Childhood trauma and current psychological functioning in adults with social anxiety disorder

Childhood trauma and current psychological functioning in adults with social anxiety disorder
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DOI:
10.1016/j.janxdis.2010.11.011
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发表时间:
2011-05-01
影响因子:
10.3
通讯作者:
Gross, James J.
Gross, James J.
中科院分区:
医学2区
文献类型:
--
作者:
Kuo, Janice R.;Goldin, Philippe R.;Gross, James J.

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社交焦虑症(SAD)的病因学模型表明,儿童早期创伤导致了这种疾病的发生。然而,令人惊讶的是,人们对不同形式的童年创伤与季节性情感障碍成人临床症状之间的联系知之甚少。这项研究 (1) 比较了患有广泛性 SAD 的成人与健康对照者 (HC) 的童年创伤水平,(2) 研究了特定类型的儿童创伤与成人 SAD 临床症状之间的关系。参与者包括 102 名患有广泛性 SAD 的个体和 30 名 HC,他们完成了童年创伤、社交焦虑、特质焦虑、抑郁和自尊的测量。与 HC 相比,患有 SAD 的人报告了更多的童年情感虐待和情感忽视。在SAD组中,童年时期的情感虐待和忽视,而不是性虐待、身体虐待或身体忽视,与社交焦虑、特质焦虑、抑郁和自尊的严重程度相关。 (C) 2010 Elsevier Ltd. 保留所有权利。
Etiological models of social anxiety disorder (SAD) suggest that early childhood trauma contributes to the development of this disorder. However, surprisingly little is known about the link between different forms of childhood trauma and adult clinical symptoms in SAD. This study (1) compared levels of childhood trauma in adults with generalized SAD versus healthy controls (HCs), and (2) examined the relationship between specific types of childhood trauma and adult clinical symptoms in SAD. Participants were 102 individuals with generalized SAD and 30 HCs who completed measures of childhood trauma, social anxiety, trait anxiety, depression, and self-esteem. Compared to HCs, individuals with SAD reported greater childhood emotional abuse and emotional neglect. Within the SAD group, childhood emotional abuse and neglect, but not sexual abuse, physical abuse, or physical neglect, were associated with the severity of social anxiety, trait anxiety, depression, and self-esteem. (C) 2010 Elsevier Ltd. All rights reserved.