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死亡凸显对焦虑相关障碍躯体扫描行为的影响。

The effect of mortality salience on bodily scanning behaviors in anxiety-related disorders.

机构信息

School of Psychology, The University of Sydney.

出版信息

J Abnorm Psychol. 2021 Feb;130(2):141-151. doi: 10.1037/abn0000577. Epub 2020 Dec 10.

Abstract

Accumulated empirical evidence suggests that death anxiety is strongly associated with multiple mental health conditions. Despite this, few studies have experimentally explored whether manipulating reminders of death could influence the symptoms of mental illnesses. The present, preregistered study used a mortality salience design to assess whether death reminders could increase anxious behavior (i.e., time spent scanning one's body, identification with images consistent with poorer health, and intention to visit a medical practitioner) among individuals with relevant disorders. A total of 128 treatment-seeking participants with either a body scanning disorder (i.e., panic disorder, illness anxiety, or somatic symptom disorder) or a nonscanning disorder (i.e., depression) were randomly allocated to either a mortality salience or control condition. Following this, participants were presented with a series of images of various body parts, which purportedly predicted particular life outcomes, and asked to check their own body and select the image that most closely matched their own. As hypothesized, the results revealed that mortality salience produced an overall increase in all three anxiety-related behaviors. Further, mortality salience selectively increased scanning duration and identification with images indicating poorer health for individuals with a scanning disorder. This effect only occurred when participants were told the body part predicted a health-relevant outcome. In contrast, mortality salience increased intention to visit a medical specialist regardless of one's disorder. The findings support theoretical predictions that death anxiety may have a causal role in multiple mental disorders. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

积累的经验证据表明,死亡焦虑与多种心理健康状况密切相关。尽管如此,很少有研究从实验上探讨过操纵死亡提醒是否会影响精神疾病的症状。本研究采用死亡凸显设计,评估死亡提醒是否会增加有相关障碍的个体的焦虑行为(即扫描自身的时间、与健康状况较差的图像认同以及就医意向)。共有 128 名寻求治疗的参与者,其中包括身体扫描障碍(即惊恐障碍、疾病焦虑或躯体症状障碍)或非扫描障碍(即抑郁症),随机分配到死亡凸显或对照条件。之后,参与者被呈现一系列不同身体部位的图像,这些图像据称可以预测特定的生活结果,并被要求检查自己的身体并选择最符合自己身体的图像。正如假设的那样,结果表明,死亡凸显总体上增加了所有三种与焦虑相关的行为。此外,对于有扫描障碍的个体,死亡凸显选择性地增加了扫描时间和对表明健康状况较差的图像的认同。只有当参与者被告知身体部位预示着与健康相关的结果时,才会出现这种影响。相比之下,无论个体的障碍如何,死亡凸显都会增加就医意向。这些发现支持了理论预测,即死亡焦虑可能在多种精神障碍中起因果作用。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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