Department of Psychology, Northern Illinois University, DeKalb, IL 60115, USA.
Behav Ther. 2010 Mar;41(1):2-13. doi: 10.1016/j.beth.2008.10.002. Epub 2008 Oct 31.
This study's primary goal was to examine relations between symptoms of specific social phobia (SSP), generalized social phobia (GSP), avoidant personality disorder (APD), and panic and depression. Past research has suggested a single social phobia continuum in which SSP displays less symptom severity than GSP or APD. We found SSP symptoms correlated less strongly with depression but more strongly with panic relative to both GSP and APD symptoms. These findings challenge a unidimensional model of social phobia, suggesting a multidimensional model may be more appropriate. These findings also inform current research aimed at classifying mood and anxiety disorders more broadly by identifying that the different factors of fear versus distress appear to underlie different subtypes of social phobia.
本研究的主要目的是考察特定社交恐惧症（SSP）、广泛性社交恐惧症（GSP）、回避型人格障碍（APD）的症状与惊恐和抑郁之间的关系。既往研究提示存在单一的社交恐惧症连续谱，其中 SSP 的症状严重度轻于 GSP 或 APD。我们发现，与 GSP 和 APD 症状相比，SSP 症状与抑郁的相关性较弱，但与惊恐的相关性较强。这些发现对社交恐惧症的单一维度模型提出了挑战，表明可能需要采用多维模型。这些发现还为当前旨在更广泛地对心境和焦虑障碍进行分类的研究提供了信息，因为它表明恐惧与痛苦的不同因素似乎是不同亚型社交恐惧症的基础。
