Social anxiety impacts willingness to participate in addiction treatment.
Social anxiety impacts willingness to participate in addiction treatment.
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DOI：
10.1016/j.addbeh.2008.12.011
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发表时间：
2009-05
影响因子：
4.4
通讯作者：
Randall, Carrie L.
中科院分区：
文献类型：
--
作者：
Book, Sarah W.;Thomas, Suzanne E.;Dempsey, Jared P.;Randall, Patrick K.;Randall, Carrie L.
关键词：
有社交焦虑的人很难参与到团体环境中来。尽管从直觉上讲，社交焦虑可能会在成瘾治疗环境中构成挑战，这通常涉及小团体和鼓励参加戒酒互助会(AA)和戒毒互助会(NA)等自助小组，但据我们所知，还没有研究评估害羞对治疗体验的影响。对110名在三个社区治疗计划中寻求强化门诊药物滥用治疗的人进行了评估调查。临床显著社交焦虑症的确定分界值显示患病率为37%。在控制了抑郁和担忧的情况下，社交焦虑是认可害羞干扰与治疗师交谈、在团体治疗中畅所欲言、参加AA/NA以及邀请某人作为赞助人的意愿的唯一预测因素。社交焦虑物质滥用者支持害羞干扰成瘾治疗活动的可能性是对照组的4-8倍。这些发现具有临床和研究意义。
Individuals with social anxiety have difficulty participating in group settings. Although it makes intuitive sense that social anxiety could present a challenge in an addiction treatment setting, which often involve small groups and encouragement to participate in self-help groups like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), to our knowledge no study has yet assessed the impact of shyness on the treatment experience. Assessment surveys were given to 110 individuals seeking intensive outpatient substance abuse treatment at three community treatment programs. Established cut-offs for presence of clinically-significant social anxiety indicated a prevalence of 37%. Controlling for depression and worry, social anxiety was a unique predictor of endorsement that shyness interfered with willingness to talk to a therapist, speak up in group therapy, attend AA/NA, and ask somebody to be a sponsor. Socially anxious substance abusers were 4-8 times more likely to endorse that shyness interfered with addiction treatment activities. These findings have clinical and research implications.
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10.1080/j.1440-1614.2006.01764.x
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