Department of Psychology, Washington University in St. Louis, United States.
Department of Psychology, Washington University in St. Louis, United States.
J Anxiety Disord. 2020 Oct;75:102275. doi: 10.1016/j.janxdis.2020.102275. Epub 2020 Jul 30.
People with social anxiety disorder (SAD) frequently report interpersonal problems across various domains; however, it is unclear whether these problems are observable by others or represent negatively biased self-report. We assessed the interpersonal problems of people with and without SAD using self-report, friend, and romantic partner report. We hypothesized that SAD diagnosis would predict self-reported problems across multiple interpersonal domains, but restricted domains of informant report. Additionally, we hypothesized that diagnosis would predict discrepancy between self and informant report either in the form of a bias toward reporting more problems or in the form of lack of concordance between self and informant reporters. Using structural equation and multilevel models, we found evidence for differences between people with and without SAD in terms of domains of impairment observed by self and informants as well as differences in correspondence across relationship types. Results highlight the utility of multi-informant assessment of SAD.
社交焦虑障碍（SAD）患者经常在各个领域报告人际关系问题；然而，这些问题是否能被他人观察到，或者是否代表了自我报告的负面偏见，尚不清楚。我们使用自我报告、朋友和浪漫伴侣报告评估了 SAD 患者和非 SAD 患者的人际关系问题。我们假设 SAD 诊断将预测多个人际领域的自我报告问题，但会限制信息报告的领域。此外，我们假设诊断将预测自我报告和信息报告之间的差异，这种差异表现为报告更多问题的偏差，或者自我报告者和信息报告者之间缺乏一致性的形式。使用结构方程和多层次模型，我们发现 SAD 患者和非 SAD 患者在自我和信息报告者观察到的障碍领域以及跨关系类型的一致性方面存在差异。研究结果突出了多信息源评估 SAD 的效用。
