Tw. Uhde, ANXIETY AND GROWTH DISTURBANCE - IS THERE A CONNECTION - A REVIEW OF BIOLOGICAL STUDIES IN SOCIAL PHOBIA, The Journal of clinical psychiatry, 55, 1994, pp. 17-27
Current knowledge of the neurobiology of social anxiety and social pho
bia is reviewed within the framework of chemical models of anxiety. Pr
eliminary evidence for noradrenergic. serotonergic, and adenosinergic
systems in the neurobiology of social phobia is presented and discusse
d within the context of medical model versus continuum theories of anx
iety. The clinical and theoretical implications of a hypothesized link
age between anxiety disorders and hypothalamic-growth hormone dysfunct
ion are presented. The author recommends that additional research stra
tegies be developed to examine growth patterns and the function of gro
wth hormone and other growth factors in children and adults with anxie
ty disorders; moreover, the rationale for additional longitudinal inve
stigations of children with growth hormone deficiency short stature an
d psychosocial short stature is presented. It is hypothesized that ind
ividuals with growth hormone deficiency may be at high risk for the de
velopment of anxiety disorders.