社交焦虑障碍患者的注意特征及其对症状感知判断的影响

Self-focused attention,anxiety-related body sensations and judgment of anxiety-related behaviors in social anxiety disorder patients

目的:探讨社交焦虑障碍患者以自我为焦点的注意特征及其对其他心理过程的影响,阐明社交焦虑障碍的病理心理学机制。方法:在模拟社交情境下,对社交焦虑障碍患者32例和正常对照组35例进行注意焦点量表及焦虑相关的行为量表及焦虑躯体感受问卷的测评,并进行统计学分析。结果:社交焦虑障碍组患者的以自我为焦点的注意水平和焦虑躯体感受评分均高于正常对照组,差异具有统计学意义(P<0.01)。社交焦虑障碍组患者以自我为焦点的注意评分与自我判断偏差、焦虑行为自评分和焦虑躯体感受评分呈正相关关系(r=0.906,P<0.01;r=0.776,P<0.01;r=0.433,P<0.01)。结论:社交焦虑障碍患者以自我为焦点的注意特征可能引起更显著的消极焦虑相关行为评价和焦虑症状的感知,导致焦虑相关行为自我判断的偏差。

Objective To study the characteristics of self-focused attention and make a clear knowledge on the impact of self-focused attention,anxiety-related body sensations,judgment of anxiety-related behaviors in patients with social anxiety disorder（SAD）.Methods In the social interaction context,the SAD patients（n=32） and healthy controls（n=35） were investigated in the characteristics of self-focused attention,anxiety-related body sensations and judgment of anxiety-related behaviors.Results The levels of self-focused attention and anxiety-related body sensations in SAD group were higher than those in healthy control group（P0.01）.The self-focused attention was positively related to the bias of judgment,the self assessment scores of anxiety-related behaviors and the anxiety-related body sensations（r=0.906,P0.01;r=0.776,P0.01;r=0.433,P0.01）.Conclusion The SAD patients who selectively pay attention to self-related information will due to more anxiety-related body sensations and the bias of judgment in anxiety-related behaviors.