{"id":55945,"date":"2015-09-23T04:00:28","date_gmt":"2015-09-23T04:00:28","guid":{"rendered":"https:\/\/clinicadeansiedad.com\/uncategorized-ca\/sintomas-de-la-fobia-social-criterios-diagnosticos-segun-las-clasificaciones-internacionales\/"},"modified":"2024-02-19T12:56:30","modified_gmt":"2024-02-19T12:56:30","slug":"sintomas-de-la-fobia-social-criterios-diagnosticos-segun-las-clasificaciones-internacionales","status":"publish","type":"post","link":"https:\/\/clinicadeansiedad.com\/ca\/problemes\/fobia-social\/sintomas-de-la-fobia-social-criterios-diagnosticos-segun-las-clasificaciones-internacionales\/","title":{"rendered":"Els s\u00edmptomes de la f\u00f2bia social: Els criteris diagn\u00f2stics d\u2019acord amb les classificacions internacionals"},"content":{"rendered":"

Per efectuar el diagn\u00f2stic de la f\u00f2bia social, els especialistes es basen en els criteris diagn\u00f2stics del DSM-V<\/span> o de la CIE-10<\/span>,<\/strong> dues classificacions de les malalties consensuades per especialistes de diverses nacionalitats i de reconegut prestigi.<\/p>\n

Recordi, no obstant aix\u00f2, que vost\u00e8 no pot autodiagnosticar-se, ni ha de fer-ho. Nom\u00e9s un professional expert de la salut pot diagnosticar amb rigor i fiabilitat<\/span>.<\/strong> Quan alg\u00fa est\u00e0 preocupat per la seva salut o per la seva normalitat, \u00e9s habitual que s\u2019identifiqui amb s\u00edmptomes o amb malalties que no pateix o que es confongui amb d\u2019altres de possibles.<\/p>\n

Criteris del DSM-IV <\/span>per al diagn\u00f2stic del trastorn d\u2019ansietat social (f\u00f2bia social)<\/span>. <\/strong><\/p>\n

Font: American Psychiatric Association.<\/p>\n

    \n
  1. Por o ansietat intensa en una o m\u00e9s situacions socials en qu\u00e8 l\u2019individu est\u00e0 exposat al possible examen per part dels altres. Alguns exemples s\u00f3n les interaccions socials (per exemple, tenir una conversa o reunir-se amb persones desconegudes), ser observat (per exemple, menjant o bevent) i actuar davant d\u2019altres persones (per exemple, donar una xerrada). Nota:<\/strong> En els nens, l\u2019ansietat es pot produir en les reunions amb individus de la seva mateixa edat i no nom\u00e9s en la interacci\u00f3 amb els adults.<\/li>\n
  2. L\u2019individu t\u00e9 por d\u2019actuar de determinada manera o de mostrar s\u00edmptomes d\u2019ansietat que es valorin negativament (\u00e9s a dir, que l\u2019humili\u00efn o l\u2019avergonyeixin, que es tradueixin en rebuig o que ofenguin a altres persones).<\/li>\n
  3. Les situacions socials gaireb\u00e9 sempre provoquen por o ansietat. Nota:<\/strong> En els nens, la por o l\u2019ansietat es poden expressar amb plors, amb rebequeries, quedant-se paralitzats, amb conductes d\u2019aferrament, encongint-se o amb el frac\u00e0s de parlar en situacions socials.<\/li>\n
  4. Les situacions socials s\u2019eviten o es resisteixen amb por o amb una ansietat intensa.<\/li>\n
  5. La por o l\u2019ansietat s\u00f3n desproporcionades respecte de l\u2019amena\u00e7a real plantejada per la situaci\u00f3 social i del context sociocultural.<\/li>\n
  6. La por, l\u2019ansietat o l\u2019evitaci\u00f3 s\u00f3n persistents i duren t\u00edpicament sis mesos o m\u00e9s.<\/li>\n
  7. La por, l\u2019ansietat o l\u2019evitaci\u00f3 causen malestar cl\u00ednicament significatiu o deteriorament en els \u00e0mbits social o laboral, o en altres \u00e0rees importants del funcionament.<\/li>\n
  8. La por, l\u2019ansietat o l\u2019evitaci\u00f3 no poden atribuir-se als efectes fisiol\u00f2gics d\u2019una subst\u00e0ncia (per exemple, una droga o un medicament) ni a cap altra afecci\u00f3 m\u00e8dica.<\/li>\n
  9. La por, l\u2019ansietat o l\u2019evitaci\u00f3 no s\u2019expliquen millor pels s\u00edmptomes d\u2019un altre trastorn mental, com el trastorn de p\u00e0nic, el trastorn dism\u00f2rfic corporal o un trastorn de l\u2019espectre autista.<\/li>\n
  10. Si existeix una altra afecci\u00f3 m\u00e8dica (per exemple, malaltia de Parkinson, obesitat o desfiguraci\u00f3 causada per cremades o per lesions), la por, l\u2019ansietat o l\u2019evitaci\u00f3 hi estan clarament no relacionades o s\u00f3n excessives.<\/li>\n<\/ol>\n

    Criteris de la CIE-10 per al diagn\u00f2stic de la f\u00f2bia social<\/span><\/p>\n

    Font: Organitzaci\u00f3 Mundial de la Salut.<\/p>\n

    Les f\u00f2bies socials acostumen a comen\u00e7ar en l\u2019adolesc\u00e8ncia i giren al voltant de la por de ser jutjat per altres persones en el si d\u2019un grup comparativament petit (a difer\u00e8ncia de les multituds) i acostumen a conduir a evitar situacions socials determinades. Al contrari d\u2019all\u00f2 que passa amb la majoria de les f\u00f2bies, les f\u00f2bies socials es presenten amb la mateixa freq\u00fc\u00e8ncia en homes que en dones.<\/p>\n

    Algunes de les f\u00f2bies socials s\u00f3n restringides (per exemple, a menjar en p\u00fablic, a parlar en p\u00fablic o a trobades amb persones de l\u2019altre sexe); d\u2019altres s\u00f3n difuses i comprenen gaireb\u00e9 totes les situacions socials fora del cercle familiar. La por de vomitar en p\u00fablic pot ser important. El contacte visual directe pot ser particularment molest en determinades cultures.<\/p>\n

    Les f\u00f2bies socials sovint van acompanyades de baixa estima d\u2019un mateix i de por de les cr\u00edtiques. Pot manifestar-se com preocupaci\u00f3 per ruboritzar-se, per tenir tremolor de mans o per tenir n\u00e0usees o necessitat imperiosa de micci\u00f3, i de vegades la persona est\u00e0 conven\u00e7uda que el problema primari \u00e9s alguna d\u2019aquestes manifestacions secund\u00e0ries a la seva ansietat. Els s\u00edmptomes poden desembocar en crisis de p\u00e0nic. La conducta d\u2019evitaci\u00f3 acostuma a ser intensa i, en casos extrems, pot conduir a un a\u00efllament social gaireb\u00e9 absolut.<\/p>\n

    Pautes per al diagn\u00f2stic<\/span><\/p>\n

      \n
    1. Els s\u00edmptomes psicol\u00f2gics, comportamentals o vegetatius s\u00f3n manifestacions prim\u00e0ries de l\u2019ansietat i no secund\u00e0ries a altres s\u00edmptomes, com, per exemple, idees delirants o obsessives.<\/li>\n
    2. Aquesta ansietat es limita a situacions socials concretes i determinades, o hi predomina.<\/li>\n
    3. La situaci\u00f3 f\u00f2bica \u00e9s evitada quan \u00e9s possible.<\/li>\n<\/ol>\n

      [:]<\/p>\n","protected":false},"excerpt":{"rendered":"

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href=\"https:\/\/clinicadeansiedad.com\/ca\/problemes\/fobia-social\/\" rel=\"category tag\">F\u00f2bia Social<\/a>","tags_info":"","social_share_info":"<a data-share=\"facebook\" href=\"https:\/\/www.facebook.com\/sharer.php?u=https:\/\/clinicadeansiedad.com\/ca\/problemes\/fobia-social\/sintomas-de-la-fobia-social-criterios-diagnosticos-segun-las-clasificaciones-internacionales\/\" class=\"pl-facebook-share social-share-default pl-social-share\" target=\"_blank\"><i class=\"fab fa-facebook-f\" aria-hidden=\"true\"><\/i><\/a><a data-share=\"twitter\" href=\"https:\/\/twitter.com\/share?url=https:\/\/clinicadeansiedad.com\/ca\/problemes\/fobia-social\/sintomas-de-la-fobia-social-criterios-diagnosticos-segun-las-clasificaciones-internacionales\/\" class=\"pl-twiiter-share social-share-default pl-social-share\" target=\"_blank\"><i class=\"fab fa-twitter\" aria-hidden=\"true\"><\/i><\/a><a data-share=\"linkedin\" href=\"https:\/\/www.linkedin.com\/shareArticle?url=https:\/\/clinicadeansiedad.com\/ca\/problemes\/fobia-social\/sintomas-de-la-fobia-social-criterios-diagnosticos-segun-las-clasificaciones-internacionales\/\" class=\"pl-linkedin-share social-share-default pl-social-share\" target=\"_blank\"><i class=\"fab fa-linkedin-in\" aria-hidden=\"true\"><\/i><\/a>","wordExcerpt_info":"<p>Les f\u00f2bies socials giren al voltant de la por de ser jutjat pels altres i sovint comporten evitar diverses situacions socials. Algunes de les f\u00f2bies socials s\u00f3n restringides i afecten nom\u00e9s a determinades conductes, mentre que d\u2019altres s\u00f3n difuses i comprenen gaireb\u00e9 totes les situacions socials fora del cercle familiar.<\/p>\n","comment_info":"No Comments","_links":{"self":[{"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/posts\/55945","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/users\/3439"}],"replies":[{"embeddable":true,"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/comments?post=55945"}],"version-history":[{"count":4,"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/posts\/55945\/revisions"}],"predecessor-version":[{"id":57775,"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/posts\/55945\/revisions\/57775"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/media\/56033"}],"wp:attachment":[{"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/media?parent=55945"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/categories?post=55945"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clinicadeansiedad.com\/ca\/wp-json\/wp\/v2\/tags?post=55945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}