National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052, Australia.
J Anxiety Disord. 2010 Jan;24(1):49-54. doi: 10.1016/j.janxdis.2009.08.010.
Compared to other mental health problems, social anxiety is under-acknowledged amongst opioid dependent populations. This study aimed to assess levels of social anxiety and identify its predictors in an opioid dependent sample and a matched control group. Opioid dependent participants (n=1385) and controls (n=417) completed the Social Interaction Anxiety Scale (SIAS), the Social Phobia Scale (SPS) and a diagnostic interview. Regression analyses were used to test a range of predictors of social anxiety. Opioid dependent cases had higher mean scores on both scales compared to controls. Predictors of social anxiety centred on emotional rejection in childhood, either by parents or peers. For opioid dependent cases, but not controls, lifetime non-opioid substance dependence (cannabis, sedatives, and tobacco) was associated with higher levels of social anxiety. However, much of the variance in social anxiety remains unexplained for this population.
与其他心理健康问题相比，社交焦虑在阿片类药物依赖人群中未得到充分认识。本研究旨在评估阿片类药物依赖样本和匹配对照组中社交焦虑的水平，并确定其预测因素。阿片类药物依赖者（n=1385）和对照组（n=417）完成了社交互动焦虑量表（SIAS）、社交恐惧症量表（SPS）和诊断访谈。回归分析用于测试社交焦虑的一系列预测因素。与对照组相比，阿片类药物依赖者在这两个量表上的平均得分都更高。社交焦虑的预测因素集中在儿童时期的情感拒绝上，无论是来自父母还是同龄人。对于阿片类药物依赖者，但不是对照组，终生非阿片类物质依赖（大麻、镇静剂和烟草）与更高水平的社交焦虑有关。然而，对于这一人群，社交焦虑的大部分差异仍无法解释。
