童年虐待和创伤经历与社交焦虑的关系

Relationship of Social Anxiety Disorder and Child Abuse and Trauma

目的:探讨童年虐待和创伤经历与社交焦虑障碍发病的关系。方法:用童年虐待和创伤量表(CAT)与艾森克个性问卷(EPQ)、自尊量表(SES)和社交焦虑自评量表(SAS)施测。其中64人在6-8周后进行了CAT复测。结果:CAT、EPQ的N、E维度、SES和SAS间极其显著相关(P<0.001,SAS的高、低分组在CAT总分及各分量表分、SES、EPQ的N、E维度的平均分均达到差异极其显著水平(P=0.000),社交焦虑组在CAT总分和除惩罚外的其他分量表上均高于正常组(P<0.05,SES、E、N、情感虐待、性虐待(X5)依次进入回归方程。结论:情感虐待、性虐待是导致成年患社交焦虑障碍的重要因素。

Objective： To probe into the relationship of social anxiety disorder and child abuse and trauma. Methods： All clinical samples and nonclinical volunteers were administered with four self-report questionnaires; Child Abuse and Trauma Scale（CAT）, EPQ（adult）,Self-Esteem Scale（SES） and Social Anxiety Self-Rating Scale（SAS）. 64 of them were retested with CAT after 6-8 weeks. Results： CAT, N, E, SES and SAS scores indicated significant correlation （P〈0.001）. Average scores of all CAT scores, SES, N, E of the low performance group on SAS were significantly different from the high performance group on SAS （P=0.000）. Social anxiety disorder group had high scores than normal group in all CAT scores except punishment （P〈0.05）. SES, E, N, emotional abuse, sexual abuse entered the regression equation in turn. Conclusion： Emotional abuse, sexual abuse are important contributing factors to social anxiety disorder.