Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr-Jun;6(2):243-248.
doi: 10.4103/2249-4863.219992.

Association of social anxiety disorder with depression and quality of life among medical undergraduate students

Imran Jahangirali Ratnani  1 , Ashok Ukabhai Vala  1 , Bharat Navinchandra Panchal  1 , Deepak Sachchidanand Tiwari  2 , Smruti S Karambelkar  1 , Milankumar G Sojitra  1 , Nidhi N Nagori  1
Affiliations

Association of social anxiety disorder with depression and quality of life among medical undergraduate students

Imran Jahangirali Ratnani et al. J Family Med Prim Care. 2017 Apr-Jun.

Abstract

Objective: Social anxiety disorder (SAD), (also known as social phobia), is characterized by intense fear of social interaction and often associated with social avoidance and impairments. There is high risk for depression, substance use disorder, and suicide among them.

Subjects and methods: It is an observational, cross-sectional, single centered, questionnaire-based study assessing the frequency of SAD and depression and their possible association with quality of life among 290 consenting medical undergraduate students. Social Phobia Inventory (SPIN), Beck's Depression Inventory (BDI II), and the World Health Organization Quality of Life assessment scale (WHOQOL-BREF) were used to screen and assess severity of SAD, depression, and quality of life, respectively. The statistical analysis of proportions was done by Chi-square test, while the scores of SPIN, BDI II, and WHOQOL-BREF was compared using Mann-Whitney test or Kruskal-Wallis test followed by Dunn posttest multiple comparison, using GraphPad InStat version 3.06.

Results: Frequency of SAD is 11.37%, and depression is 8.96%. Females are more likely to experience SAD. Participants with SAD are more likely to experience depression (P < 0.0001) and have poor quality of life (P = 0.01). Participants with depression have higher SPIN score (P < 0.0001) and poor quality of life (P < 0.0001). Females are more likely to experience social fear (P = 0.02). Participants staying away from their family are more likely to experience social anxiety in comparison to their peers (P = 0.01). Severity of depression is correlated with severity of social anxiety (Spearman r = 0.4423 [0.3416-0.5329], P < 0.0001).

Conclusion: Participants with SAD are more likely to experience depressive symptoms and have poor quality of life and vice versa.

Keywords: Depression; quality of life; social phobia.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Correlation score of social phobia inventory with Beck Depression Inventory
See this image and copyright information in PMC

References

    1. 5th ed. Washington, DC: American Psychiatric Press; 2013. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders.
    1. Wittchen HU, Fehm L. Epidemiology, patterns of comorbidity, and associated disabilities of social phobia. Psychiatr Clin North Am. 2001;24:617–41. - PubMed
    1. Wittchen HU, Fuetsch M, Sonntag H, Müller N, Liebowitz M. Disability and quality of life in pure and comorbid social phobia. Findings from a controlled study. Eur Psychiatry. 2000;15:46–58. - PubMed
    1. La Greca AM, Lopez N. Social anxiety among adolescents: Linkages with peer relations and friendships. J Abnorm Child Psychol. 1998;26:83–94. - PubMed
    1. Van Ameringen M, Mancini C, Farvolden P. The impact of anxiety disorders on educational achievement. J Anxiety Disord. 2003;17:561–71. - PubMed