Depersonalization/derealization during acute social stress in social phobia

被引:28
作者
Hoyer, Juergen [1 ]
Braeuer, David [1 ]
Crawcour, Stephen [1 ]
Klumbies, Elisabeth [2 ]
Kirschbaum, Clemens [2 ]
机构
[1] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, D-01187 Dresden, Germany
[2] Tech Univ Dresden, Inst Biopsychol, D-01187 Dresden, Germany
关键词
Depersonalization; Derealization; Social anxiety disorder; Social phobia; Post-event processing; Trier Social Stress Test (TSST); COGNITIVE-BEHAVIOR THERAPY; PANIC DISORDER; CAMBRIDGE DEPERSONALIZATION; APPLIED RELAXATION; ANXIETY DISORDER; CONTROLLED-TRIAL; GERMAN VERSION; SCALE; DISSOCIATION; PLACEBO;
D O I
10.1016/j.janxdis.2013.01.002
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The present study aimed at investigating how frequently and intensely depersonalization/derealization symptoms occur during a stressful performance situation in social phobia patients vs. healthy controls, as well as testing hypotheses about the psychological predictors and consequences of such symptoms. N=54 patients with social phobia and N = 34 control participants without mental disorders were examined prior to, during, and after a standardized social performance situation (Trier Social Stress Test, TSST). An adapted version of the Cambridge Depersonalization Scale was applied along with measures of social anxiety, depression, personality, participants' subjective appraisal, safety behaviours, and post-event processing. Depersonalization symptoms were more frequent in social phobia patients (92%) than in controls (52%). Specifically in patients, they were highly positively correlated with safety behaviours and post-event-processing, even after controlling for social anxiety. The role of depersonalization/derealization in the maintenance of social anxiety should be more thoroughly recognized and explored. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:178 / 187
页数:10
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