Toddler dysregulated fear predicts continued risk for social anxiety symptoms in early adolescence
Toddler dysregulated fear predicts continued risk for social anxiety symptoms in early adolescence
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DOI：
10.1017/s0954579419001743
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发表时间：
2021-02-01
影响因子：
3.3
通讯作者：
Teti, Doug M.
中科院分区：
文献类型：
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作者：
Buss, Kristin A.;Cho, Sunghye;Teti, Doug M.
确定社交焦虑症状发展的早期危险因素具有重要的翻译意义。准确识别哪些儿童的风险最高至关重要，特别是如果我们能够在发育早期识别风险的话。我们在一个社区样本(n=112)中检测了过渡到青春期的社交焦虑症状的持续风险，这些儿童在2岁时被观察到高度恐惧，并跟踪了从学龄前到6岁的社交焦虑症状。在我们之前的研究中，我们发现，在两个样本中，以低威胁情境中的高恐惧为特征的调节失调恐惧(DF)模式预测了3岁、4岁、5岁和6岁的社交焦虑症状。在目前的研究中，我们通过使用父母和孩子关于社交焦虑症状、父母监测和同伴关系质量的报告来重新评估这些11-13岁的儿童。DF的分数唯一地预测了青少年的社交焦虑症状，而不是通过更接近的行为测量(例如，幼儿园的社交退缩)和同时存在的环境风险因素(例如，父母监督、同伴关系)做出的预测。对早期发现、预防和干预的意义进行了讨论。
Identifying early risk factors for the development of social anxiety symptoms has important translational implications. Accurately identifying which children are at the highest risk is of critical importance, especially if we can identify risk early in development. We examined continued risk for social anxiety symptoms at the transition to adolescence in a community sample of children (n = 112) that had been observed for high fearfulness at age 2 and tracked for social anxiety symptoms from preschool through age 6. In our previous studies, we found that a pattern of dysregulated fear (DF), characterized by high fear in low threat contexts, predicted social anxiety symptoms at ages 3, 4, 5, and 6 years across two samples. In the current study, we re-evaluated these children at 11-13 years of age by using parent and child reports of social anxiety symptoms, parental monitoring, and peer relationship quality. The scores for DF uniquely predicted adolescents' social anxiety symptoms beyond the prediction that was made by more proximal measures of behavioral (e.g., kindergarten social withdrawal) and concurrent environmental risk factors (e.g., parental monitoring, peer relationships). Implications for early detection, prevention, and intervention are discussed.