Psychology Department and the Gonda Brain Research Center, Bar-Ilan University, Ramat Gan, Israel.
Behav Res Ther. 2011 Jun;49(6-7):399-405. doi: 10.1016/j.brat.2011.03.010. Epub 2011 Apr 5.
The present study examined the interpersonal lives of individuals with social anxiety disorder (SAD). According to evolutionary and interpersonal theories, we construed the interpersonal world using the social rank and the affiliation psychological systems. Two studies assessed measures of social rank, affiliation, social anxiety and depression among a population of treatment-seeking individuals with SAD. In study 1, individuals with SAD without major depressive disorder (MDD; n=42) were compared to healthy controls (n=47). In study 2, individuals with SAD and MDD (n=45) were compared to individuals with other anxiety disorders and MDD (n=31). Results indicated that SAD was related to perceiving oneself as having low social rank, being inferior, and behaving submissively, as well as to low perceived intimacy and closeness among peer relations, friendships and romantic relations. SAD was distinctly associated with these perceptions above and beyond the symptomatic (study 1) and the syndrome-level (study 2) effects of depression. These findings were further supported by a path analysis of the SAD participants from both studies. Our findings highlight the need to address both social rank and affiliation issues in the assessment and treatment of SAD.
本研究考察了社交焦虑障碍（SAD）个体的人际关系生活。根据进化和人际关系理论，我们使用社会等级和隶属心理系统来构建人际关系世界。两项研究评估了社交等级、隶属关系、社交焦虑和抑郁的测量方法，这些方法适用于寻求治疗的 SAD 患者人群。在研究 1 中，将无重度抑郁症（MDD；n=42）的 SAD 个体与健康对照组（n=47）进行比较。在研究 2 中，将 SAD 和 MDD 个体（n=45）与其他焦虑障碍和 MDD 个体（n=31）进行比较。结果表明，SAD 与个体感知到的低社会等级、自卑感和顺从行为有关，也与同伴关系、友谊和浪漫关系中的低亲密感和亲密感有关。SAD 与这些认知之间存在明显的关联，超出了抑郁的症状（研究 1）和综合征水平（研究 2）的影响。来自两项研究的 SAD 参与者的路径分析进一步支持了这些发现。我们的研究结果强调了在 SAD 的评估和治疗中需要解决社会等级和隶属关系问题。
