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口吃成年人的社会支持及其与消极情绪的关联。

Social support and its association with negative affect in adults who stutter.

作者信息

Blumgart Elaine, Tran Yvonne, Craig Ashley

机构信息

Rehabilitation Studies Unit, Sydney Medical School, The University of Sydney, PO Box 6, Ryde, NSW 1680, Australia.

Rehabilitation Studies Unit, Sydney Medical School, The University of Sydney, PO Box 6, Ryde, NSW 1680, Australia.

出版信息

J Fluency Disord. 2014 Jun;40:83-92. doi: 10.1016/j.jfludis.2014.02.002. Epub 2014 Feb 23.

Abstract

PURPOSE

The purpose of the research reported in this manuscript is to clarify the relationship between social support and negative affect for people who stutter. Social support results in many benefits that help individuals to achieve self-esteem, motivation to adjust adaptively, and to experience a sense of belonging. Lack of such support is likely to result in heightened anxiety and negative affect manifesting in many forms.

METHOD

This study used the Symptom Checklist--Revised (SCL-90-R) and the Significant Others Scale (SOS) to investigate social support and its relationship to negative affect in 200 adults who stutter, with comparisons made to 200 adults who do not stutter. Negative affect was assessed by interpersonal sensitivity, depressive mood and anxiety. The Significant Others Scale was used to provide an indication of the participants' actual and ideal levels of social support.

RESULTS

It was found that (i) those participants who stuttered had significantly elevated levels of negative affect across the SCL-90-R domains of interpersonal sensitivity, depressive mood and anxiety; (ii) the group who stuttered was found to have lower levels of actual and ideal social support; and (iii) those who stuttered and who also had low social support had significantly elevated levels of negative affect.

CONCLUSION

Results highlight the potentially harmful influence that poor social support has on mood states for adults who stutter. These findings have implications for treatment such as the necessity to address and integrate social support and social integration issues in the treatment process for adults who stutter.

EDUCATIONAL OBJECTIVES

The reader will be able to: (a) describe the methodology of assessing social support using the Social Support Scale (SOS); (b) apply the concept of assessing social support in stuttering to treatment; (c) describe the protective contribution of helpful social support for adults who stutter; (d) describe the relationship between social support and negative mood states.

摘要

目的

本手稿中所报告研究的目的是阐明口吃者的社会支持与负面影响之间的关系。社会支持带来诸多益处,有助于个体实现自尊、产生适应性调整的动力并体验归属感。缺乏这种支持可能会导致焦虑加剧以及以多种形式表现出来的负面影响。

方法

本研究使用症状自评量表修订版(SCL - 90 - R)和重要他人量表(SOS),对200名口吃成年人的社会支持及其与负面影响的关系进行调查,并与200名非口吃成年人进行比较。通过人际敏感性、抑郁情绪和焦虑来评估负面影响。重要他人量表用于表明参与者实际和理想的社会支持水平。

结果

研究发现:(i)口吃的参与者在SCL - 90 - R的人际敏感性、抑郁情绪和焦虑等领域的负面影响水平显著升高;(ii)发现口吃组的实际和理想社会支持水平较低;(iii)口吃且社会支持水平低的人负面影响水平显著升高。

结论

结果突出了社会支持不足对口吃成年人情绪状态可能产生的有害影响。这些发现对治疗具有启示意义,比如在口吃成年人的治疗过程中必须解决并整合社会支持和社会融合问题。

教育目标

读者将能够:(a)描述使用社会支持量表(SOS)评估社会支持的方法;(b)将口吃中评估社会支持的概念应用于治疗;(c)描述有益的社会支持对口吃成年人的保护作用;(d)描述社会支持与负面情绪状态之间的关系。

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