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Fobia social, temor a la evaluación negativa y evitación del daño

Published online by Cambridge University Press:  12 May 2020

M. Faytout ,
J. Tignol ,
J. Swendsen ,
D. Grabot ,
B. Aouizerate  and
J. P. Lépine
M. Faytout
Affiliation:
Servicio de Psiquiatría Adulta, Hospital Charles Perrens, Burdeos, Francia Laboratorio de Psicología Clínica y Psicopatología, Universidad de Burdeos 2, 3 ter, place de la Victoire, 33076Bordeaux cedex, Francia
J. Tignol
Affiliation:
Servicio de Psiquiatría Adulta, Hospital Charles Perrens, Burdeos, Francia
J. Swendsen
Affiliation:
Laboratorio de Psicología Clínica y Psicopatología, Universidad de Burdeos 2, 3 ter, place de la Victoire, 33076Bordeaux cedex, Francia
D. Grabot
Affiliation:
Servicio de Psiquiatría Adulta, Hospital Charles Perrens, Burdeos, Francia
B. Aouizerate
Affiliation:
Servicio de Psiquiatría Adulta, Hospital Charles Perrens, Burdeos, Francia
J. P. Lépine
Affiliation:
Servicio de Psiquiatría Adulta, Hospital Fernand Nidal, París, Francia
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Resumen

Esta investigación naturalista prospectiva examinó el papel del temor a la evaluación negativa y el rasgo de personalidad de evitación del daño en los niveles de ansiedad de pacientes con fobia social tratada. Se evaluó a 157 pacientes con fobia social del DSM-IV antes de comenzar el tratamiento y se los mantuvo en seguimiento durante un periodo de hasta dos años. Como se esperaba, el mayor temor a una evaluación negativa y las puntuaciones más altas de evitación del daño se asociaban con mayor ansiedad en el seguimiento a los 6 meses y la evitación del daño fue un predictor significativo a los 24 meses. Sin embargo, no se encontraron datos para una interacción entre la personalidad y las variables cognitivas examinadas. Los hallazgos se analizan desde el punto de vista de la independencia relativa de estos factores, así como sus implicaciones potenciales para el tratamiento de este trastorno.

Keywords

Fobia socialCogniciónTemor a la evaluación negativaEvitación del daño
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 14 , Issue 6 , September 2007 , pp. 292 - 296
Copyright
Copyright © European Psychiatric Association 2007

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References

Bibliografía

[1]American Psychiatric Association — DSM-IV Manuel diagnostique et statistique des troubles mentaux, 4o édition (version internationale, Washington DC 1995), traduction francjaise par Gúelfi JD et al. París: Masson 1996.Google Scholar
[2]Brown, SL, Svrakic, DM, Przybeck, TR, Cloninger, CR. The relationship of personality to mood and anxiety states: a dimensional approach. Journal Psychiatric Research 1992;26:197-211.CrossRefGoogle ScholarPubMed
[3]Chambless, DL, Tran, GQ, Glass, CR. Predictors of response to cognitive- behavioral group therapy for social phobia. Journal of Anxiety Disorders 1997;11:221–40.CrossRefGoogle ScholarPubMed
[4]Chatterjee, S, Sunitha, TA, Velayudhan, A, Khanua, S. An investigation into the psychobiology of social phobia: personality domains and serotonergic function. Acta Psychiatrica Scandinavica 1997;95(6):544–50.CrossRefGoogle ScholarPubMed
[5]Clark, DA, Hemsley, DR. Individual differences in the experience of depressive and anxious, intrusive thoughts. Behaviour Research and Therapy 1985;6:625–33.CrossRefGoogle Scholar
[6]Cloninger, CR, Dragan, MS, Przybeck, TR. A psychobiological model of temperament and character. Arch Gen Psychiatry 1993;50:975–90.CrossRefGoogle ScholarPubMed
[7]Faul, F, Erdfelder, E. GPower: a priori, post-hoc, and compromise power analyses for MS-DOS (Computer program). Bonn, FRG: Bonn University, Dep. of Psychology; 1992.Google Scholar
[8]Feske, U, Perry, KJ, Chambless, DL, Renneberg, B, Goldstein, AJ. Avoidant personality disorder as a predictor for treatment outcome generalized social phobics. Journal of Personality Disorders 1996;10:174–84.CrossRefGoogle Scholar
[9]Geerts, E, Bouhuys, N. Multi-level prediction of short-term outcome of depression: non-verbal interpersonal processes, cognitions and personality traits. Psychiatry Research 1998;79:59-72.CrossRefGoogle ScholarPubMed
[10]Heimberg, RG, Horner, K, Juster, HR, Safren, SA, Brown, EJ, Schneier, FR. Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine 1999;29:199-212.CrossRefGoogle ScholarPubMed
[11]Hofmann, SG. Self-focused attention before and after treatment of social phobia. Behaviour Research and Therapy 2000;38:717–25.CrossRefGoogle ScholarPubMed
[12]Johnson, MR, Lydiard, RB. Personality disorders in social phobia. Psychiatric-annals 1995 ;25:554-63.CrossRefGoogle Scholar
[13]Kim, SW, Hoover, KM. Tridimensional Personality Questionnaire: assessment in patients with social phobia and control group. Psychology Research 1996;78:43–9.Google ScholarPubMed
[14]Lecrubier, Y, Sheehan, D, Weiller, E, Amorim, P, Bonora, I, Sheehan Harnett, K, et al. The Mini International Neuropsychiatric Interview (MINI), a short diagnostic interview: reliability and validity according to the CIDI. European Psychiatry 1997;12:232–41.CrossRefGoogle Scholar
[15]Lépine, JP, Pélissolo, A, Teodorescu, R, Teherani, M. Evaluation of the psychometric properties of the French version of the Tridimensional Personality Questionnaire (TPQ). Encéphale 1994;20(6):747–53.Google Scholar
[16]Marteinsdottir, I, Tillfors, M, Furmark, T, Anderberg, UM, Ekselius, L. Personality dimensions measured by the Temperament and Character Inventory (TCI) in subjects with social phobia. Nordic Journal of Psychiatry 2003;57(1):29-35.CrossRefGoogle ScholarPubMed
[17]Pélissolo, A, André, C, Pujol, H, Yao, SN, Servant, D, Braconnier, A, et al. Personality dimensions in social phobics with or without depression. Acta Psychiatrica Scandinavica 2002;105(2):94-103.CrossRefGoogle ScholarPubMed
[18]Pélissolo, A, Lépine, JP. Normative data and factor structure of the Temperament and Character Inventory (TCI) in the French version. Psychiatry Research 2000;94:67-76.CrossRefGoogle ScholarPubMed
[19]Scholing, A, Emmelkamp, PMG. Prediction of treatment outcome in social phobia: a cross-validation. Behaviour Research and Therapy 1999;37:659–70.CrossRefGoogle ScholarPubMed
[20]Sheehan, DV, Lecrubier, Y, Sheehan, KH, Amorim, P, Janavs, J, Weiller, E, et al.. The Mini International Neuropsychia tric Interview (M.I.NI.), the development and validation of a structured diagnosis psychiatric interview. Journal of Clinical Psychiatry 1998;59(Suppl. 20):22-33.Google Scholar
[21]Svrakic, DM, Whitehead, C, Przbeck, TR, Cloninger, CR. Differential diagnosis of personality disorders by the seven-factor model of temperament and character. Archives of General Psychiatry 1993;50:991–9.CrossRefGoogle ScholarPubMed
[22]Watson, D, Friend, R. Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology 1969;33(4):448–57.CrossRefGoogle ScholarPubMed
[23]Wittchen, H-U. Reliability and validity studies of the Composite Intenational Diagnostic Interview (CIDI): a critical review. Journal of Psychiatric Research 1998;28(1):57-84.CrossRefGoogle Scholar
[24]Yao, SN, Note, I, Fanget, F, Albuisson, E, Bouvard, M, Jalenques, I, et al.. Social anxiety in patients with social phobia: validation of the Liebowitz social anxiety scale (French version). L’encéphale 1999;XXV:429-35Google Scholar