The aim of our study was to determine deficits in cognitive areas, including social cognition such as emotion recognition capacity, theory of mind, and electrophysiological alterations in patients with social anxiety disorder (SAD) and to identify their effects on clinical severity of SAD. Enrolled in our study were 26 patients diagnosed with SAD and 26 healthy volunteers. They were administered the Liebowitz Social Anxiety Scale (LSAS), Reading Mind in the Eyes Test (RMET), and Cambridge Neuropsychological Test Automated Battery. EEG monitoring was performed for electrophsiologic investigation. In the patient group, total reading the mind scores were lower (P = .027) while P300 latencies and emotion recognition latency during the Emotion Recognition Task (ERT) were longer (P = .038 and P = .012, respectively). The false alarm scores in the Rapid Visual Information Processing Task (RVP) were higher in the patient group (P = .038). In a model created using multivariate linear regression analysis, an effect of ERT and RVP scores on LSAS scores was found. Results of our study confirm that particularly impairment of cognitive functions such as sustained attention and emotion recognition may seriously affect the clinical presentation negatively. P300 latency in the parietal region may has the potential to be a biological marker that can be used in monitoring treatment.

中文翻译：

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社交焦虑障碍中的情绪信息处理和认知功能评估：与事件相关的潜在研究

我们研究的目的是确定社交焦虑症 (SAD) 患者认知领域的缺陷，包括社会认知，如情绪识别能力、心理理论和电生理改变，并确定它们对 SAD 临床严重程度的影响。参加我们研究的有 26 名诊断为 SAD 的患者和 26 名健康志愿者。他们接受了 Liebowitz 社交焦虑量表 (LSAS)、眼睛读心测试 (RMET) 和剑桥神经心理学测试自动电池。进行脑电图监测以进行电生理调查。在患者组中，阅读心智的总得分较低（P = .027），而情绪识别任务（ERT）期间的 P300 潜伏期和情绪识别潜伏期较长（分别为 P = .038 和 P = .012）。快速视觉信息处理任务 (RVP) 中的误报分数在患者组中较高 (P = .038)。在使用多元线性回归分析创建的模型中，发现了 ERT 和 RVP 分数对 LSAS 分数的影响。我们的研究结果证实，特别是持续注意力和情绪识别等认知功能的损害可能会对临床表现产生严重的负面影响。顶叶区域的 P300 潜伏期可能成为可用于监测治疗的生物标志物。我们的研究结果证实，特别是持续注意力和情绪识别等认知功能的损害可能会对临床表现产生严重的负面影响。顶叶区域的 P300 潜伏期可能成为可用于监测治疗的生物标志物。我们的研究结果证实，特别是持续注意力和情绪识别等认知功能的损害可能会对临床表现产生严重的负面影响。顶叶区域的 P300 潜伏期可能成为可用于监测治疗的生物标志物。