Gerlach A L, Wilhelm F H, Gruber K, Roth W T
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California, USA.
J Abnorm Psychol. 2001 May;110(2):247-58. doi: 10.1037//0021-843x.110.2.247.
Blushing is the most prominent symptom of social phobia, and fear perception of visible anxiety symptoms is an important component of cognitive behavioral models of social phobia. However, it is not clear how physiological and psychological aspects of blushing and other somatic symptoms are linked in this disorder. The authors tested whether social situations trigger different facial blood volume changes (blushing) between social phobic persons with and without primary complaint of blushing and control participants. Thirty social phobic persons. 15 of whom were especially concerned about blushing, and 14 control participants were assessed while watching an embarrassing videotape, holding a conversation, and giving a talk. Only when watching the video did the social phobic persons blush more than controls blushed. Social phobic persons who complained of blushing did not blush more intensely than did social phobic persons without blushing complaints but had higher heart rates, possibly reflecting higher arousability of this subgroup.
脸红是社交恐惧症最突出的症状，对明显焦虑症状的恐惧感知是社交恐惧症认知行为模型的一个重要组成部分。然而，尚不清楚在这种障碍中脸红及其他躯体症状的生理和心理方面是如何联系的。作者测试了社交场合是否会在有和没有脸红主诉的社交恐惧症患者与对照参与者之间引发不同的面部血容量变化（脸红）。30名社交恐惧症患者，其中15名特别担心脸红，14名对照参与者在观看尴尬录像带、进行对话和演讲时接受评估。只有在观看视频时，社交恐惧症患者比对照组脸红得更厉害。有脸红主诉的社交恐惧症患者脸红程度并不比没有脸红主诉的社交恐惧症患者更强烈，但心率更高，这可能反映了该亚组更高的易唤醒性。
