The relation between anxiety disorder and experiential avoidance in inpatient adolescents.
The relation between anxiety disorder and experiential avoidance in inpatient adolescents.
复制标题
住院青少年焦虑症与体验性回避之间的关系。
DOI：
10.1037/a0025362
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发表时间：
2012
影响因子：
3.6
通讯作者：
J. Hart
中科院分区：
文献类型：
--
作者：
A. Venta;C. Sharp;J. Hart
本研究旨在探讨经验回避与焦虑症之间的关系，以及青少年避免与融合问卷(AFQ-Y；Greco，Lambert，&Baer，2008)在青少年住院患者样本中检测焦虑症的有效性。首先，在控制抑郁和外化问题的同时，采用自我报告和父母报告以及临床访谈的方法，从分类和维度的角度考察住院青少年的体验回避与焦虑的关系。其次，我们试图通过确定AFQ-Y在预测焦虑症方面的灵敏度、特异度和临床截断值来确定AFQ-Y的临床实用价值。为此，一组平均年龄为16.14岁(SD=1.39)的住院青少年样本(N=111)完成了AFQ-Y，以及基于访谈和问卷的精神病理学测量。结果表明，焦虑障碍与经验回避显著相关，与抑郁无关。受试者操作特征分析表明，AFQ-Y在区分被诊断为焦虑症的青少年方面具有中等的准确性(曲线下面积=.815，SE=.047，p<；.001)(截止分数为26.5；敏感性=.74，特异性=.76)。考虑到这一样本中焦虑和抑郁的共病，这一临界值并不表明是纯粹的焦虑症，但可能有助于预测那些有情绪障碍的人。
The current study aimed to examine the relation between experiential avoidance and anxiety disorders, as well as the usefulness of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y; Greco, Lambert, & Baer, 2008) in detecting anxiety disorder in a sample of adolescent inpatients. First, the relation between experiential avoidance and anxiety among inpatient adolescents was investigated from categorical and dimensional points of view, making use of self-report and parent report, as well as clinical interview, while controlling for depression and externalizing problems. Second, we sought to establish the clinical utility value of the AFQ-Y by determining the sensitivity, specificity, and clinical cutoff score of this measure in predicting anxiety disorder. To this end, a sample of inpatient adolescents (N = 111) with a mean age of 16.14 (SD = 1.39) years completed the AFQ-Y, alongside interview- and questionnaire-based measures of psychopathology. Results showed a significant relation between anxiety disorder and experiential avoidance, independent of depression. Receiver operating characteristics analysis revealed that the AFQ-Y has moderate accuracy (area under the curve = .815, SE = .047, p < .001) in discriminating adolescents with a diagnosis of any anxiety disorder (cutoff score 26.5; sensitivity = .74, specificity = .76). Given the comorbidity of anxiety and depression in this sample, this cutoff is not indicative of pure anxiety disorder but may be helpful in predicting those with emotional disorders in general.
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DOI：
10.1097/00004583-200001000-00014
发表时间：
2000-01-01
影响因子：
13.3
作者：
Shaffer, D;Fisher, P;Schwab-Stone, ME
通讯作者：
Schwab-Stone, ME
患有焦虑症的成年人的青少年心理健康史。
DOI：
10.1176/ajp.2007.164.2.301
发表时间：
2007
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Gregory,AliceM;Caspi,Avshalom;Moffitt,TerrieE;Koenen,Karestan;Eley,ThaliaC;Poulton,Richie
通讯作者：
Poulton,Richie
影响因子：
--
作者：
Pine, DS;Cohen, P;Ma, YJ
通讯作者：
Ma, YJ
DOI：
10.1097/chi.0b013e31816765e7
发表时间：
2008-05-01
影响因子：
13.3
作者：
Lewinsohn, Peter M.;Holm-Denoma, Jill M.;Joiner, Thomas E., Jr.
通讯作者：
Joiner, Thomas E., Jr.
DOI：
--
发表时间：
1999-08
期刊：
--
影响因子：
--
作者：
S. Hayes;K. Strosahl;K. Wilson
通讯作者：
S. Hayes;K. Strosahl;K. Wilson