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Drug abusers suffering from social phobia show more avoidance tendencies than patients with social phobia alone

机译:患有社交恐惧症的吸毒者比仅具有社交恐惧症的患者表现出更多的回避倾向

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Background: Comorbidity between social anxiety disorder (SAD) and substance use disorder (SUD) is elevated but little is known about the role of avoidance with regard to the aetiology and maintenance of these disorders. Aims: The objective of the study was to compare patients with SAD and comorbid SUD with patients suffering from SAD only with regard to fear and avoidance symptoms. Methods: Thirty patients presenting SAD and comorbid SUD were recruited by the local Substance Abuse Unit, and 26 patients with SAD only were identified within the general population by the research team. All patients were asked to answer the Liebowitz Social Anxiety Scale. Results: Patients suffering from SAD and SUD showed a higher avoidance/total score ratio. Avoidance contributed at mean to 49.7% (±4.9%) of the total score in patients with SAD and SUD, whereas its mean contribution was 46.5% (±3.1%) in patients with SAD only (effect size 0.77). Conclusions: Avoidance tendencies appear to be more prominent in patients suffering from SAD and SUD. Focusing on avoidance may be of interest for clinical practice and for research when investigating the cognitive and behavioural bottom structure of patients suffering from SAD and comorbid SUD.
机译:背景:社交焦虑症(SAD)和药物滥用症(SUD)之间的合并症有所增加,但对于这些病因和维持的回避作用知之甚少。目的:该研究的目的是将SAD和共病SUD患者与SAD患病患者仅在恐惧和回避症状方面进行比较。方法:当地药物滥用部门招募了30名出现SAD和共病SUD的患者,研究小组在普通人群中仅鉴定出26名SAD患者。要求所有患者回答利勃维茨社交焦虑量表。结果:患有SAD和SUD的患者显示出较高的回避/总得分比。在SAD和SUD患者中,回避平均占总得分的49.7%(±4.9%),而对于SAD和SUD患者,回避平均贡献为46.5%(±3.1%)(效应值0.77)。结论:SAD和SUD患者的回避倾向似乎更为明显。在研究SAD和共病SUD患者的认知和行为底部结构时,专注于避免可能是临床实践和研究的兴趣所在。

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