Social anxiety and posttraumatic stress in combat veterans: Relations to well-being and character strengths

Social anxiety and posttraumatic stress in combat veterans: Relations to well-being and character strengths
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DOI:
10.1016/j.brat.2005.03.010
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发表时间:
2006-04-01
影响因子:
4.1
通讯作者:
Uswatte, G
Uswatte, G
中科院分区:
心理学2区
文献类型:
--
作者:
Kashdan, TB;Julian, T;Uswatte, G

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很少有研究考察精神病理学与积极体验和特质之间的关系。虽然最初的研究表明,创伤后应激障碍(PTSD)患者过度社交焦虑的风险增加,但迄今为止还没有研究评估这些情况如何相互作用,影响积极的经历和特征。采用自我报告量表、信息者评分和经验抽样方法,我们研究了有和没有创伤后应激障碍的退伍军人的社交焦虑与幸福感和性格优势的关系。控制创伤后应激障碍和特质负面影响,社交焦虑与幸福感和性格优势的整体评分呈负相关。在为期14天的评估期内,社交焦虑也对日常幸福感(即日常影响平衡、愉快日子的百分比、积极的社交活动、自尊、感恩)的增量差异有所影响。尽管与没有PTSD的退伍军人相比,患有PTSD的退伍军人报告的全球和日常幸福感和性格优势水平较低,但PTSD的诊断未能表现出与这些结构的独特关系。在越来越多的研究基础上,这些数据表明,社交焦虑与积极经历、事件和特征的干扰有着独特的联系。我们的发现支持了直接解决社交焦虑在PTSD研究和治疗中的价值。(c) 2005 Elsevier Ltd版权所有。
There are few studies examining the relationship between psychopathology and positive experiences and traits. Although initial studies suggest persons with posttraumatic stress disorder (PTSD) are at increased risk for excessive social anxiety, there have been no studies to date evaluating how these conditions might interact to affect positive experiences and traits. Using self-report scales, informant ratings, and experience-sampling methodologies, we examined the association of social anxiety with well-being and character strengths in veterans with and without PTSD. Controlling for PTSD and trait negative affect, social anxiety was negatively related to global ratings of well-being and character strengths. Social anxiety also accounted for incremental variance in day-to-day well-being (i.e., daily affect balance, percentage of pleasant days, positive social activity, self-esteem, gratitude) over a 14-day assessment period. Although veterans with PTSD reported lower levels of global and daily well-being and character strengths than veterans without PTSD, a diagnosis of PTSD failed to exhibit unique relationships with these constructs. Building on a growing body of work, these data suggest that social anxiety is uniquely associated with disturbances in positive experiences, events, and traits. Our findings support the value of directly addressing social anxiety in the study and treatment of PTSD. (c) 2005 Elsevier Ltd. All rights reserved.