2008
DOI: 10.1002/da.20266
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Generalized social phobia and avoidant personality disorder: meaningful distinction or useless duplication?

Abstract: Participants with generalized social phobia (GSP) with (n=36) and without (n=19) avoidant personality disorder (AVPD) were compared via contrasts of group means and classification analysis on purported core features of AVPD. GSP‐AVPD participants proved to be more severely impaired or distressed on some group contrasts. Cluster analysis identified two groups in the sample, with group membership significantly correlated to AVPD diagnosis. However, almost all significant findings were nullified when severity of … Show more

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Cited by 63 publications
(45 citation statements)
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“…Alden et al [121] reported no consistent findings to suggest that AVPD and SAD, particularly GSAD, have distinct clinical pictures, although typically that of AVPD patients is more severe. Many recent studies find similar results and draw the same conclusion (e.g., [128,129] ). However, other recent studies have reported some qualitative differences between the two disorders, such as a more complex clinical picture in AVPD (e.g., comorbidity with eating disorders and other PDs) [126] or a broader avoidant pattern.…”
Section: Social Anxiety Disorder Versus Avoidant Personality Disordersupporting
confidence: 69%
“…Alden et al [121] reported no consistent findings to suggest that AVPD and SAD, particularly GSAD, have distinct clinical pictures, although typically that of AVPD patients is more severe. Many recent studies find similar results and draw the same conclusion (e.g., [128,129] ). However, other recent studies have reported some qualitative differences between the two disorders, such as a more complex clinical picture in AVPD (e.g., comorbidity with eating disorders and other PDs) [126] or a broader avoidant pattern.…”
Section: Social Anxiety Disorder Versus Avoidant Personality Disordersupporting
confidence: 69%
“…In another, more recent study, also based on DSM-IV, impairment and distress were assessed among participants with the generalized type of social phobia with and without AVPD using self-report and observation. No significant differences were found between the groups when the researchers controlled for social phobia, supporting the continuum hypothesis (Chambless et al, 2008).…”
Section: Avpd and Social Phobiamentioning
confidence: 58%
“…The majority of studies have supported the idea of a continuum model, that AVPD is a more chronic and thus severe form of social phobia (Chambless, Fydrich, & Rodebaugh, 2008;Ralevski et al, 2005;van Velzen, Emmelkamp, & Scholing, 2000). This, along with the high co-occurrence rates for these two disorders, has continued for nearly two decades to provide support for the hypothesis that the primary difference between social phobia and AVPD is merely quantitative and not qualitative in nature (Widiger, 1992).…”
Section: Avpd and Social Phobiamentioning
confidence: 99%
“…Given the considerable overlap between SAD and AVPD, debate continues as to whether they represent distinct disorders or a continuum of severity. Many researchers have concluded that AVPD is merely a more severe form of SAD [65] based on symptom profiles [66] and family studies [67]. However, other researchers have argued that AVPD and SAD are two distinct disorders based on studies that have indicated a sufficient percentage of individuals diagnosed with AVPD without SAD [68], and on studies that have associated AVPD with schizophrenia spectrum disorders [69], although findings in this area have been mixed [65].…”
Section: Are Sad and Avpd The Same Disorder Or Distinct Categories?mentioning
confidence: 99%