Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway; Research Department, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway; Research Department, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
J Anxiety Disord. 2017 Jun;49:40-47. doi: 10.1016/j.janxdis.2017.03.009. Epub 2017 Apr 2.
Few empirical studies have examined subtypes of social anxiety disorder (SAD) in youth, and limited consensus resides on the nature of potential subtypes. Identifying subtypes, based on both fear and avoidance patterns, can help improve assessment and treatment of SAD. Subtypes of fear and avoidance were examined in a sample comprising 131 youth (age 8-15 years) diagnosed with SAD using the Anxiety Disorders Interview Schedule for children and parents (ADIS-C/P). Exploratory factor analysis of fear responses revealed three factors, defining fear subtypes linked to: (1) performance, (2) observation, and (3) interaction situations, respectively. Exploratory factor analysis of avoidance responses showed these were best represented by one avoidance factor. Few youth qualified exclusively for either of the fear subtypes, thus calling into question the clinical utility of these subtypes. Nevertheless, the findings indicate distinct contributions of fear and avoidance in SAD presentation. This finding might help clinicians target and improve treatment of the disorder.
很少有实证研究检查青年社交焦虑障碍（SAD）的亚型，潜在亚型的性质也没有达成共识。根据恐惧和回避模式来确定亚型有助于改善 SAD 的评估和治疗。本研究使用儿童和父母焦虑障碍访谈表（ADIS-C/P）对 131 名被诊断为 SAD 的青年（8-15 岁）进行了恐惧和回避的亚型检查。对恐惧反应进行的探索性因素分析揭示了三个因素，分别定义了与以下方面相关的恐惧亚型：（1）表现，（2）观察和（3）互动情境。对回避反应的探索性因素分析表明，回避反应最好由一个回避因素来表示。很少有青年完全符合这两种恐惧亚型中的任何一种，因此质疑这些亚型的临床实用性。尽管如此，研究结果表明恐惧和回避在 SAD 表现中具有不同的作用。这一发现可能有助于临床医生针对该障碍进行治疗并提高治疗效果。
