Двухсистемная модель социального тревожного расстройства: взаимодействие факторов биосоциальных систем социального положения и чувства принадлежности

Cоциальное тревожное расстройство (Social Anxiety Disorder, СТР) – широко распространенное состояние, нарушающее функционирование индивида. Хотя существуют разные методы терапии СТР, их эффективность ограничена. Данный аналитический обзор направлен на углубление всестороннего понимания типов социальных угроз, влияющих на людей с социальным тревожным расстройством, с точки зрения двух основных биоповеденческих систем – принадлежности и социального положения. Авторы утверждают, что социальное тревожное расстройство связано с восприимчивостью к событиям, свидетельствующим о потере принадлежности (отчуждение) и социального положения (социальное поражение). В частности, предполагается, что социальное тревожное расстройство характеризуется: (а) гиперреактивностью к отчуждению и социальному поражению; (б) склонностью реагировать на отчуждение путем развертывания стратегий дистанцирования и ухода; (в) использованием стратегий подчинения, снижающих конфронтацию в ситуациях социального поражения и (г) усилением связи двух систем. Приведенная выше двухсистемная модель может помочь объединить клинически значимую информацию о социальном тревожном расстройстве может стать основой для рекомендаций относительно новых направлений терапии.

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