Clinical Research Unit for Anxiety and Depression, University of New South Wales at St Vincent's Hospital, Level 4 O'Brien Centre, 394-404 Victoria Street, Darlinghurst, Sydney, New South Wales 2010, Australia.
J Behav Ther Exp Psychiatry. 2012 Jun;43(2):849-54. doi: 10.1016/j.jbtep.2011.12.004. Epub 2011 Dec 16.
Recent research suggests that intolerance of uncertainty (IU), most commonly associated with generalized anxiety disorder, also contributes to symptoms of social phobia. This study examines the relationship between IU and social anxiety symptoms across treatment.
Changes in IU, social anxiety symptoms, and depression symptoms were examined following cognitive behavior group therapy (CBGT) for social phobia (N=32).
CBGT led to significant improvements in symptoms of social anxiety and depression, as well as reductions in IU. Reductions in IU were associated with reductions in social anxiety but were unrelated to improvements in depression symptoms. Reductions in IU were predictive of post-treatment social phobia symptoms after controlling for pre-treatment social phobia symptoms and changes in depression symptoms following treatment.
The relationship between IU and social anxiety requires further examination within experimental and longitudinal designs, and needs to take into account additional constructs that are thought to maintain social phobia.
Current findings suggest that the enhancing tolerance of uncertainty may play a role in the optimal management of social phobia. Theoretical and clinical implications are discussed.
最近的研究表明，不确定性容忍度（IU），最常见于广泛性焦虑症，也与社交恐惧症的症状有关。本研究考察了 IU 与社交焦虑症状在治疗过程中的关系。
对 32 名社交恐惧症患者进行认知行为团体治疗（CBGT）后，检测 IU、社交焦虑症状和抑郁症状的变化。
CBGT 显著改善了社交焦虑和抑郁症状，降低了 IU。IU 的降低与社交焦虑的降低有关，但与抑郁症状的改善无关。在控制治疗前社交恐惧症症状和治疗后抑郁症状变化的情况下，IU 的降低可预测治疗后社交恐惧症的症状。
IU 与社交焦虑之间的关系需要在实验和纵向设计中进一步检验，并需要考虑到被认为维持社交恐惧症的其他构建。
目前的研究结果表明，增强不确定性容忍度可能在社交恐惧症的最佳管理中发挥作用。讨论了理论和临床意义。
