School of Psychological Sciences, University of Haifa, Israel.
School of Psychological Sciences, University of Haifa, Israel.
J Anxiety Disord. 2024 Oct;107:102915. doi: 10.1016/j.janxdis.2024.102915. Epub 2024 Aug 16.
The present study examined contextual factors that affect safety behavior use as well as positive emotions when using safety behaviors among individuals with SAD. Eighty-eight participants took part in the study, half (n = 44) met diagnostic criteria for SAD and half (n = 44) did not meet criteria for SAD. Participants completed a 21-day experience sampling methodology (ESM) measurement in which they reported on daily social interactions, safety behavior use, and emotions. Using multilevel linear modeling we found that both individuals with and without SAD used more safety behaviors when interacting with distant others compared to close others, but this effect was greater for individuals with SAD compared to individuals without SAD. We also found that social anxiety significantly moderated the relationship between safety behaviors in social interactions and positive emotions. Specifically, our findings indicated that individuals with higher levels of social anxiety reported lower levels of positive emotions when using safety behaviors. Implications of our findings for models of psychopathology and for treatment of SAD are discussed.
本研究考察了影响社交焦虑障碍患者使用安全行为以及使用安全行为时产生积极情绪的情境因素。88 名参与者参与了这项研究，其中一半（n=44）符合社交焦虑障碍的诊断标准，另一半（n=44）不符合社交焦虑障碍的诊断标准。参与者完成了 21 天的体验采样方法（ESM）测量，他们每天报告社交互动、安全行为使用和情绪。通过多层次线性建模，我们发现，无论是患有社交焦虑障碍还是没有社交焦虑障碍的个体，与亲密他人相比，与疏远他人互动时使用更多的安全行为，但这种影响对患有社交焦虑障碍的个体比对没有社交焦虑障碍的个体更大。我们还发现，社交焦虑显著调节了社交互动中安全行为与积极情绪之间的关系。具体来说，我们的研究结果表明，社交焦虑程度较高的个体在使用安全行为时报告的积极情绪水平较低。我们的研究结果对精神病理学模型和社交焦虑障碍治疗的意义进行了讨论。
