童年期情感虐待对社交焦虑障碍症状严重程度的影响:尴尬易感性与负面评价恐惧的中介作用  

The Influence of Childhood Emotional Abuse on the Severity of Social Anxiety Disorder Symptoms:The Mediation Effect of Susceptibility to Embarrassment and Fear of Negative Evaluation

作　　者：陈丹丹 洪昂 吴朝毅 周爽伊 刘希童 杨晨[1] 苏珊珊[1] 王振[1] CHEN Dandan;HONG Ang;WU Chaoyi;ZHOU Shuangyi;LIU Xitong;YANG Chen;SU Shanshan;WANG Zhen(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《中国临床心理学杂志》2025年第1期29-33,38,共6页Chinese Journal of Clinical Psychology

基　　金：上海市教委科研创新计划(编号:2021-01-07-00-02-E0086);上海市卫生健康委员会重要薄弱学科-心身医学(编号:2019ZB0201)。

摘　　要：目的:探讨童年期情感虐待对社交焦虑障碍患者症状严重程度的影响及作用机制。方法:52例社交焦虑障碍患者参与研究。采用童年期创伤量表、尴尬易感性量表、简版负性评价恐惧量表和Liebowitz社交焦虑量表对所有被试进行调查。结果:(1)童年期情感虐待、社交焦虑障碍症状严重程度、尴尬易感性及负面评价恐惧两两之间呈显著正相关(r=0.26~0.75);(2)童年期情感虐待对社交焦虑障碍症状严重程度的直接效应显著(β=0.235,P<0.05);(3)尴尬易感性、负面评价恐惧在童年期情感虐待与社交焦虑障碍症状严重程度之间的独立中介作用以及链式中介作用均显著。结论:童年期情感虐待既能直接影响社交焦虑障碍症状严重程度,又能通过尴尬易感性和负面评价恐惧的中介作用间接影响社交焦虑障碍症状严重程度。Objective:This article aims to explore the effect of childhood emotional abuse on the severity of symptoms in patients with social anxiety disorder(SAD),as well as the mediating role of susceptibility to embarrassment and fear of negative evaluation.Methods:Fifty-two patients who meet the diagnostic criteria for SADwere recruited,and finished the childhood trauma questionnaire,susceptibility to embarrassment scale,brief fear of negative evaluation scale,and Liebowitz social anxiety scale.Results:(1)There was significant positive correlation between childhood emotional abuse,SAD symp-tom severity,susceptibility to embarrassment,and fear of negative evaluation(r=0.26-0.75);(2)Bootstrap mediation effects analyses indicated a significant direct effect of childhood emotional abuse on SAD symptom severity(β=0.235,P<0.05);(3)Between childhood emotional abuse and SAD symptom severity,susceptibility to embarrassment and fear of negative evalua-tion played mediating roles not only separately but also through a chain mediation.Conclusion:Childhood emotional abuse can influence social anxiety disorder symptom severity both directly and indirectly through the chain-mediated effects of embarrassment susceptibility and negative appraisal fear.

关 键 词：童年创伤 情感虐待 尴尬易感性 负面评价恐惧 社交焦虑障碍 

分 类 号：R395.2[哲学宗教—心理学]