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惊恐障碍、广泛性焦虑障碍和社交焦虑障碍中认知歪曲的调查。

Investigation of Cognitive Distortions in Panic Disorder, Generalized Anxiety Disorder and Social Anxiety Disorder.

作者信息

Özdemir İlker, Kuru Erkan

机构信息

Department of Psychiatry, Faculty of Medicine, Giresun University, Giresun 28200, Turkey.

Private Practice, Psychiatry, Ankara 06510, Turkey.

出版信息

J Clin Med. 2023 Oct 3;12(19):6351. doi: 10.3390/jcm12196351.

Abstract

The aim of this study was to determine the main cognitive distortions observed in panic disorder (PD), generalized anxiety disorder (GAD) and social anxiety disorder (SAD) and to investigate the impact of cognitive distortions on diagnoses, depression levels, disorder type and severity of anxiety. This study consisted of 150 clinical (50 PD, 50 GAD, 50 SAD) and 91 healthy control participants. A sociodemographic data form, the Beck Depression Inventory (BDI), the Dysfunctional Attitudes Scale (DAS), the Cognitive Distortions Scale (CDS) and the State-Trait Anxiety Inventory (STAI) scales were administered to all participants. It was found that cognitive distortions were higher in individuals with PD, GAD and SAD. The PD, SAD and GAD groups were similar for "catastrophizing", "mindreading", "all or nothing thinking", "overgeneralization", "should statements" and "emotional reasoning". "Personalization", "labeling" and "minimizing or disqualifying the positive" were observed at a higher severity in the SAD group compared to the PD group, and "mental filter" was observed at a higher severity in the GAD group compared to the PD group. Our findings emphasize the need to address cognitive distortions in PD, GAD and SAD treatment. The evaluation of cognitive distortions specific to anxiety disorders is significant in guiding therapy goals and pioneering new research.

摘要

本研究的目的是确定在惊恐障碍(PD)、广泛性焦虑障碍(GAD)和社交焦虑障碍(SAD)中观察到的主要认知歪曲,并调查认知歪曲对诊断、抑郁水平、障碍类型和焦虑严重程度的影响。本研究包括150名临床参与者(50名PD患者、50名GAD患者、50名SAD患者)和91名健康对照参与者。所有参与者均填写了社会人口统计学数据表、贝克抑郁量表(BDI)、功能失调性态度量表(DAS)、认知歪曲量表(CDS)和状态-特质焦虑量表(STAI)。研究发现,PD、GAD和SAD患者的认知歪曲程度更高。PD组、SAD组和GAD组在“灾难化”“读心术”“全或无思维”“过度概括”“应该陈述”和“情绪推理”方面相似。与PD组相比,SAD组中“个人化”“贴标签”和“忽视或否定积极方面”的严重程度更高,与PD组相比,GAD组中“选择性注意”的严重程度更高。我们的研究结果强调在PD、GAD和SAD治疗中应对认知歪曲的必要性。评估特定于焦虑障碍的认知歪曲对于指导治疗目标和开拓新研究具有重要意义。

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