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Biases in Interpretation as a Vulnerability Factor for Children of Parents With an Anxiety Disorder
Journal of the American Academy of Child and Adolescent Psychiatry ( IF 13.3 ) Pub Date : 2018-05-30 , DOI: 10.1016/j.jaac.2018.04.009
Rianne E. van Niekerk , Anke M. Klein , Esther Allart-van Dam , Mike Rinck , Pierre M. Souren , Giel J.M. Hutschemaekers , Eni S. Becker

Objective

Children of parents with an anxiety disorder have a higher risk of developing an anxiety disorder than children of parents without an anxiety disorder. Parental anxiety is not regarded as a causal risk factor itself, but is likely to be mediated via other mechanisms, for example via cognitive factors. We investigated whether children of parents with an anxiety disorder would show an interpretation bias corresponding to the diagnosis of their parent. We also explored whether children's interpretation biases were explained by parental anxiety and/or children’s levels of anxiety.

Method

In total, 44 children of parents with a panic disorder (PD), 27 children of parents with a social anxiety disorder (SAD), 7 children of parents with SAD/PD, and 84 children of parents without an anxiety disorder (controls) participated in this study. Parents and children filled out the Screen for Child Anxiety Related Disorders (SCARED) questionnaire, and children performed two ambiguous scenario tasks: one with and one without video priming.

Results

Children of parents with PD displayed significantly more negative interpretations of panic scenarios and social scenarios than controls. Negative interpretations of panic scenarios were explained by parental PD diagnosis and children’s anxiety levels. These effects were not found for children of parents with SAD. Priming did not affect interpretation.

Conclusion

Our results showed that children of parents with PD have a higher chance of interpreting ambiguous situations more negatively than children of parents without anxiety disorders. More research is needed to study whether this negative bias predicts later development of anxiety disorders in children.



中文翻译:

解释中的偏见是焦虑症父母子女的脆弱性因素

客观的

患有焦虑症的父母的孩子比没有焦虑症的父母的孩子患焦虑症的风险更高。父母焦虑本身并不被认为是因果危险因素,但可能通过其他机制(例如,认知因素)进行调节。我们调查了患有焦虑症的父母的孩子是否会表现出与父母的诊断相对应的解释偏见。我们还探讨了父母的焦虑和/或儿童的焦虑水平是否能解释儿童的解释偏见。

方法

总共有44名患有恐慌症(PD)的父母的孩子,27名有社交焦虑症(SAD)的父母的孩子,7名有SAD / PD的父母的孩子和84名无焦虑症的父母的孩子(对照)在这个研究中。父母和孩子填写了《儿童焦虑症相关筛查》(SCARED)调查表,孩子们执行了两个模棱两可的情景任务:一项带有视频启动功能,另一项没有视频启动功能。

结果

患有PD的父母的孩子对恐慌情景和社会情景的负面解释比对照组明显更多。父母的PD诊断和儿童的焦虑水平解释了恐慌情景的负面解释。对于患有SAD的父母的孩子未发现这些影响。启动不会影响解释。

结论

我们的结果表明,与没有焦虑症的父母的孩子相比,患有PD的父母的孩子有更大的机会来解释歧义情况。需要更多的研究来研究这种负偏见是否可以预测儿童焦虑症的后期发展。

更新日期:2018-05-30
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