Vanderbilt University, 111 21(st) Avenue South, Nashville, TN 37203, USA.
Vanderbilt University, 111 21(st) Avenue South, Nashville, TN 37203, USA.
J Affect Disord. 2025 Jan 1;368:8-15. doi: 10.1016/j.jad.2024.09.052. Epub 2024 Sep 10.
The extent to which individuals can flexibly allocate their attention towards adaptive cues in the social environment may play an important role in the maintenance of social anxiety. Attentional control (AC) describes the top-down ability to regulate one's attention and cognitive resources. Although low AC has been linked to psychopathology broadly, the specific relation between AC and social anxiety disorder (SAD) remains poorly understood. The present study aimed to clarify the role of AC in SAD by examining unique associations between AC and several facets of social anxiety, above and beyond general psychological distress.
Adults endorsing elevated SAD symptoms (n = 123) were assessed for levels of AC, inhibitory control, social anxiety severity, social anxiety sensitivity, social avoidance/safety behaviors, stress, and depression.
Partial correlations revealed that self-reported AC was negatively associated with all dimensions of SAD (rs = -0.20 to -0.29, ps < 0.05) after controlling for symptoms of stress and depression. Similarly, structural equation models showed that latent AC negatively predicted latent social anxiety (β = -0.21, p < .05), even after controlling for latent psychological distress.
The study used a cross-sectional design, an analogue sample, and solely self-report measures in structural equation models.
Results converge to suggest that subjective (but not objective) deficits in AC have a unique relation with several mechanisms involved in the development and maintenance of SAD. These findings partially support the applicability of Attentional Control Theory to SAD and point to AC as a potential treatment target.
个体在多大程度上能够灵活地将注意力集中在社会环境中的适应性线索上,这可能在维持社交焦虑方面起着重要作用。注意力控制(AC)描述了自上而下调节注意力和认知资源的能力。尽管低 AC 与广泛的精神病理学有关,但 AC 与社交焦虑障碍(SAD)之间的具体关系仍知之甚少。本研究旨在通过检查 AC 与社交焦虑的几个方面之间的独特关系,来阐明在 SAD 中 AC 的作用,而不仅仅是一般的心理困扰。
评估了 123 名报告有较高 SAD 症状的成年人的 AC 水平、抑制控制、社交焦虑严重程度、社交焦虑敏感、社交回避/安全行为、压力和抑郁。
偏相关分析显示,在控制压力和抑郁症状后,自我报告的 AC 与 SAD 的所有维度呈负相关(rs=-0.20 至-0.29,p<0.05)。同样,结构方程模型表明,潜在的 AC 负向预测潜在的社交焦虑(β=-0.21,p<.05),即使在控制潜在的心理困扰后也是如此。
该研究使用了横断面设计、模拟样本和结构方程模型中的仅自我报告测量。
研究结果表明,主观(而非客观)AC 缺陷与 SAD 发展和维持中涉及的几个机制存在独特的关系。这些发现部分支持注意力控制理论在 SAD 中的适用性,并指出 AC 是一个潜在的治疗靶点。