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社交焦虑障碍患者独处时更快乐吗?

Are people with social anxiety disorder happier alone?

机构信息

University of South Florida, Department of Psychology, Tampa, FL, USA.

University of South Florida, Department of Psychology, Tampa, FL, USA.

出版信息

J Anxiety Disord. 2021 Dec;84:102474. doi: 10.1016/j.janxdis.2021.102474. Epub 2021 Sep 1.

DOI:10.1016/j.janxdis.2021.102474
PMID:34509949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9199593/
Abstract

Quality contact with other people serves as a reliable mood enhancement strategy. We wondered if the emotional benefits of socializing are present even for those with a psychological disorder defined by social distress and avoidance: social anxiety disorder (SAD). We conducted two ecological momentary assessment (EMA) studies and analyzed 7243 total surveys. In both studies, community adults diagnosed with SAD and healthy controls received five surveys each day for 2 weeks. Consistent with research on positivity deficits in SAD, between-person analyses in both studies suggest that, on average, participants with SAD reported lower positive and higher negative affect in social and non-social situations than healthy controls. Within-person analyses, however, revealed that in both studies participants with SAD and healthy controls reported higher positive affect when with others than when alone; no differences were found for negative affect for those with SAD. The difference in positive affect between social and nonsocial situations was smaller for participants with SAD in Study 1, suggesting that people with SAD may experience diminished reward responding when socializing. Our results suggest that even those with a mental illness defined by interpersonal distress can and do derive positive emotions from social interactions.

摘要

与他人保持良好的接触是一种可靠的情绪提升策略。我们想知道,对于那些因社交困扰和回避而被定义为心理障碍的人,社交是否会带来情感上的好处:社交焦虑障碍(SAD)。我们进行了两项生态瞬时评估(EMA)研究,并分析了总共 7243 份调查。在这两项研究中,被诊断为 SAD 的社区成年人和健康对照组每天各接受五次调查,为期两周。与 SAD 中的积极性缺陷研究一致,两项研究中的个体间分析表明,平均而言,与健康对照组相比,SAD 患者在社交和非社交情境中的积极情绪和消极情绪都较低。然而,个体内分析显示,在两项研究中,SAD 患者和健康对照组在与他人在一起时的积极情绪都高于独处时的积极情绪;对于 SAD 患者,在消极情绪方面没有发现差异。在研究 1 中,SAD 患者的社交和非社交情境之间的积极情绪差异较小,这表明 SAD 患者在社交时可能会体验到奖励反应减弱。我们的研究结果表明,即使是那些因人际关系困扰而被定义为精神疾病的人,也可以从社交互动中获得积极的情绪。

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