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社会焦虑障碍因果解释对污名和治疗认知的影响。

Impact of causal explanations for social anxiety disorder on stigma and treatment perceptions.

机构信息

Psychology Department, Skidmore College, Saratoga Springs, NY, USA and.

Butler Hospital/Brown University Warren Alpert School of Medicine, Providence, RI, USA.

出版信息

J Ment Health. 2020 Feb;29(1):84-91. doi: 10.1080/09638237.2018.1487543. Epub 2019 Feb 9.

Abstract

: There is evidence to suggest that biogenetic explanations for symptoms of mental disorders have become increasingly popular. Research suggests that such explanations provokes mixed blessings: biological explanations may reduce blame but also encourage prognostic pessimism and promote perceptions of pharmacological treatment over psychotherapy. The goal of this study was to evaluate the impact of different causal explanations on social anxiety disorder.: About 205 adults completed an experiment where they read a vignette describing an individual with social anxiety disorder and were randomly assigned to a symptom explanation that was: (1) biological, (2) biopsychosocial, (3) psychosocial, or (4) no explanation.: The psychosocial condition yielded the highest perceived credibility and lowest attributions of blame. The biological condition promoted positive expectations for medication effectiveness compared to other conditions. Conditions did not differ on prognostic expectations.: Calls attention to the risk of generalizing from previous research to mental disorders as a whole.

摘要

有证据表明,生物遗传因素对精神障碍症状的解释越来越受到欢迎。研究表明,这种解释喜忧参半:生物学解释可能减少责备,但也鼓励预后悲观,并促进对药物治疗而不是心理治疗的看法。本研究的目的是评估不同因果解释对社交焦虑障碍的影响。

大约 205 名成年人完成了一项实验,他们阅读了一个描述患有社交焦虑障碍的个体的小插曲,并被随机分配到一个症状解释:(1)生物学,(2)生物心理社会,(3)心理社会,或(4)没有解释。

心理社会条件产生了最高的可信度感知和最低的归因于责备。与其他条件相比,生物条件促进了对药物有效性的积极期望。在预后期望方面,条件没有差异。

该研究提醒人们注意将以前的研究推广到整个精神障碍的风险。

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