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Cross-cultural studies have much to teach clinicians and researchers alike about psychopathology in general and about social anxiety disorder (SAD) in particular. Unfortunately, little is known about the degree and the mechanisms through which cultural environment may influence clinical manifestations of SAD. OBJECTIVE: Our objective was to identify culture-related clinical patterns in SAD and related disorders. METHODS: We described socio-demographic and clinical characteristics of a sample of 62 adult outpatients with SAD seen at a university clinic for anxiety and depressive disorders in Rio de Janeiro, Brazil, and compared them with those reported in clinical samples from North America, Europe, Asia and Oceania identified through a systematic review in Medline, PsychINFO, and LILACS. RESULTS: Our comparison of trans-cultural features of SAD lends partial support to Heimberg's (1997) contention that the majority of socio-demographic features and symptoms of this disorder are relatively independent of geographic and cultural differences. CONCLUSION: Patients with SAD were almost universally characterized by: 1) a predominance of males in clinical samples; 2) early onset of the disorder; 3) high educational attainment; and 4) great frequency of comorbidities. Estudos transculturais têm muito a ensinar a clínicos e pesquisadores sobre psicopatologia, de modo geral, e transtorno de ansiedade social (TAS) especificamente. Infelizmente pouco se sabe a respeito do grau de influência e dos mecanismos através dos quais o meio cultural pode influenciar as manifestações clínicas do TAS. OBJETIVO: O presente estudo tem por objetivo identificar padrões clínicos associados à cultura no TAS e transtornos relacionados. MÉTODOS: Foram descritas características clínicas e sociodemográficas de uma amostra de 62 pacientes adultos com TAS acompanhados ambulatorialmente no Programa de Ansiedade e Depressão da Universidade Federal do Rio de Janeiro. Essas características foram comparadas com aquelas de amostras clínicas deAmérica do Norte, Europa, Ásia e Oceania identificadas através de revisão sistemática em Medline, PsychINFO e LILACS. RESULTADOS: Nossa comparação de aspectos transculturais do TAS ratifica parcialmente o achado de Heimberg (1997) de que a maioria dos sintomas e das características socioculturais desse transtorno é parcialmente independente de diferenças geográficas e culturais. CONCLUSÃO: Pacientes com TAS caracterizaram-se quase universalmente por: 1) predominância de homens nas amostras clínicas; 2) início precoce do transtorno; 3) alto nível educacional; e 4) grande prevalência de co-morbidades

Trans-cultural aspects of social anxiety disorder and related conditions: a Brazilian case series and a review of international clinical studies