Patterns of anxious arousal during exposure to feared situations in individuals with social phobia
Patterns of anxious arousal during exposure to feared situations in individuals with social phobia
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DOI：
10.1016/s0005-7967(99)00092-3
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发表时间：
2000-04-01
影响因子：
4.1
通讯作者：
Heimberg, RG
中科院分区：
文献类型：
--
作者：
Coles, ME;Heimberg, RG
行为评估测试（BAT）通常用于社交恐惧症（SP）的研究。虽然以前的研究已经检查了BAT期间的主观焦虑，但他们通常只报告平均或峰值评级。目前的研究探讨是否有不同的模式的焦虑觉醒的预期，并在接触，恐惧的情况下寻求治疗的SP（N = 153）的个人。四个聚类的解决方案被判定为最好地描述了数据，并且四个聚类被标记为“高度焦虑”、“增加/高度焦虑”、“中度焦虑”和“轻度焦虑”。在治疗前，这两组人在个人特征、社交恐惧症亚型或抑郁症状水平上没有差异。然而，他们在社交恐惧症症状的严重程度和BAT结论中报告的想法的情绪效价方面确实存在差异。虽然所有集群的成员都受益于社交恐惧症的认知行为团体治疗，但这些集群在症状减轻量和治疗后继续符合诊断标准的可能性方面表现出一些差异反应。不同的情感体验的客户在不同的集群进行了探讨，并提出了认知行为治疗的影响。最后，本研究的局限性和未来的发展方向进行了讨论。(C)2000爱思唯尔科技有限公司版权所有。
Behavioral assessment tests (BATs) are commonly used in studies of social phobia (SP). While previous studies have examined subjective anxiety during BATs, they have usually reported only mean or peak ratings. The current study examined whether there are different patterns of anxious arousal in anticipation of, and during exposure to, feared situations among individuals seeking treatment for SP (N = 153). A four cluster solution was judged to best describe the data, and the four clusters were labeled 'high anxiety,' 'increasing/high anxiety', 'moderate anxiety' and 'mild anxiety'. Before treatment, the cluster groups did not differ on person characteristics, subtype of social phobia, or levels of depressive symptoms. However, they did differ in terms of the severity of social phobia symptoms and the emotional valence of thoughts reported at the conclusion of the BAT. While members of all clusters benefited from cognitive-behavioral group therapy for social phobia, the clusters showed some differential response in amount of symptom reduction and likelihood of continuing to meet diagnostic criteria following treatment. The different emotional experiences of clients in the various clusters are explored and implications for cognitive-behavioral therapy are proposed. Finally, limitations of this study and future directions are discussed. (C) 2000 Elsevier Science Ltd. All rights reserved.