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社交焦虑障碍患者约会期间的安全行为。

Safety behaviors during dates among individuals with social anxiety disorder.

作者信息

Shechter Strulov Talia, Aderka Idan M

机构信息

School of Psychological Sciences, University of Haifa, Israel.

出版信息

Int J Clin Health Psychol. 2025 Jul-Sep;25(3):100614. doi: 10.1016/j.ijchp.2025.100614. Epub 2025 Aug 7.

Abstract

Individuals with social anxiety disorder (SAD) often struggle with forming and maintaining romantic relationships, which are vital for mental and physical health. A core feature of SAD is the use of safety behaviors - strategies to reduce anxiety that may unintentionally maintain negative emotions and impede the development of genuine connections. In the present study, we examined safety behavior use during dates/romantic interactions among individuals with ( = 54) and without SAD ( = 54). We used a daily diary design, in which participants reported on dates/romantic interactions, emotions, and safety behaviors in their daily lives for 21 consecutive days. Results indicated that both individuals with and without SAD used more safety behaviors during dates compared to other interactions, with this effect being significantly stronger for individuals with SAD. Furthermore, safety behaviors during dates were associated with negative emotions, with this effect also being significantly stronger for individuals with SAD. In contrast, no significant association was found between safety behaviors during dates and positive emotions. We discuss these findings within the context of cognitive-behavioral models of SAD, and delineate implications for therapeutic interventions and for the targeting of dating-specific safety behaviors in SAD.

摘要

患有社交焦虑障碍(SAD)的个体在建立和维持浪漫关系方面常常面临困难,而浪漫关系对身心健康至关重要。社交焦虑障碍的一个核心特征是使用安全行为——即那些旨在减轻焦虑的策略,但这些策略可能会无意中维持负面情绪并阻碍真正关系的发展。在本研究中,我们考察了患有社交焦虑障碍(n = 54)和未患社交焦虑障碍(n = 54)的个体在约会/浪漫互动过程中安全行为的使用情况。我们采用了每日日记设计,让参与者连续21天报告他们日常生活中的约会/浪漫互动、情绪和安全行为。结果表明,与其他互动相比,患有社交焦虑障碍和未患社交焦虑障碍的个体在约会期间都更多地使用安全行为,且这种效应在患有社交焦虑障碍的个体中显著更强。此外,约会期间的安全行为与负面情绪相关,这种效应在患有社交焦虑障碍的个体中也显著更强。相比之下,未发现约会期间的安全行为与积极情绪之间存在显著关联。我们在社交焦虑障碍的认知行为模型背景下讨论了这些发现,并阐述了其对治疗干预以及针对社交焦虑障碍中特定约会安全行为的意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b7/12355995/b1dbdad40f6d/gr1.jpg

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