Social Anxiety Disorder in People living with Chronic pain: Prevalence, Risk & Key Differences

Key things to know What the evidence shows
How common is it? 2.2% pooled diagnosed SAD
Is it more common among people living with chronic pain? Unclear whether materially higher than controls
Are people living with chronic pain at higher risk? SAD occurs in chronic pain; elevated-risk conclusion less clear than for GAD/MDD
How much higher is the risk? 2.2% pooled prevalence
How often can it be missed? High; avoidance may be attributed to pain/disability
Does it show up differently among people living with chronic pain? Somewhat
How might it look different? Fear of visible pain, disability, movement difficulty or needing assistance may contribute to social avoidance
What commonly occurs alongside it? MDD; GAD; other anxiety disorders
What can it be confused with? Pain-related avoidance; agoraphobia; depression; disability-related social restriction
Common screening tool SPIN
Separate screening tool for people living with chronic pain None
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