Social skills and social phobia: an investigation of DSM-IV subtypes.
Social skills and social phobia: an investigation of DSM-IV subtypes.
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DOI：
10.1016/j.brat.2010.06.005
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发表时间：
2010-10
影响因子：
4.1
通讯作者：
Alfano CA
中科院分区：
文献类型：
--
作者：
Beidel DC;Rao PA;Scharfstein L;Wong N;Alfano CA
社交恐惧症的特征是社交场合中普遍存在的社交胆怯。尽管人们对这种疾病了解很多，但其临床表现的各个方面仍有待探索，特别是区分广义和非广义亚型的特征。例如，目前尚不清楚非广义亚型患者在社交互动中是否表现出社交技能缺陷，如果是，这些缺陷在临床上和统计学上是否显着？在这项研究中，患有非普遍性（NGSP；n=60）或普遍性（GSP；n=119）社交恐惧症亚型的成年人和没有心理障碍的成年人（n=200）完成了对社交技能和社交焦虑的广泛行为评估。正如预期的那样，与没有障碍的成年人相比，患有 NGSP 和 GSP 的成年人在即兴演讲任务中表现出相同的痛苦和相似的回避率。相比之下，这三个群体在不同的社交场合与另一个人互动时表现出明显不同。与没有疾病的个体相比，患有 NGSP 的成年人表现出社交技能缺陷，但他们的缺陷比 GSP 亚型要少。然而，所确定的技能缺陷仅对于 GSP 亚型具有临床和统计学意义。研究结果从技能缺陷对社交恐惧症概念化和治疗的贡献方面进行了讨论。
Social phobia is characterized as pervasive social timidity in social settings. Although much is known about this disorder, aspects of its clinical presentation remain unexplored, in particular characteristics that distinguish the generalized and non-generalized subtypes. For example, it remains unclear whether patients with the non-generalized subtype display social skills deficits in social interactions, and if so, are these deficits clinically, as well as statistically, significant? In this study, adults with either the non-generalized (NGSP; n=60) or generalized (GSP; n=119) subtype of social phobia and adults with no psychological disorder (n=200) completed an extensive behavioral assessment of social skill and social anxiety. As expected, adults with NGSP and GSP reported equal distress and displayed similar rates of avoidance during an impromptu speech task when compared to adults with no disorder. In contrast, the three groups were distinctly different when interacting with another person in various social situations. Adults with NGSP displayed social skill deficits when compared to individuals with no disorder, but they had fewer deficits than the GSP subtype. However, the identified skill deficits were clinically as well as statistically significant only for the GSP subtype. The results are discussed in terms of the contribution of skill deficits to the conceptualization and treatment of social phobia.
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影响因子：
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通讯作者：
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