Oren-Yagoda Roni, Werber Gal, Aderka Idan M
School of Psychological Sciences, University of Haifa, Haifa, Israel.
Cogn Behav Ther. 2025 May;54(3):333-348. doi: 10.1080/16506073.2024.2403149. Epub 2024 Sep 12.
The present study focused on the emotional experience of anger among individuals with and without social anxiety disorder (SAD). Eighty-eight participants took part in the study, half ( = 44) met diagnostic criteria for SAD and half ( = 44) did not meet criteria for SAD. Participants completed a 21-day experience sampling measurement (ESM) in which they reported on daily social interactions and emotions. Using multilevel linear modeling we found that individuals with SAD experienced more anger compared to individuals without SAD. We also found a Diagnosis × Social Context interaction such that interactions with distant others were associated with elevated anger compared to interactions with close others for individuals with SAD but not for individuals without SAD. Finally, we found that for individuals with SAD (but not those without SAD) anger on a given day (day ) was associated with elevated anxiety on the following day (day + 1), above and beyond previous anxiety, sadness and guilt (i.e. anxiety, sadness and guilt reported on day ). This suggests that anger may play a unique role in maintaining or exacerbating anxiety among individuals with SAD. Additional implications of our findings for models of psychopathology and for treatment of SAD are discussed.
本研究聚焦于患有和未患有社交焦虑障碍（SAD）的个体的愤怒情绪体验。88名参与者参与了该研究，其中一半（n = 44）符合SAD的诊断标准，另一半（n = 44）不符合SAD的标准。参与者完成了一项为期21天的经验取样测量（ESM），在此期间他们报告每日的社交互动和情绪。使用多层次线性模型，我们发现与未患SAD的个体相比，患SAD的个体经历了更多的愤怒情绪。我们还发现了诊断×社会情境的交互作用，即对于患SAD的个体，与疏远他人的互动相比与亲密他人的互动会引发更高的愤怒情绪，而对于未患SAD的个体则不然。最后，我们发现对于患SAD的个体（而非未患SAD的个体），某一天（第d天）的愤怒情绪与次日（第d + 1天）焦虑情绪的升高相关，且超出了之前的焦虑、悲伤和内疚情绪（即第d天报告的焦虑、悲伤和内疚情绪）。这表明愤怒情绪可能在维持或加剧患SAD个体的焦虑中发挥独特作用。我们还讨论了研究结果对精神病理学模型和SAD治疗的其他影响。
