Prevalence of Social Anxiety Disorder among Medical Students from Six Medical Schools in Khartoum State
Abstract
Background: Social anxiety disorder (social phobia) is a type of anxiety disorder
which is characterized by significant anxiety and discomfort about being embarrassed,
humiliated, rejected, or looked down on in social interactions. Although it affects
about 30% of adults worldwide at some point in their lives, lifetime social anxiety
disorder affects only about 4% of the world population. People with this disorder
experience extreme fear of social interactions (e.g., public speaking and meeting new
people). This anxiety affects daily functions and lasts at least six months. They may
also experience strong physical symptoms like rapid heart rate, nausea, vomiting, and
full-blown attacks. Social phobia can be treated by a combination of psychotherapy
and medical treatment (e.g., anti-anxiety, antidepressants, and beta-blockers).
Methods: This study was conducted using the Arabic SPIN and a group of questions
to assess the associated factors, complications, and sociodemographic determinate
of social anxiety disorder and included a total of 375 medical students from different
universities and educational years.
Results: The overall prevalence of social anxiety disorder among our participants
was 61.3%, of which 19.2% had mild, 21.6% moderate, 10.9% severe, and 9.6% had
very severe SAD. There was a significant difference regarding self-esteem, academic
achievement, and drug addiction between students with social phobia and students
with no social phobia.
Conclusion: Social phobia is quite prevalent among Sudanese medical students,
particularly the severe form of the disorder with no significant gender differences.
It seems to affect self-esteem and academic achievement and can be associated with
drug addiction.
References
[2] Stein, D. J., Lim, C. C. W., Roest, A. M., et al. (2017). The cross-national epidemiologyof the social anxiety disorder: data from the world Mental Health Survey initiative.BMC Medicine, vol. 15, article 143.
[3] National Institute of Mental Health. (n.d.). Social Anxiety Disorder: More ThanJust Shyness. Retrieved from: https://www.nimh.nih.gov/health/publications/socialanxiety-disorder-more-than-just-shyness/
[4] American Depression & Anxiety Association. (n.d.). Understand the Facts – SocialAnxiety Disorder. Retrieved from: https://adaa.org/understanding-anxiety/socialanxiety-disorder/.
[5] Ragheb, M., Ramy, H., Hussein, H., et al. (2007). Psychometric properties of the Arabicversion of social phobia inventory (SPIN). Current Psychiatry, vol. 14, no. 1, pp. 36–44.
[6] Dafaalla, M., Farah, A., Bashir, S., et al. (2017). Depression, anxiety, and stress inSudanese medical students: a cross sectional study on role of quality of life andsocial support. American Journal of Educational Research, vol. 4, no. 13, pp. 937–942.
[7] Alqarni, A. A., Zalaa, M. A., El-Hadad, A. A., et al. (2017). Prevalence of social phobiaamong Saudi medical students. Medical Journal of Cairo University, vol. 85, no. 2,pp. 657–661.
[8] Alkhalifah, A. K., Alsalameh, N. S., Alhomaidhy, M. A., et al. (2017). Prevalence ofsocial phobia among medical students in Saudi Arabia. The Egyptian Journal ofHospital Medicine, vol. 69, no. 5, pp. 2412–2416.
[9] Kjeldstadli, K., Tyssen, R., Finset, A., et al. (2006). Life satisfaction and resiliencein medical school-a six-year longitudinal, nationwide and comparative study. BMCMedical Education, vol. 6, no. 48, pp. 1–8.
[10] Laidlaw, A. H. (2009). Social anxiety in medical students: implications forcommunication skills teaching. Medical Teacher, vol. 31, no. 7, pp. 649–654.
[11] Jogdande, A. J. and Gupta, A. (2017). Social anxiety disorder in medical students:socio-demographic correlates. International Journal of Community Medicine andPublic Health, vol. 4, no. 9, pp. 3293–3296.
[12] Desalegn, G. T., Getinet, W., and Tadie, G. (2019). The prevalence and correlatesof social phobia among undergraduate health science students in Gondar, GondarEthiopia. BMC Research Notes, vol. 12, article 438.
[13] Mazhari, S. H., Ekhlaspour, M., and Banazadeh, N. (2014). Social phobia and itsassociation with academic performance among student of Kerman University ofMedical Sciences, Iran. Journal of Strides in Development of Medical Education,vol. 11, no. 2, pp. 227–235.
[14] Lemyre, A., Gauthier-Légaré, A., and Bélanger, R. E. (2018). Shyness, social anxiety,social anxiety disorder, and substance use among normative adolescent populations:a systematic review. The American Journal of Drug and Alcohol Abuse, vol. 45, no.3, pp. 1097–9891.