Interpersonal Subtypes in Social Phobia: Diagnostic and Treatment Implications
Interpersonal Subtypes in Social Phobia: Diagnostic and Treatment Implications
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DOI：
10.1080/00223891.2010.513704
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发表时间：
2010-01-01
影响因子：
3.4
通讯作者：
Grosse Holtforth, Martin
中科院分区：
文献类型：
--
作者：
Cain, Nicole M.;Pincus, Aaron L.;Grosse Holtforth, Martin
人际关系评估可能提供一种临床上有用的方法来识别社交恐惧症的亚型。在这项研究中，我们检查了 77 名有社交恐惧症的门诊患者样本中人际亚型的证据。基于人际问题清单-环形量表（Alden、Wiggins、Pincus，1990）中的支配和爱的维度进行的聚类分析发现了社交恐惧症患者的 2 种人际亚型。这些亚型在治疗前总体症状严重程度（通过简要症状量表（Derogatis，1993）或诊断合并症衡量）上没有差异，但对门诊心理治疗表现出不同的反应。总体而言，与寒冷顺从的社交恐惧症患者相比，友好顺从的社交恐惧症患者在社交焦虑方面的得分显着较低，而在治疗后的幸福感和满意度方面的得分显着较高。我们在开始对社交恐惧症患者进行心理治疗之前，从人际理论和人际功能评估的临床相关性方面讨论了结果。
Interpersonal assessment may provide a clinically useful way to identify subtypes of social phobia. In this study, we examined evidence for interpersonal subtypes in a sample of 77 socially phobic outpatients. A cluster analysis based on the dimensions of dominance and love on the Inventory of Interpersonal Problems-Circumplex Scales (Alden, Wiggins, Pincus, 1990) found 2 interpersonal subtypes of socially phobic patients. These subtypes did not differ on pretreatment global symptom severity as measured by the Brief Symptom Inventory (Derogatis, 1993) or diagnostic comorbidity but did exhibit differential responses to outpatient psychotherapy. Overall, friendly-submissive social phobia patients had significantly lower scores on measures of social anxiety and significantly higher scores on measures of well-being and satisfaction at posttreatment than cold-submissive social phobia patients. We discuss the results in terms of interpersonal theory and the clinical relevance of assessment of interpersonal functioning prior to beginning psychotherapy with socially phobic patients.