社交焦虑障碍患者的成人依恋类型与其认知、行为关系的研究

目的 探寻社交焦虑障碍(social anxiety disorder，SAD)的成人依恋类型与其认知模式、人格特质等的关系，为进一步了解SAD的发病机制提供前期研究基础．方法 取病人组82人，建立配对正常对照组82人。采用AAS、SAD、FNE、TSBIB、STAI测量工具．结果 SAD组与正常对照组相比，在成人依恋安全和不安全类型分布上差异有统计学意义。SAD组在负向恐惧、社交自尊、回避与焦虑以及焦虑特质等因素中与正常组相比差异有统计学意义．结论 社交焦虑障碍的发生与个体早期与父母的依恋情感联结有关，并伴随着不同的成人依恋类型而有不同的人际关系表达；成人依恋恐惧型与先占型的不安全依恋关系特征正是社交焦虑障碍在认知、行为及情绪表达上产生病理心理的基础。

Relationship Between the Adult Attachment Styles of Social Anxiety Disorder (SAD) and Its Cognitive Mode and Behavior Mode

Objective The adult interpersonal relationship is related to individual's early attachment experience. Insecure attachment relationship may lead to dysfunction of interpersonal relationship. This study was carried out to disclose the relationship of SAD-based adult attachment styles with cognitive mode and personality traits. Methods A comparison was made between the SAD group and normal control(NC) group by using the psychohygiene measures: Adult attachment scale (AAS), Social avoidance and distress scale (SADS), Fear of negative evaluation scale (FNE), Texas social behaviour inventory (TSBI), and Status trait anxiety inventory (STAI). Statistically, T test, ANOVA, and Scheffe multiple comparison were used. Results Chi-square test revealed a significant adult attachment-style difference between SAD group and NC group; T test revealed significant FNE, SADS, TSBI and STAI differences between SAD group and NC group. One-way ANOVA revealed significant difference of FNE,SADS,TSBI and STA on the adult attachment styles within SAD group. Conclusion The internal working models of fearful and preoccupied styles in adult attachment are the pathopsychological basis of SAD.