Sosyal Anksiyete Bozukluğunda Kişilerarası Bilişsel Çarpıtmalar ve Zihin Okuma Yetisi: Klinik ve Klinik Olmayan Gruplarda Çok Gruplu Aracılık Analizi

Öz

Sosyal anksiyete bozukluğu, kişilerarası bilişsel çarpıtmalarla ilişkilidir; ancak bu ilişkide zihin okuma yetisinin olası etkisi hakkında nispeten az bilgi bulunmaktadır. Bu çalışma, sosyal anksiyete, kişilerarası bilişsel çarpıtmalar ve zihin okuma yetisi arasındaki ilişkileri incelemiş; sosyal anksiyete bozukluğu tanısı almış bireylerle sağlıklı kontrolleri bu değişkenler açısından karşılaştırmış ve zihin okuma yetisinin kişilerarası bilişsel çarpıtmalar ile sosyal anksiyete arasındaki ilişkide aracı bir mekanizma olarak işleyip işlemediğini test etmiştir. Toplam 186 yetişkin (72 SAB tanılı birey ve 114 sağlıklı kontrol), Liebowitz Sosyal Anksiyete Ölçeği, Kişilerarası Bilişsel Çarpıtmalar Ölçeği ve Gözlerden Zihin Okuma Testi’ni tamamlamıştır. Bulgular, SAB tanılı bireylerin daha yüksek sosyal anksiyete ve kişilerarası bilişsel çarpıtma düzeylerine, daha düşük zihin okuma performansına sahip olduğunu göstermiştir. Grup bazında yürütülen aracılık analizleri, zihin okuma yetisinin hem klinik hem de klinik olmayan grupta kişilerarası bilişsel çarpıtmalar ile sosyal anksiyete arasındaki ilişkide kısmi aracı olarak işlediğini; ancak bu dolaylı etkinin SAB grubunda anlamlı biçimde daha güçlü olduğunu ortaya koymuştur. Bu sonuçlar, zihin okuma becerisindeki zayıflığın, özellikle SAB’de kişilerarası bilişsel çarpıtmaların sosyal anksiyete üzerindeki etkisini arttıran temel bir süreç olabileceğini göstermektedir. Bu doğrultuda, kişilerarası bilişsel çarpıtmaları azaltmaya ve zihin okuma becerilerini güçlendirmeye yönelik müdahaleler, SAB’nin tedavi sonuçlarını ve sosyal işlevselliği anlamlı biçimde destekleyebilir.

Anahtar Kelimeler

• Sosyal anksiyete bozukluğu
• Kişilerarası bilişsel çarpıtmalar
• Zihin okuma

Interpersonal Cognitive Distortions and Mind Reading Ability in Social Anxiety Disorder: A Multi-Group Mediation Analysis in Clinical and Non-Clinical Samples

Öz

Social anxiety disorder (SAD) is associated with interpersonal cognitive distortions (ICD); however, little is known about whether mind reading ability plays a mediating role in this relationship. This study examined the associations among ICD, mind reading ability, and social anxiety; compared individuals with SAD and a non-clinical comparison group; and tested whether mind reading ability mediated the ICD-social anxiety link across groups. A total of 186 adults (72 diagnosed with SAD and 114 non-clinical adults) completed the Liebowitz Social Anxiety Scale, the Interpersonal Cognitive Distortions Scale, and the Reading the Mind in the Eyes Test. Individuals with SAD reported higher levels of social anxiety and ICD, and lower mind reading ability, compared with the non-clinical group. Mediation analyses conducted separately by group indicated that mind reading ability partially mediated the relationship between ICD and social anxiety in both groups; however, the indirect effect was substantially stronger among individuals with SAD. These findings highlight mind reading ability as a more central mechanism linking maladaptive interpersonal thinking to heightened social anxiety in clinical populations. Interventions targeting both interpersonal cognitive distortions and deficits in theory of mind may therefore contribute to more effective treatment outcomes and improved social functioning in individuals with SAD.

Anahtar Kelimeler

• Social anxiety disorder
• Interpersonal cognitive distortions
• Mind reading

Kaynakça

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