DSM-III-R SUBTYPES OF SOCIAL PHOBIA - COMPARISON OF GENERALIZED SOCIAL PHOBICS AND PUBLIC SPEAKING PHOBICS
DSM-III-R SUBTYPES OF SOCIAL PHOBIA - COMPARISON OF GENERALIZED SOCIAL PHOBICS AND PUBLIC SPEAKING PHOBICS
复制标题
DOI：
10.1097/00005053-199003000-00004
复制
发表时间：
1990-03-01
影响因子：
1.9
通讯作者：
BECKER, RE
中科院分区：
文献类型：
--
作者：
HEIMBERG, RG;HOPE, DA;BECKER, RE
在DSM-III-R中，害怕大多数或所有社交互动情况的社交恐惧症患者被标记为广义社交恐惧症。35名符合这一标准的患者与22名社交恐惧症患者进行了比较，这些患者的恐惧仅限于公开演讲场合。一般的社交恐惧症患者更年轻，受教育程度更低，就业的可能性更小，他们的恐惧症被临床访谈者评为比公开演讲恐惧症更严重。广义的社会恐惧症出现更焦虑，更抑郁，并表示更大的恐惧，对负面的社会评价。他们在个性化行为测试中表现更差，在认知评估任务中的反应与公众演讲恐惧症不同。在行为测试中，两组人的心率加速模式存在显著差异。这些研究结果的分类和治疗社交恐惧症的个人的影响进行了讨论。
Social phobic patients who fear most or all social interaction situations are labeled generalized social phobics in DSM-III-R. Thirty-five patients who met this criterion were compared with 22 social phobic patients whose fears were restricted to public speaking situations. Generalized social phobics were younger, less educated, and less likely to be employed, and their phobias were rated by clinical interviewers as more severe than those of public speaking phobics. Generalized social phobics appeared more anxious and more depressed and expressed greater fears concerning negative social evaluation. They performed more poorly on individualized behavioral tests and differed from public speaking phobics in their responses to cognitive assessment tasks. The two groups showed marked differences in their patterns of heart rate acceleration during the behavioral test. The implications of these findings for the classification and treatment of social phobic individuals are discussed.