Ha Juwon, Lim Se-Won, Shin Young-Chul, Oh Kang-Seob
Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Jongro-Gu, Seoul, Korea.
J Nerv Ment Dis. 2011 Jun;199(6):390-3. doi: 10.1097/NMD.0b013e31821cd275.
This study aimed to investigate the possible difference in anxiety-related traits between the generalized and nongeneralized subtypes of social anxiety disorder (SAD). Two hundred seventy-three SAD Korean outpatients completed the Anxiety Sensitivity Index (ASI), the Trait Form of the State-Trait Anxiety Inventory (STAI-T), Retrospective Self-Report of Inhibition (RSRI), and the Liebowitz Social Anxiety Scale (LSAS) as part of their assessments. The unadjusted total scores of the ASI, STAI-T, RSRI, and LSAS differed between the two subtypes, according to an independent t-test. However, this result was not significant (ASI: F = 2.363, p = 0.127; STAI-T: F = 0.004, p = 0.949; RSRI: F = 1.518, p = 0.220) after adjusting for LSAS total score. The comparison of anxiety-related traits did not show any difference between the subtypes after adjusting for illness severity. These results may suggest that the two SAD subtypes are on a continuum of the same illness, differentiated only by symptom severity.
本研究旨在调查社交焦虑障碍(SAD)的广泛性亚型和非广泛性亚型在焦虑相关特质方面可能存在的差异。273名韩国SAD门诊患者在评估过程中完成了焦虑敏感性指数(ASI)、状态-特质焦虑量表(STAI-T)的特质形式、回顾性抑制自我报告(RSRI)以及利博维茨社交焦虑量表(LSAS)。根据独立样本t检验,ASI、STAI-T、RSRI和LSAS的未调整总分在两种亚型之间存在差异。然而,在对LSAS总分进行调整后,该结果并不显著(ASI:F = 2.363,p = 0.127;STAI-T:F = 0.004,p = 0.949;RSRI:F = 1.518,p = 0.220)。在对疾病严重程度进行调整后,焦虑相关特质的比较在亚型之间未显示出任何差异。这些结果可能表明,两种SAD亚型处于同一种疾病的连续体上,仅在症状严重程度上有所不同。