社交恐怖症患者的认知特征及相关因素

Cognitive Features of Patients with Social Phobia

目的 :对社交恐怖症 (SPH)病人的认知特征及其与社交焦虑症状、个性特征和父母养育方式的关系进行研究。方法 :SPH组 5 0例和正常对照 (NC)组 60例 ,入组时按要求填写惧怕否定评价量表(FNE)、社交苦恼与回避量表 (SAD)艾森克人格问卷 (EPQ )和父母教养方式评价量表 (EMBU)。结果 :SPH患者的FNE和SAD分 (分别为 113 3± 13 2和 2 0 2± 4 8)显著高于NC组 (分别为 81 7± 17 1和 8 5±4 4)。EPQ结果 :SPH患者神经质标准分 (SP)和精神质标准分 (SP)显著高于NC组 ,外向标准分 (SE)显著低于NC组。SPH患者父母教养方式的情感温暖、理解因子分明显低于NC组 ,惩罚、拒绝和过度保护因子分明显高于NC组。相关分析结果 :SPH患者组FNE分与SAD、和EPQ的SN显著正相关 ,与EMBU各因子分相关不显著。结论 :SPH患者惧怕否定评价的认知特征是社交焦虑中的一个重要因素 ,且与神经质个性特征密切相关 ,与父母教养方式无直接联系。

Objective:To study the cognitive features, personality and parental rearing factors in patients with social phobia Method:Fifty patients with social phobia and 50 normal controls completed Fear of Negative Evaluation Scale (FNE), Social Avoidance and Distress Scale (SAD), EPQ and Egna Minnen av Barndoms Uppfostran (EMBU) Result:Patients with social phobia had higher scores of FNE and of SAD than normal controls (113±13/82±17, 20±5/9±4) The scores of neuroticism and psychoticism of EPQ were also higher in patient group than in control, while that of extraversion was lower in patient group They had lower scores in warmth and understanding in EMBU, higher scores in punishment, refuse and overprotection The score of FNE was positively correlated with the score of SAD, and subscore of neuroticism in EPQ Conclusion: Patients with social phobia fear of negative evaluation, the fear is associated with neuroticism but not parental rearing pattern