Published date: Jun 30 2021

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 16 (2021), Issue No. 2

Pages: 223–232

DOI: 10.18502/sjms.v16i2.9290

Hazeem Abdeljaleel Suleiman160994@med.asu.edu.egMedical Student, Ain Shams University, Cairo, Egypt

Sara Ahmed ElaminMedical Student, Omdurman Al-Ahlia University, Omdurman, Sudan

Abdalaziz Awad AlobeidMedical student, Omdurman Islamic University, Omdurman, Sudan

Wegdan Elshame AltaibMedical student, Al Neelain University, Khartoum, Sudan

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.

Keywords: social phobia, prevalence, medical students, Sudanese

[1] American Psychiatric Association. (n.d.). What Are Anxiety Disorders? Retrieved from: https://www. psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders


[2] Stein, D. J., Lim, C. C. W., Roest, A. M., et al. (2017). The cross-national epidemiology of 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 Than Just Shyness. Retrieved from: https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness/


[4] American Depression & Anxiety Association. (n.d.). Understand the Facts – Social Anxiety Disorder. Retrieved from: https://adaa.org/understanding-anxiety/social-anxiety-disorder/.


[5] Ragheb, M., Ramy, H., Hussein, H., et al. (2007). Psychometric properties of the Arabic version 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 in Sudanese medical students: a cross sectional study on role of quality of life and social 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 phobia among 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 of social phobia among medical students in Saudi Arabia. The Egyptian Journal of Hospital Medicine, vol. 69, no. 5, pp. 2412– 2416.


[9] Kjeldstadli, K., Tyssen, R., Finset, A., et al. (2006). Life satisfaction and resilience in medical school-a six-year longitudinal, nationwide and comparative study. BMC Medical Education, vol. 6, no. 48, pp. 1–8.


[10] Laidlaw, A. H. (2009). Social anxiety in medical students: implications for communication 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 and Public Health, vol. 4, no. 9, pp. 3293– 3296.


[12] Desalegn, G. T., Getinet, W., and Tadie, G. (2019). The prevalence and correlates of social phobia among undergraduate health science students in Gondar, Gondar Ethiopia. BMC Research Notes, vol. 12, article 438.


[13] Mazhari, S. H., Ekhlaspour, M., and Banazadeh, N. (2014). Social phobia and its association with academic performance among student of Kerman University of Medical 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.