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Social anxiety disorder and childhood trauma in the context of anxiety (behavioural inhibition), impulsivity (behavioural activation) and quality of life.
South African Journal of Psychiatry ( IF 1 ) Pub Date : 2019-01-28 , DOI: 10.4102/sajpsychiatry.v25i0.1189
Carolien J W H Bruijnen 1, 2, 3 , Susanne Y Young 4 , Melanie Marx 4 , Soraya Seedat 4
Affiliation  

Background Social anxiety disorder (SAD) is one of the most prevalent psychiatric disorders in South Africa. Previous studies have linked childhood trauma with the development of SAD. The behavioural inhibition system (BIS) and the behavioural activation system (BAS), two dimensions of personality related to anxiety and impulsivity, respectively, are said to influence the development of psychopathology, including SAD. Both SAD and childhood trauma have an impact on quality of life. This study investigated the relationship between BIS, BAS and quality of life in patients with SAD with and without exposure to childhood trauma, compared to healthy controls. Method Data were collected for 102 adults. A total of 76 participants met SAD criteria, of which 51 were exposed to childhood trauma and 25 were not. The remaining 26 participants were demographically matched healthy controls. Measures of anxiety, impulsivity and quality of life were obtained by administering Carver and White’s BIS/BAS scales and the Quality of Life Enjoyment and Satisfaction Questionnaire – Self Report. Results A positive correlation was found between the severity of SAD symptoms and the amount of childhood trauma exposure. No significant differences in impulsivity were found across the three groups. Healthy controls reported significantly lower anxiety and a better quality of life than both groups with SAD, while no differences were found between patients with SAD and childhood trauma and those without childhood trauma. Conclusion More childhood trauma exposure appears to be associated with greater SAD severity. The lack of differences in BIS, BAS and quality of life in patients with SAD with or without childhood trauma requires further investigation.

中文翻译:

焦虑(行为抑制)、冲动(行为激活)和生活质量背景下的社交焦虑障碍和童年创伤。

背景社交焦虑症(SAD)是南非最普遍的精神疾病之一。先前的研究已将童年创伤与 SAD 的发展联系起来。行为抑制系统 (BIS) 和行为激活系统 (BAS) 是人格的两个维度,分别与焦虑和冲动相关,据说会影响包括 SAD 在内的精神病理学的发展。SAD 和童年创伤都会影响生活质量。本研究调查了 SAD 患者与健康对照组相比,无论是否经历过童年创伤,BIS、BAS 与生活质量之间的关系。方法 收集了 102 名成年人的数据。共有 76 名参与者符合 SAD 标准,其中 51 人遭受过童年创伤,25 人没有。其余 26 名参与者是人口统计匹配的健康对照。通过使用 Carver 和 White 的 BIS/BAS 量表以及生活享受和满意度问卷——自我报告来获得焦虑、冲动和生活质量的测量值。结果发现SAD症状的严重程度与儿童创伤暴露量呈正相关。三组之间的冲动性没有显着差异。与 SAD 组相比,健康对照组报告的焦虑和生活质量显着降低,而 SAD 和儿童期创伤患者与没有儿童期创伤的患者之间没有发现差异。结论 更多的童年创伤暴露似乎与更大的 SAD 严重程度相关。BIS缺乏差异,
更新日期:2019-01-28
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