Changing the Conceptualization of Stress in Social Anxiety Disorder: Affective and Physiological Consequences
Changing the Conceptualization of Stress in Social Anxiety Disorder: Affective and Physiological Consequences
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DOI：
10.1177/2167702613482119
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发表时间：
2013-10-01
影响因子：
4.8
通讯作者：
Mendes, Wendy Berry
中科院分区：
文献类型：
--
作者：
Jamieson, Jeremy P.;Nock, Matthew K.;Mendes, Wendy Berry
社交焦虑症（SAD）是一种普遍存在的问题，与社交环境中的衰弱性障碍有关。本研究探讨了社会评价的情感和生理反应，并检查了唤醒重新评价干预在改变心血管反应和情感反应方面的疗效。在两项研究中，社交焦虑的参与者表现出主观评级和生理反应之间的脱节。而焦虑的个人报告更多的焦虑和负面影响，在紧张的公开演讲任务相对于nonanxious控制，没有出现差异的生理反应作为焦虑的功能。在第二个实验中，社交焦虑和非焦虑的参与者被要求将压力唤醒重新定义为积极的应对工具，表现出减少的注意力偏差和生理功能的改善：减少血管收缩和增加心脏效率。这项研究表明，SAD的结果可能会通过重新评估压力唤醒来改善。
Social anxiety disorder (SAD) is a pervasive problem associated with debilitating impairments in social settings. This research explored the affective and physiological reactions to social evaluation and examined the efficacy of an arousal reappraisal intervention in altering cardiovascular reactivity and affective responses. Across two studies, socially anxious participants exhibited a disjunction between subjective ratings and physiological responses. Whereas anxious individuals reported more anxiety and negative affect during a stressful public speaking task relative to nonanxious controls, no differences emerged in physiological reactivity as a function of anxiety. In the second experiment socially anxious and nonanxious participants instructed to reframe stress arousal as a positive coping tool exhibited reduced attentional bias and improvements in physiological functioning: decreased vasoconstriction and increased cardiac efficiency. This research suggests that outcomes in SAD may be improved by reappraising stress arousal.