The high-novelty-seeking, impulsive subtype of generalized social anxiety disorder

The high-novelty-seeking, impulsive subtype of generalized social anxiety disorder
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DOI:
10.1002/da.20382
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发表时间:
2008-01-01
影响因子:
7.4
通讯作者:
Hofmann, Stefan G.
Hofmann, Stefan G.
中科院分区:
医学1区
文献类型:
--
作者:
Kashdan, Todd B.;Hofmann, Stefan G.

文献摘要

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本研究探讨了广泛性社交焦虑障碍(SAD)患者的潜在亚组的基础上寻求新奇的倾向。从门诊焦虑症门诊招募82例DSM-IV广泛性SAD患者,并使用三维人格问卷进行评估。寻求新奇的分量表,反映了风险倾向和disinbibited的行为倾向,作为一系列聚类分析程序中的依赖措施。确定了两个性质不同的SAD亚组。(1)低新奇寻求倾向和(2)高新奇寻求倾向。这些群体在社交焦虑症状的严重程度上没有差异。女性不太可能被归为追求新奇的群体。高新奇寻求组的临床医生对共病物质使用障碍的严重程度评分更高。这些发现为SAD的异质性提供了越来越多的证据。高新奇寻求,风险倾向,和放荡不羁的行为倾向是一个独特的亚群的特征。
This study examined potential subgroups of patients with generalized social anxiety disorder (SAD) based on novelty-seeking tendencies. Eighty-two outpatients with DSM-IV generalized SAD were recruited from an outpatient anxiety clinic and assessed with the Tridimensional Personality Questionnaire. The novelty-seeking subscales, reflecting risk-prone and disinbibited behavior tendencies, served as dependent measures in a series of cluster analysis procedures. Two qualitatively different SAD subgroups were identified. (1) low novelty-seeking tendencies and (2) high-novelty-seeking tendencies. These groups did not differ in social anxiety symptom severity. Women were less likely to be classified in the high-novelty-seeking group. Clinician severity ratings for comorbid substance use disorders were greater in the high-novelty-seeking group. These findings contribute to growing evidence for the heterogeneity of SAD. High-novelty-seeking, risk-prone, and disinhibited behavior tendencies are a characteristic feature of a distinct subgroup.