Department of Psychology, Florida State University, Tallahassee, FL 32306, USA.
J Anxiety Disord. 2012 Jan;26(1):117-25. doi: 10.1016/j.janxdis.2011.10.001. Epub 2011 Oct 7.
Excessive reassurance-seeking (ERS) is hypothesized to play a key role in emotional disorders but has been studied mostly in relation to depression. Study 1 reports a new measure of reassurance seeking that assessed ERS related to general and evaluative threats in a non-clinical student sample, and its factor structure was further examined in Study 2. In Study 3, the scale, along with other symptom-related measures and an existing measure of depressive ERS, was administered to an undergraduate sample at two different time points, one month apart. Greater ERS was associated with greater symptoms of social anxiety, generalized anxiety disorder, and obsessive-compulsive disorder (OCD), even after controlling for trait anxiety, depression, and intolerance of uncertainty. Among OCD symptoms, only thoughts of harm were uniquely related to ERS, a finding consistent with emerging literature. ERS involving general threats also predicted changes in social anxiety and GAD symptoms one month later. Overall, the findings implicate an important role for ERS across anxiety disorders.
过度寻求保证（ERS）被假设在情绪障碍中起着关键作用，但大多是在与抑郁相关的情况下进行研究。研究 1 报告了一种新的寻求保证的测量方法，该方法评估了非临床学生样本中与一般和评价性威胁相关的 ERS，在研究 2 中进一步检查了其因子结构。在研究 3 中，该量表与其他与症状相关的测量方法以及现有的抑郁性 ERS 测量方法一起，在相隔一个月的两个不同时间点，在本科生样本中进行了测试。更大的 ERS 与更大的社交焦虑、广泛性焦虑障碍和强迫症（OCD）症状相关，即使在控制了特质焦虑、抑郁和不确定性容忍度之后也是如此。在 OCD 症状中，只有伤害的想法与 ERS 有独特的关系，这一发现与新兴文献一致。涉及一般威胁的 ERS 也预测了一个月后社交焦虑和 GAD 症状的变化。总体而言，这些发现表明 ERS 在焦虑障碍中起着重要作用。
