评判他人让我忘记:评估其他评价对社交焦虑自我评价的认知、行为和情感后果

IF 1.7 4区 医学 Q3 PSYCHIATRY Journal of Behavior Therapy and Experimental Psychiatry Pub Date : 2023-09-01 DOI:10.1016/j.jbtep.2022.101763
Ryan J. Ferguson, Allison J. Ouimet, Olivia Gardam
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引用次数: 2

摘要

背景和目的社交焦虑症(SAD)患者在引发焦虑的社交情境之前、期间和之后对自己的评价都是负面的,这会导致负面后果(如表现缺陷、记忆障碍和事后处理)。尽管进行了几十年的研究,但人们对这些评价是否能概括为他们如何看待他人知之甚少。社会投射理论——相信他人与自己相似——可能会进一步扩展基本的认知行为疗法(CBT)模型。我们的目的是了解人们对一个明显焦虑的人的负面评价程度是否会导致他们对自己的负面评价。方法172名未经选择的参与者完成了几个基线问卷。然后,我们随机分配参与者对录像中的焦虑者进行高、中等或无评估(即其他评估),同时评估他们的状态焦虑。之后,他们根据多种标准对焦虑的人进行评估。参与者随后参与了一项即兴对话任务,并随后评估了自己的表现。结果尽管我们的操作是有效的,但我们没有发现不同条件下的情绪或行为差异。然而,处于高评价条件下的人回忆起的关于他们谈话伙伴的事实要比处于中等评价和无评价条件的人少得多。限制数据清理后,样本量略小于计划;尽管如此,大多数分析都得到了适当的支持。我们的发现可能无法超越未经选择的本科生;临床样本中的复制是有保证的。结论这些发现强调了其他评估的认知后果(即记忆障碍),认知行为治疗师在治疗SAD患者时应考虑这些后果。
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Judging others makes me forget: Assessing the cognitive, behavioural, and emotional consequences of other-evaluations on self-evaluations for social anxiety

Background and objectives

People with Social Anxiety Disorder (SAD) evaluate themselves negatively before, during, and after anxiety-provoking social situations, which leads to negative consequences (e.g., performance deficits, memory impairments, and post-event processing). Despite decades of research, little is known regarding whether these evaluations generalize to how they view others. Social projection theory—the belief that others are similar to oneself—might further extend the basic Cognitive Behavioural Therapy (CBT) model. Our aim was to understand whether the degree to which people negatively evaluate a visibly anxious person causes them to negatively evaluate themselves.

Methods

172 unselected participants completed several baseline questionnaires. We then randomly assigned participants to provide high-, medium-, or no-evaluation of a videotaped anxious person (i.e., other-evaluations) while we assessed their state anxiety. After, they evaluated the anxious person on multiple criteria. Participants then participated in an impromptu conversation task and subsequently evaluated their own performance.

Results

Although our manipulation was effective, we found no emotional or behavioural differences between conditions. However, people in the high-evaluation condition recalled significantly fewer facts about their conversation partner than did people in the medium- and no-evaluation conditions.

Limitations

After data cleaning, the sample size was slightly smaller than planned; most analyses were nonetheless appropriately powered. Our findings may not generalize beyond unselected undergraduate students; replication in a clinical sample is warranted.

Conclusions

These findings highlight the cognitive consequences (i.e., memory impairments) of other-evaluations, which cognitive behavioural therapists should consider when treating individuals with SAD.

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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
48
期刊介绍: The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.
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