Avoidance and fear day by day in social anxiety disorder.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2024-01-07 DOI:10.1080/10503307.2023.2297994

Thomas L Rodebaugh, Jason T Grossman, Natasha A Tonge, Jin Shin, Madelyn R Frumkin, Chavez R Rodriguez, Esteban G Ortiz, Marilyn L Piccirillo

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引用次数: 0

Abstract

Objective: Theories assert that avoidance maintains maladaptive anxiety over time, yet a clear prospective test of this effect in the day-by-day lives of people with social anxiety disorder (SAD) is lacking.

Method: We used intensive longitudinal data to test prospective relationships between social fear and social avoidance in 32 participants with SAD who reported on a total of 4256 time points.

Results: Results suggested that avoidance strongly predicted future anxiety, but only in a minority of people with SAD. Relationships between anxiety and avoidance varied considerably across individuals. Pre-registered tests found that the strength of autocorrelation for social fear is a good target for future testing of prediction of exposure response. Participants with lower autocorrelations were less likely to show between-session habituation.

Conclusions: Overall, results suggest avoidance maintains fear in SAD for at least some individuals, but also indicates considerable variability. Further intensive longitudinal data is needed to examine individuals with SAD across varying time courses.

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社交焦虑症患者日复一日的回避和恐惧。

目的：理论认为回避会使适应性焦虑长期存在：有理论认为，回避会长期维持适应不良的焦虑，但目前还缺乏对社交焦虑症（SAD）患者日常生活中这种影响的明确前瞻性测试：我们利用密集的纵向数据，对 32 名 SAD 患者的社交恐惧和社交回避之间的前瞻性关系进行了测试，这些患者共报告了 4256 个时间点：结果：结果表明，回避强烈地预测了未来的焦虑，但这只在少数 SAD 患者中存在。焦虑与回避之间的关系因人而异。预注册测试发现，社交恐惧的自相关强度是未来测试暴露反应预测的一个很好的目标。自相关性较低的受试者不太可能表现出会话间习惯化：总之，研究结果表明，至少在某些个体中，回避能维持 SAD 中的恐惧，但也显示出相当大的变异性。我们需要更多的深入纵向数据来研究患有 SAD 的个体在不同时间过程中的表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.