DSM-III-R subtypes of social phobia: Comparison of generalized social phobics and public speaking phobics

Richard G. Heimberg, Debra A. Hope, Cynthia S. Dodge, Robert E. Becker

Research output: Contribution to journalArticle

223 Scopus citations

Abstract

Social phobic patients who fear most or all social interaction situations are labeled generalized social phobics in DSM-III-R. Thirty-five patients who met this criterion were compared with 22 social phobic patients whose fears were restricted to public speaking situations. Generalized social phobics were younger, less educated, and less likely to be employed, and their phobias were rated by clinical interviewers as more severe than those of public speaking phobics. Generalized social phobics appeared more anxious and more depressed and expressed greater fears concerning negative social evaluation. They performed more poorly on individualized behavioral tests and differed from public speaking phobics in their responses to cognitive assessment tasks. The two groups showed marked differences in their patterns of heart rate acceleration during the behavioral test. The implications of these findings for the classification and treatment of social phobic individuals are discussed.

Original languageEnglish (US)
Pages (from-to)172-179
Number of pages8
JournalJournal of Nervous and Mental Disease
Volume178
Issue number3
DOIs
StatePublished - Mar 1990

ASJC Scopus subject areas

  • Psychiatry and Mental health

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