Behavioral avoidance mediates the relationship between anxiety and depressive symptoms among social anxiety disorder patients
Behavioral avoidance mediates the relationship between anxiety and depressive symptoms among social anxiety disorder patients
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DOI：
10.1016/j.janxdis.2008.01.002
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发表时间：
2008-10-01
影响因子：
10.3
通讯作者：
Forman, Evan M.
中科院分区：
文献类型：
--
作者：
Moitra, Ethan;Herbert, James D.;Forman, Evan M.
本研究旨在探讨成年社交焦虑障碍（social anxiety Disorder， SAD）患者的社交焦虑、抑郁症状和行为回避之间的关系。流行病学文献显示，SAD是与重度抑郁症（MDD）相关的最常见的共病，尽管这些疾病之间的关系尚未被调查。在大多数情况下，SAD发病先于重度抑郁症，这表明与SAD相关的症状可能会导致一些人患上抑郁症。本研究利用寻求治疗的社交焦虑成人的自我报告数据，通过调查行为回避在这一临床现象中的中介作用来解决这一问题。对190人的基线样本和该组子集的时间数据进行了中介分析。结果显示，行为回避介导了这种关系，并支持在治疗环境中通过暴露和其他方法解决这种回避的重要性，作为预防社交焦虑个体抑郁症状发作的可能手段。(C) 2008 Elsevier Ltd版权所有。
This study investigated the relationship between social anxiety, depressive symptoms, and behavioral avoidance among adult patients with Social Anxiety Disorder (SAD). Epidemiological literature shows SAD is the most common comorbid disorder associated with Major Depressive Disorder (MDD), though the relationship between these disorders has not been investigated. In most cases, SAD onset precedes MDD, suggesting symptoms associated with SAD might lead to depression in some people. The present study addressed this question by investigating the mediational role of behavioral avoidance in this clinical phenomenon, using self-report data from treatment-seeking socially anxious adults. Mediational analyses were performed on a baseline sample of 190 individuals and on temporal data from a subset of this group. Results revealed behavioral avoidance mediated this relationship, and supported the importance of addressing such avoidance in the therapeutic setting, via exposure and other methods, as a possible means of preventing depressive symptom onset in socially anxious individuals. (C) 2008 Elsevier Ltd. All rights reserved.