The purpose was to assess personality traits in subjects with a DSM-IV diag
nosis of social phobia. Thirty-two subjects were administered the Structure
d Clinical Interview for DSM-IV for Axes I and II disorders (SCID Ii and II
). Personality traits were assessed by means of the Karolinska Scales of Pe
rsonality (KSP). Current and lifetime axis I co-morbidity was diagnosed in
28% and 53% of the subjects, respectively. In total, 59% had at least one p
ersonality disorder and 47% were diagnosed with an avoidant personality dis
order.
The social phobics scored significantly higher than a Swedish normative sam
ple on the KSP measuring anxiety proneness, irritability. detachment, and i
ndirect aggression but lower on the scales for socialisation and social des
irability. The presence as compared to absence of avoidant personality diso
rder in the social phobics was associated with significantly higher psychic
anxiety and inhibition of aggression. In addition. symptom severity was hi
gher in social phobics with an avoidant personality disorder. Generally, th
e results support the view that social phobia and avoidant personality diso
rder reflect different aspects of a social anxiety spectrum. (C) 2001 Editi
ons scientifiques et medicales Elsevier SAS.