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安全行为消退对社交焦虑和情感表露的影响。

Effects of safety behavior fading on social anxiety and emotional disclosure.

作者信息

Stentz Lauren A, Cougle Jesse R

机构信息

Department of Psychology, Florida State University, 1107 W. Call Street, Tallahassee, FL, 32306, USA.

出版信息

Behav Res Ther. 2022 Oct;157:104165. doi: 10.1016/j.brat.2022.104165. Epub 2022 Aug 10.

DOI:10.1016/j.brat.2022.104165
PMID:36029642
Abstract

Individuals with social anxiety disorder commonly engage in safety behaviors (SBs), which are behavioral and cognitive strategies employed in an effort to avoid or decrease the likelihood of a feared threat outcome and decrease anxiety in social situations. These behaviors are thought to be dysfunctional and play a key role in contemporary models of the disorder. The current experimental study sought to expand upon existing research by examining the role of SBs in social anxiety and self-disclosure. Participants with elevated social anxiety symptoms (N = 115) were randomized to either a two-week SB fading manipulation or a no-instruction control. Self-report measures were administered pre- and post-manipulation, and participants completed an in-vivo speech task at post. SB fading led to lower social anxiety symptoms at post relative to the control. SB fading also led to greater self-reported openness to general self-disclosure and emotional disclosure compared to the control, though these effects were modest. No condition effect on emotional reactivity to a speech task was observed. SB fading led to greater observer-rated disclosure on the speech task than control, though this was only found among those high in dispositional self-disclosure at baseline. The present study provides further evidence for the importance of SBs in social anxiety and suggests SB fading might lead to greater comfort with self-disclosure. Limitations and directions for future research are discussed.

摘要

社交焦虑障碍患者通常会采取安全行为(SBs),这些行为和认知策略旨在避免或降低恐惧威胁结果的可能性,并减轻社交场合中的焦虑。这些行为被认为是功能失调的,并且在该障碍的当代模型中起着关键作用。当前的实验研究试图通过考察安全行为在社交焦虑和自我表露中的作用来扩展现有研究。社交焦虑症状较高的参与者(N = 115)被随机分配到为期两周的安全行为消退干预组或无指导对照组。在干预前后进行自我报告测量,参与者在干预后完成一项现场演讲任务。与对照组相比,安全行为消退干预在干预后导致社交焦虑症状更低。与对照组相比,安全行为消退干预还导致自我报告的对一般自我表露和情感表露的开放性更高,尽管这些影响较小。未观察到对演讲任务的情绪反应有条件效应。与对照组相比,安全行为消退干预在演讲任务上导致观察者评定的表露更多,尽管这仅在基线时特质性自我表露较高的参与者中发现。本研究为安全行为在社交焦虑中的重要性提供了进一步证据,并表明安全行为消退可能会使自我表露更自在。讨论了研究的局限性和未来研究方向。

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