SELECTIVE PROCESSING OF SOCIAL THREAT IN PATIENTS WITH GENERALIZED SOCIAL PHOBIA - EVALUATION USING A DOT-PROBE PARADIGM

SELECTIVE PROCESSING OF SOCIAL THREAT IN PATIENTS WITH GENERALIZED SOCIAL PHOBIA - EVALUATION USING A DOT-PROBE PARADIGM
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DOI:
10.1016/0887-6185(94)90009-4
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发表时间:
1994-04-01
影响因子:
10.3
通讯作者:
STEIN, MB
STEIN, MB
中科院分区:
医学2区
文献类型:
--
作者:
ASMUNDSON, GJG;STEIN, MB

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越来越多的证据表明,临床焦虑与认知偏差有关,这些认知偏差有利于处理特定焦虑综合征的威胁相关信息。几种认知心理学范式已经被用来证明焦虑症患者选择性地关注与他们的特定疾病特别相关的威胁性材料。目前的调查是试图支持初步报告表明,社交恐惧症患者有选择性地处理社会威胁信息。24例社交恐惧症患者(广义型)和20名健康对照受试者完成了一项计算机化任务,旨在评估分配的视觉注意特定的刺激(中性,身体威胁,或社会威胁)通过测量点的反应延迟,立即他们的介绍。结果发现,当注意力被分配在刺激线索的空间位置时,社交恐惧症患者对社交威胁线索的探针反应更快,而对中性线索或物理威胁线索的探针反应更快。在对照受试者中未观察到这种效应。这些结果支持了这样的观点,即社交恐惧症患者选择性地处理本质上是社会评价性的威胁线索。这些结果的理论相关性和临床意义进行了概述。
There is a growing body of evidence to suggest that clinical anxiety is associated with cognitive biases that favour the processing of threat-related information specific to particular anxiety syndromes. Several cognitive psychology paradigms have been used to demonstrate that anxiety disorder patients selectively attend to threatening material that is specifically related to their particular disorder. The present investigation was an attempt to support preliminary reports suggesting that patients with social phobia selectively process social threat information. Twenty-four patients with social phobia (generalized type) and 20 healthy control subjects completed a computerized task designed to assess allocation of visual attention for specific stimuli (neutral, physically threatening, or socially threatening) via measurement of response latencies for dots that immediately followed their presentation. It was found that, when attention was allocated in the spatial location of a stimulus cue, patients with social phobia responded faster to probes that followed social threat cues than probes following either neutral cues or physical threat cues. This effect was not observed among control subjects. These results support the view that patients with social phobia selectively process threat cues that are social-evaluative in nature. The theoretical relevance and clinical implications of these results are outlined.