Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada.
J Anxiety Disord. 2011 Oct;25(7):911-7. doi: 10.1016/j.janxdis.2011.05.003. Epub 2011 May 14.
Reassurance seeking has long been hypothesized to be a key factor in the maintenance of anxiety within contemporary cognitive-behavioral approaches to the conceptualization and treatment of anxiety disorders. However, empirical studies have lagged due to the absence of a reliable and valid measure of reassurance seeking. The present study sought to develop and examine the psychometric properties of a theoretically derived measure of reassurance seeking in treatment-seeking participants with DSM-IV-TR (American Psychiatric Association, 2000) social phobia (n=116), generalized anxiety disorder (n=75), panic disorder with or without agoraphobia (n=50), and obsessive compulsive disorder (n=42). Participants (N=283) completed the Reassurance Seeking Scale (RSS), Depression Anxiety Stress Scale, Beck Anxiety Inventory, and Beck Depression Inventory-II. An exploratory factor analysis resulted in a coherent three factor solution reflecting the need to seek excessive reassurance regarding: (1) uncertainty about decisions, (2) attachment and the security of relationships, and (3) perceived general threat and anxiety. The RSS was found to possess good internal consistency and was moderately correlated with measures of anxiety, stress, and depression. The psychometric properties of the RSS appear promising for the promotion of programmatic research on reassurance seeking and its treatment in the anxiety disorders.
寻求安慰一直被假设为在当代认知行为方法中对焦虑症的概念化和治疗中维持焦虑的关键因素。然而，由于缺乏可靠和有效的寻求安慰的测量方法，实证研究一直滞后。本研究旨在为 DSM-IV-TR（美国精神病学协会，2000 年）社交恐惧症（n=116）、广泛性焦虑症（n=75）、伴有或不伴有广场恐惧症的惊恐障碍（n=50）和强迫症（n=42）寻求治疗的参与者开发和检验一种理论上衍生的寻求安慰的测量方法的心理测量特性。参与者（N=283）完成了安慰寻求量表（RSS）、抑郁焦虑压力量表、贝克焦虑量表和贝克抑郁量表-II。探索性因素分析产生了一个连贯的三因素解决方案，反映了对以下方面寻求过度安慰的需要：（1）对决策的不确定性，（2）依恋和关系的安全性，以及（3）感知的一般威胁和焦虑。RSS 被发现具有良好的内部一致性，并与焦虑、压力和抑郁的测量方法中度相关。RSS 的心理测量特性似乎很有希望用于促进关于寻求安慰及其在焦虑症治疗中的研究。
