Self-criticism and social phobia in the US national comorbidity survey
Self-criticism and social phobia in the US national comorbidity survey
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DOI：
10.1016/j.jad.2003.12.012
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发表时间：
2004-10-15
影响因子：
6.6
通讯作者：
Stein, MB
中科院分区：
文献类型：
--
作者：
Cox, BJ;Fleet, C;Stein, MB
背景：本研究试图扩展初步临床研究的结果[J. Affect.混乱57（2000）223]通过检查自我批评的人格维度和社交恐惧症的诊断患病率之间的关系，在一个大的全国代表性样本。方法：受试者来自全国共患病调查第二部分[n = 5877; Arch. Gen. Psychiatry 51（1994）8]。精神病诊断是使用修改后的复合国际精神病学访谈。人格维度和痛苦进行了评估，使用简短的自我报告措施，具有较强的心理测量学特性。结果如下：与没有精神疾病的个体相比，诊断为社交恐惧症的NCS受访者的自我批评水平升高，即使是在只有社交恐惧症既往史（即> 1年前）的情况下。最高水平的自我批评报告的人与复杂亚型的社交恐惧症，无论是有或没有共病的抑郁症。这些水平明显高于另一种焦虑症（惊恐障碍），社交恐惧症的纯说话亚型和单独的重度抑郁症病例。在一项控制了当前情绪困扰、神经质的广泛人格特征以及情绪、焦虑和物质使用障碍的终生史的回归分析中，自我批评与社交恐惧症的终生患病率显著相关。局限性：本研究的横断面设计不允许进行因果推断。结论：这项普通人群心理健康调查的结果表明，自我批评与社交恐惧症密切相关。它可能代表了这种焦虑症的复杂亚型中重要的核心心理过程。(C)2004 Elsevier B. V.保留所有权利。
Background: This study sought to extend findings from a preliminary clinical investigation [J. Affect. Disord. 57 (2000) 223] by examining relations between the personality dimension of self-criticism and diagnostic prevalence of social phobia in a large nationally representative sample. Methods: Participants were from the national comorbidity survey Part II [n = 5877; Arch. Gen. Psychiatry 51 (1994) 8]. Psychiatric diagnoses were made using a modified version of the composite international psychiatric interview. Personality dimensions and distress were assessed using brief self-report measures with strong psychometric properties. Results: Self-criticism was elevated in NCS respondents with a diagnosis of social phobia, even in cases of only past history of social phobia (i.e. > 1 year ago), compared to individuals with no psychiatric disorder. The highest levels of self-criticism were reported by people with the complex subtype of social phobia, both with and without comorbid major depression. These levels were significantly greater compared to those observed in another anxiety disorder (panic disorder), the pure speaking subtype of social phobia, and cases of major depression alone. In a regression analysis that controlled for current emotional distress, the broad personality trait of neuroticism, and lifetime histories of mood, anxiety, and substance use disorders, self-criticism remained significantly associated with lifetime prevalence of social phobia. Limitations: The cross-sectional design of the study does not permit causal inferences. Conclusions: Findings from this general population mental health survey demonstrated that self-criticism is robustly associated with social phobia. It may represent an important core psychological process in the complex subtype of this anxiety disorder. (C) 2004 Elsevier B.V. All rights reserved.