Helbig-Lang Sylvia, Rusch Silke, Lincoln Tania M
University of Hamburg.
J Clin Psychol. 2015 Mar;71(3):241-9. doi: 10.1002/jclp.22135. Epub 2014 Oct 18.
Recent theories emphasize the contribution of emotion regulation (ER) difficulties to psychopathology. The present study sought to identify patterns of ER difficulties in social anxiety disorder (SAD) and to test the predictive value of these difficulties for actual anxious responding during the anticipation of a social evaluative task.
Participants diagnosed with SAD (n = 67) and healthy controls (n = 59) completed self-ratings of ER difficulties (DERS) and depressive symptoms. This was followed by the announcement of an impromptu speech. During the anticipation period, subjective ratings of anxiety and arousal were assessed.
Compared to healthy controls, SAD participants reported significantly higher levels of ER difficulties. With the exception of "lack of emotional awareness," these differences remained significant when controlling for depression. ER difficulties also contributed to anxious responding during the stress test; but this held true only for nonclinical participants.
SAD is characterized by a wide range of ER deficits. However, the associations between ER difficulties and symptoms of anxiety remain poorly understood.
近期理论强调情绪调节（ER）困难对精神病理学的影响。本研究旨在确定社交焦虑障碍（SAD）中ER困难的模式，并测试这些困难对社交评估任务预期期间实际焦虑反应的预测价值。
被诊断为SAD的参与者（n = 67）和健康对照组（n = 59）完成了ER困难（DERS）和抑郁症状的自评。随后宣布进行即兴演讲。在预期期间，评估焦虑和唤醒的主观评分。
与健康对照组相比，SAD参与者报告的ER困难水平显著更高。除了“缺乏情绪意识”外，在控制抑郁后这些差异仍然显著。ER困难也导致了压力测试期间的焦虑反应；但这仅适用于非临床参与者。
SAD的特征是广泛的ER缺陷。然而，ER困难与焦虑症状之间的关联仍知之甚少。
