al. Impact of generalized social anxiety disorder in managed care. Am J Psychiatry. 2001 Dec;158(12):1999–2007.
Katzelnick, D. J., et al. “Impact of generalized social anxiety disorder in managed care.Am J Psychiatry, vol. 158, no. 12, Dec. 2001, pp. 1999–2007. Pubmed, doi:10.1176/appi.ajp.158.12.1999.
Katzelnick DJ, Kobak KA, DeLeire T, Henk HJ, Greist JH, Davidson JR, Schneier FR, Stein MB, Helstad CP. Impact of generalized social anxiety disorder in managed care. Am J Psychiatry. 2001 Dec;158(12):1999–2007.
Journal cover image

Published In

Am J Psychiatry

DOI

ISSN

0002-953X

Publication Date

December 2001

Volume

158

Issue

12

Start / End Page

1999 / 2007

Location

United States

Related Subject Headings

  • Utilization Review
  • Suicide, Attempted
  • Sampling Studies
  • Quality of Life
  • Psychiatry
  • Phobic Disorders
  • Midwestern United States
  • Middle Aged
  • Mental Disorders
  • Managed Care Programs