Social Phobia: Assessment and Treatment of Social Skill

来自全国科摩罗研究的数据显示，社交恐惧症的终生患病率为13%， 占8%。这些数据表明，社交恐惧症是最常见的焦虑症，也是最常见的焦虑症之一。 一般人群中最常见的情绪障碍（仅次于物质滥用）。社交恐惧症 早期发病，似乎遵循慢性和持续的过程。社交恐惧症患者会遭受严重的情绪困扰， 社交回避，酒精和其他药物的使用增加，自杀意念和企图增加，不完全 教育程度以及社会、教育和职业适应不良（包括生产力损失）。一 在理解社交恐惧症的精神病理学方面，一个突出的差距是这种疾病的特征是否是 缺乏社交技能。现有的数据提供了混合的结果，但临床证据的重量是，社会 恐惧症患者缺乏社交技能，但确切的技能缺陷仍有待阐明。社交恐惧症患者 缺乏社交技能的人对如何进行心理治疗有影响。 从概念上讲，本申请中提出了两项研究。第一项研究旨在确定社会 恐惧症表现出社会技能缺陷，阐明缺陷的性质，并确定是否广义的更多 比非全身性（特定亚型）缺乏。将纳入正常对照组，以允许 社交恐惧症患者与正常人的社交技能比较。此外，包括正常组将允许 规范的生成，在未来的研究中，社交恐惧症的社交技能可以进行比较。第二项研究是 旨在确定是否可以改善广义社交恐惧症的技能缺陷，以及是否可以改善 社会技能与整体社会功能的改善有关。

Data from the National Comorbidity Study revealed the lifetime prevalence of social phobia to be 13% and the 6-month prevalence to be 8%. These figures indicate that social phobia is the most common anxiety disorder and one of the most common emotional disorders in the general population (second only to sustance abuse). Social phobia has an early onset and appears to follow a chronic and unremitting course. Social phobics suffer severe emotional distress, social avoidance, increased use of alcohol and other drugs, increased suicidal ideation and attempts, incomplete educational attainment, and social, educational and occupational maladjustment (including lost productivity). A prominent gap in understanding the psychopathology of social phobia is whether the disorder is characterized by deficits in social skills. Extant data have provided mixed findings, but the weight of the clinical evidence is that social phobics are deficient in social skills but the exact skill deficits remain to be elucidated. Whether or not social phobics are deficient in social skill has implications for how psychosocial treatment is carried out. Conceptually, there are two studies proposed in this application. The first study is designed to determine if social phobics manifest social skills deficits, explicate the nature of the deficiencies, and determine if the generalized are more deficient than the non-generalized (specific subtype). A normal comparison group will be included in order to allow for a comparison of social skills in social phobics to those of normals. Also, including the normal group will allow for the generation of norms to which the social skills of social phobics in future studies can be compared. The second study is designed to determine if skill deficits in generalized social phobics can be improved, and whether improvements in social skills are associated with improvements in overall social functioning.