Functional impairment in social phobia.
Functional impairment in social phobia.
复制标题
社交恐惧症的功能障碍。
DOI：
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复制
发表时间：
1994
影响因子：
5.3
通讯作者：
Liebowitz Mr
中科院分区：
文献类型：
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作者：
F. Schneier;Leora Heckelman;R. Garfinkel;Raphael B. Campeas;B. Fallon;A. Gitow;L. Street;D. Bene;Liebowitz Mr
背景
这项研究检查了社交恐惧症患者功能障碍的性质，并评估了两种新的评定量表用于描述社交恐惧症障碍的有效性。
方法
在32例社交恐惧症患者和14名正常对照组中，使用残疾特征和Liebowitz自评残疾量表（旨在提供临床医生和患者评定的与情绪问题相关的当前和终身功能障碍的描述性测量的新工具）评估了功能障碍。新量表的有效性进行了评估，通过测量内部一致性，比较患者和对照组的分数，并比较残疾，社交恐惧症症状和社会支持的标准措施的分数。
结果
超过一半的社交恐惧症患者在生活中的某个时候报告至少有中度障碍，这是由于社交焦虑和回避，在教育，就业，家庭关系，婚姻/浪漫关系，友谊/社交网络和其他兴趣领域。社交恐怖症患者在这两项测量中几乎所有项目的受损程度都高于正常对照组。两个量表内部一致，终身和当前残疾分量表的Cronbach α系数在0.87至0.92的范围内。显着的正相关的分数在新的规模与共同管理的标准量表的社交恐惧症症状和残疾的分数表现出并行效度。残疾与社会支持措施没有显着相关性。
结论
社交恐惧症与大多数功能领域的障碍有关，新的量表在评估与社交恐惧症相关的功能障碍方面似乎很有用。
BACKGROUND
This study examined the nature of impairment of functioning in persons with social phobia and assessed the validity of two new rating scales for describing impairment in social phobia.
METHOD
In 32 patients with social phobia and 14 normal control subjects, impairment was assessed using the Disability Profile and the Liebowitz Self-Rated Disability Scale, new instruments designed to provide clinician- and patient-rated descriptive measures of current and lifetime functional impairment related to emotional problems. Validity of the new scales was assessed by measuring internal consistency, comparing scores for patients and controls, and comparing scores with those on standard measures of disability, social phobia symptoms, and social support.
RESULTS
More than half of all social phobic patients reported at least moderate impairment at some time in their lives, due to social anxiety and avoidance, in areas of education, employment, family relationships, marriage/romantic relationships, friendships/social network, and other interests. Social phobic patients were rated more impaired than normal controls on nearly all items on both measures. Both scales were internally consistent, with Cronbach's alpha coefficients for lifetime and current disability subscales in the range of .87 to .92. Significant positive correlations of scores on the new scales with scores on coadministered standard scales of social phobia symptoms and disability demonstrated concurrent validity. Disability was not significantly correlated with measures of social support.
CONCLUSION
Social phobia is associated with impairment in most areas of functioning, and the new scales appear useful in assessing functional impairment related to social phobia.