Center for Anxiety and Traumatic Stress Disorders, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, 1 Bowdoin Square, Boston, MA 02114, United States.
J Anxiety Disord. 2012 Apr;26(3):435-41. doi: 10.1016/j.janxdis.2012.01.004. Epub 2012 Jan 16.
The present study examined negative mood regulation expectancies, anxiety symptom severity, and quality of life in a sample of 167 patients with social anxiety disorder (SAD) and 165 healthy controls with no DSM-IV Axis I disorders. Participants completed the Generalized Expectancies for Negative Mood Regulation Scale (NMR), the Beck Anxiety Inventory, and the Quality of Life Enjoyment and Satisfaction Questionnaire. SAD symptom severity was assessed using the Liebowitz Social Anxiety Scale. Individuals with SAD scored significantly lower than controls on the NMR. Among SAD participants, NMR scores were negatively correlated with anxiety symptoms and SAD severity, and positively correlated with quality of life. NMR expectancies positively predicted quality of life even after controlling for demographic variables, comorbid diagnoses, anxiety symptoms, and SAD severity. Individuals with SAD may be less likely to engage in emotion regulating strategies due to negative beliefs regarding their effectiveness, thereby contributing to poorer quality of life.
本研究调查了 167 名社交焦虑障碍（SAD）患者和 165 名无 DSM-IV 轴 I 障碍的健康对照者的负性情绪调节期望、焦虑症状严重程度和生活质量。参与者完成了一般负性情绪调节期望量表（NMR）、贝克焦虑量表和生活质量享受和满意度问卷。SAD 症状严重程度采用利博维茨社交焦虑量表进行评估。SAD 患者的 NMR 评分明显低于对照组。在 SAD 参与者中，NMR 评分与焦虑症状和 SAD 严重程度呈负相关，与生活质量呈正相关。即使在控制人口统计学变量、共病诊断、焦虑症状和 SAD 严重程度后，NMR 期望仍能正向预测生活质量。由于对情绪调节策略的有效性存在消极信念，SAD 患者可能不太愿意采用这些策略，从而导致生活质量较差。
