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蜘蛛恐惧症中对恐惧和厌恶刺激的评估性学习与情绪反应。

Evaluative learning and emotional responding to fearful and disgusting stimuli in spider phobia.

作者信息

Olatunji Bunmi O

机构信息

Massachusetts General Hospital/Harvard Medical School, 15 Parkman Street, ACC 812, Boston, MA 02114, USA.

出版信息

J Anxiety Disord. 2006;20(7):858-76. doi: 10.1016/j.janxdis.2006.01.005. Epub 2006 Feb 28.

Abstract

The present study explores possible changes between spider phobics (N=22) and nonphobics (N=28) in fear, disgust, and neutral ratings of neutral expressions as a result of their pairing with spiders. No statistically significant differences were detected between pre and post fear ratings of the expressions as a result of their association with spiders. However, post disgust ratings were marginally higher than pre disgust ratings and post neutral ratings were significantly lower than pre neutral ratings. The present study also examined differences in fear and disgust responding to threat-relevant and disgust-relevant stimuli between spider phobics and nonphobics. Spider phobics reported significantly more fear and disgust than nonphobics towards threat and disgust-relevant stimuli. The relation between spider phobia and disgust responding to spiders was partially mediated by fear whereas the relation between spider phobia and disgust responding to rotting foods and body products was fully mediated by fear. Emotional responding to threat-relevant and disgust-relevant stimuli was also significantly associated with disgust sensitivity when controlling for trait anxiety. These findings support the notion that the disgust response in spider phobia is independent of fear to the extent that it is specifically bound to spiders.

摘要

本研究探讨了蜘蛛恐惧症患者(N = 22)和非恐惧症患者(N = 28)在将中性表情与蜘蛛配对后,对恐惧、厌恶及中性表情的评分可能发生的变化。由于表情与蜘蛛相关联,在表情的恐惧评分前后未检测到统计学上的显著差异。然而,厌恶评分后略高于厌恶评分前,中性评分后显著低于中性评分前。本研究还考察了蜘蛛恐惧症患者和非恐惧症患者对与威胁相关和与厌恶相关刺激的恐惧和厌恶反应差异。蜘蛛恐惧症患者对与威胁和厌恶相关的刺激报告的恐惧和厌恶明显多于非恐惧症患者。蜘蛛恐惧症与对蜘蛛的厌恶反应之间的关系部分由恐惧介导,而蜘蛛恐惧症与对腐烂食物和身体产物的厌恶反应之间的关系完全由恐惧介导。在控制特质焦虑时,对与威胁相关和与厌恶相关刺激的情绪反应也与厌恶敏感性显著相关。这些发现支持了这样一种观点,即蜘蛛恐惧症中的厌恶反应在一定程度上独立于恐惧,因为它与蜘蛛有特定的关联。

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