Noda Shota, Nishiuchi Motohiro, Andreoli Giovanbattista, Hofmann Stefan G
Department of Psychology, Philipps University Marburg, Marburg, Germany.
Research Institute of Cognitive Behavior Therapy, Musashino University, Koto, Tokyo, Japan.
Clin Psychol Psychother. 2025 Jan-Feb;32(1):e70032. doi: 10.1002/cpp.70032.
The network approach offers a novel perspective for conceptualizing the psychopathology of social anxiety disorder (SAD). This scoping review aimed to map the existing literature on the psychometric network structures of social anxiety symptoms and identify future research directions. A total of 61 studies were identified through searches in PubMed, PsycINFO, ScienceDirect, Cochrane Library, ClinicalTrials.gov and the Open Science Framework databases, employing the keywords ('social anxiety disorder' OR 'social phobia' OR 'social anxiety') AND ('network analysis'). Of these, 10 studies examined the network structures of social anxiety symptoms in patients with SAD, 17 investigated such structures in individuals without an SAD diagnosis and 34 explored networks of other symptoms that included social anxiety symptoms. Most studies were conducted on Western and Chinese populations, underscoring the need for broader cross-cultural comparisons. The central symptoms in SAD networks were fear and anxiety related to performing and interacting with groups, engaging with strangers or unfamiliar individuals, participating in events and being the center of attention. However, the network structures of SAD and related symptoms remain underexplored, with existing studies offering only partial insights. This review emphasizes the need for future research to comprehensively assess social anxiety symptoms and adopt cross-cultural comparative designs to deepen the understanding of SAD psychopathology. These findings provide a foundation for future research on SAD utilizing network analysis.
网络方法为概念化社交焦虑障碍（SAD）的精神病理学提供了一个全新的视角。本范围综述旨在梳理关于社交焦虑症状心理测量网络结构的现有文献，并确定未来的研究方向。通过在PubMed、PsycINFO、ScienceDirect、Cochrane图书馆、ClinicalTrials.gov和开放科学框架数据库中检索，使用关键词（“社交焦虑障碍”或“社交恐惧症”或“社交焦虑”）和（“网络分析”），共识别出61项研究。其中，10项研究考察了社交焦虑障碍患者社交焦虑症状的网络结构，17项研究调查了未被诊断为社交焦虑障碍的个体的此类结构，34项研究探索了包括社交焦虑症状在内的其他症状的网络。大多数研究是在西方和中国人群中进行的，这凸显了进行更广泛跨文化比较的必要性。社交焦虑障碍网络中的核心症状是与在群体中表演和互动、与陌生人或不熟悉的人交往、参加活动以及成为关注焦点相关的恐惧和焦虑。然而，社交焦虑障碍及相关症状的网络结构仍未得到充分探索，现有研究仅提供了部分见解。本综述强调未来研究需要全面评估社交焦虑症状，并采用跨文化比较设计来加深对社交焦虑障碍精神病理学的理解。这些发现为未来利用网络分析研究社交焦虑障碍奠定了基础。
