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Social anxiety disorder and emotion regulation problems in adolescents
Child and Adolescent Psychiatry and Mental Health ( IF 5.6 ) Pub Date : 2019-09-30 , DOI: 10.1186/s13034-019-0297-9
Petra Sackl-Pammer 1 , Rebecca Jahn 2 , Zeliha Özlü-Erkilic 3 , Eva Pollak 1 , Susanne Ohmann 1 , Julia Schwarzenberg 1 , Paul Plener 1 , Türkan Akkaya-Kalayci 3
Affiliation  

Social anxiety disorder (SAD) in adolescents may be associated with the use of maladaptive emotion regulation (ER) strategies. The present study examined the use of maladaptive and adaptive ER strategies in adolescents with SAD. 30 adolescents with SAD (CLIN) and 36 healthy adolescents for the control group (CON) aged between 11 and 16 years were assessed with the standardized questionnaires PHOKI (Phobiefragebogen für Kinder und Jugendliche) for self-reported fears as well as FEEL-KJ (Fragebogen zur Erhebung der Emotionsregulation bei Kindern und Jugendlichen) for different emotion regulation strategies. Compared to controls, adolescents with SAD used adaptive ER strategies significantly less often, but made use of maladaptive ER strategies significantly more often. There was a significant positive correlation between maladaptive ER and social anxiety in adolescents. Examining group differences of single ER strategy use, the CLIN and CON differed significantly in the use of the adaptive ER strategy reappraisal with CLIN reporting less use of reappraisal than CON. Group differences regarding the maladaptive ER strategies withdrawal and rumination, as well as the adaptive ER strategy problem-solving were found present, with CLIN reporting more use of withdrawal and rumination and less use of problem-solving than CON. Promoting adaptive emotion regulation should be a central component of psychotherapy (cognitive behavioral therapy-CBT) for social anxiety in adolescents from the beginning of the therapy process. These findings provide rationale for special therapy programs concentrating on the establishment of different adaptive ER strategies (including reappraisal). As an increased use of maladaptive ER may be associated with SAD in adolescents, it may be paramount to focus on reduction of maladaptive ER (for example withdrawal and rumination) from the beginning of the psychotherapy process. Incorporating more ER components into psychotherapy (CBT) could increase the treatment efficacy. Further investigations of the patterns of emotion regulation in specific anxiety groups like SAD in adolescents is needed to continue to optimize the psychotherapy (CBT) concept.

中文翻译:

青少年社交焦虑障碍和情绪调节问题

青少年社交焦虑障碍 (SAD) 可能与使用不良情绪调节 (ER) 策略有关。本研究检查了在患有 SAD 的青少年中使用适应不良和适应性 ER 策略的情况。使用标准化问卷 PHOKI (Phobiefragebogen für Kinder und Jugendliche) 对 30 名 SAD 青少年 (CLIN) 和 36 名健康青少年 (CON) 进行了自我报告恐惧以及 FEEL-KJ 的评估。 Fragebogen zur Erhebung der Emotionsregulation bei Kindern und Jugendlichen) 用于不同的情绪调节策略。与对照组相比,患有 SAD 的青少年使用适应性 ER 策略的频率显着减少,但使用适应不良的 ER 策略的频率显着增加。青少年适应不良的ER与社交焦虑呈显着正相关。检查单一 ER 策略使用的组差异,CLIN 和 CON 在使用自适应 ER 策略重新评估方面存在显着差异,CLIN 报告的重新评估使用少于 CON。发现存在关于适应不良的 ER 策略撤退和反刍以及自适应 ER 策略解决问题的组间差异,CLIN 报告比 CON 更多地使用撤退和反刍以及更少地使用问题解决。从治疗过程开始,促进适应性情绪调节应该是青少年社交焦虑心理治疗(认知行为治疗-CBT)的核心组成部分。这些发现为专注于建立不同适应性 ER 策略(包括重新评估)的特殊治疗计划提供了依据。由于在青少年中增加使用适应不良的 ER 可能与 SAD 相关,因此从心理治疗过程开始就关注减少适应不良的 ER(例如戒断和反刍)可能是最重要的。将更多的 ER 成分纳入心理治疗 (CBT) 可以提高治疗效果。需要进一步研究青少年 SAD 等特定焦虑群体的情绪调节模式,以继续优化心理治疗 (CBT) 概念。从心理治疗过程开始就关注减少适应不良的 ER(例如戒断和反刍)可能是最重要的。将更多的 ER 成分纳入心理治疗 (CBT) 可以提高治疗效果。需要进一步研究青少年 SAD 等特定焦虑群体的情绪调节模式,以继续优化心理治疗 (CBT) 概念。从心理治疗过程开始就关注减少适应不良的 ER(例如戒断和反刍)可能是最重要的。将更多的 ER 成分纳入心理治疗 (CBT) 可以提高治疗效果。需要进一步研究青少年 SAD 等特定焦虑群体的情绪调节模式,以继续优化心理治疗 (CBT) 概念。
更新日期:2020-04-22
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