Temple University, Philadelphia, PA, United States.
Nebraska Medicine, Omaha, NE, United States.
J Anxiety Disord. 2016 Mar;38:1-8. doi: 10.1016/j.janxdis.2015.12.003. Epub 2015 Dec 11.
Individuals with social anxiety disorder (SAD) experience functional impairment in social, educational, and occupational arenas, contributing to poor quality of life. Previous research using the Quality of Life Inventory (QOLI) has identified four distinct domains of quality of life among individuals with SAD: Achievement, Personal Growth, Social Functioning, and Surroundings. The present study was designed to investigate how fear of negative evaluation (FNE) and fear of positive evaluation (FPE) relate to the four QOLI domains among individuals with SAD. We also examined the relationships of FNE and FPE to Satisfaction and Importance ratings on the QOLI. Individuals with SAD (N=129) completed a battery of questionnaires prior to initiating treatment. FNE and FPE showed distinct relationships with the four QOLI domains, even after controlling for demographic characteristics and comorbid depression. Both FNE and FPE were associated with ratings of Satisfaction with the QOLI domains, but neither was associated with ratings of Importance. Our findings highlight the differential impacts of FNE and FPE on SAD. Treatment implications are discussed.
社交焦虑障碍(SAD)患者在社交、教育和职业领域存在功能障碍,导致生活质量下降。先前使用生活质量量表(QOLI)的研究已经确定了 SAD 患者生活质量的四个不同领域:成就、个人成长、社交功能和环境。本研究旨在探讨 FNE 和 FPE 与 SAD 患者 QOLI 的四个领域之间的关系。我们还研究了 FNE 和 FPE 与 QOLI 的满意度和重要性评分之间的关系。129 名 SAD 患者在开始治疗前完成了一系列问卷。即使在控制人口统计学特征和共病抑郁后,FNE 和 FPE 与 QOLI 的四个领域仍存在明显关系。FNE 和 FPE 都与 QOLI 领域的满意度评分相关,但都与重要性评分无关。我们的研究结果突出了 FNE 和 FPE 对 SAD 的不同影响。讨论了治疗意义。