Hofmann Stefan G, Heinrichs Nina, Moscovitch David A
Department of Psychology, Boston University, 648 Beacon Street, 6th Fl, Boston, MA 02215, USA.
Clin Psychol Rev. 2004 Nov;24(7):769-97. doi: 10.1016/j.cpr.2004.07.004.
Social phobia (social anxiety disorder) was officially recognized as a distinct clinical entity only with the publication of the DSM-III in 1980. Research on the psychopathology of this disorder has revealed a great degree of heterogeneity in its symptomatology. In order to acknowledge this heterogeneity, later versions of the nosological system introduced the generalized subtype of social phobia to describe individuals who fear most or all social situations. The empirical literature on the differences between the diagnostic subtypes has yielded inconsistent findings. Based on the recent emotion literature and concepts from evolutionary psychology, we discuss fearfulness, anxiousness, shyness, self-consciousness, submissiveness, and anger as dimensions of social phobia. The empirical evidence for this classification system and its relationship to the diagnostic subtypes will be discussed.
社交恐惧症（社交焦虑障碍）直到1980年《精神疾病诊断与统计手册》第三版（DSM-III）出版才被正式确认为一种独特的临床实体。对该障碍精神病理学的研究揭示了其症状学上存在很大程度的异质性。为了认识到这种异质性，该疾病分类系统的后续版本引入了社交恐惧症的广泛性亚型，以描述那些害怕大多数或所有社交情境的个体。关于诊断亚型之间差异的实证文献得出了不一致的结果。基于近期的情绪文献和进化心理学的概念，我们将恐惧、焦虑、害羞、自我意识、顺从和愤怒作为社交恐惧症的维度进行讨论。将探讨这种分类系统的实证证据及其与诊断亚型的关系。
