Parent-to-Child Anxiety Transmission Through Dyadic Social Dynamics: A Dynamic Developmental Model.

Parent-to-Child Anxiety Transmission Through Dyadic Social Dynamics: A Dynamic Developmental Model.
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DOI:
10.1007/s10567-022-00391-7
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发表时间:
2022-03
影响因子:
6.9
通讯作者:
Perez-Edgar, Koraly
Perez-Edgar, Koraly
中科院分区:
心理学1区
文献类型:
--
作者:
Perlman, Susan B.;Lunkenheimer, Erica;Panlilio, Carlomagno;Perez-Edgar, Koraly

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精神病理的代际传递是儿童障碍的已知最强危险因素之一,可能是预防和干预的可延展性目标。焦虑的父母有不同的养育方式,会影响社会情感的发展,这些养育方式的影响可能会导致孩子的生理和认知功能的广泛改变。更好地理解父母风险传递给孩子的功能机制可以提供(1)社会情感困难风险的新标记,(2)具体的干预目标,以及(3)治疗反应的行为和生物学指标。我们提出了一个发展模型,其中二元社会动态作为父母到孩子的焦虑传播的关键渠道。二元社会动态捕捉每天发生的父母和孩子之间的即时互动。在形成从家族性风险到实际症状的发展轨迹时,二元过程作用于风险机制,这些机制在任何最终的疾病发作之前和没有发生时都是明显的。首先,我们在不同层次的分析中讨论了父母和孩子之间的二元同步或时刻到时刻的协调,包括神经、自主、行为和情感过程。其次,我们讨论了儿童如何观察和内化显性情绪模型,并随后反映在他们自己的行为中。因此,与同步不同,这是一个跨分析层次的更有顺序的过程。我们还讨论了适应不良的认知和情感处理,往往是明显的儿童焦虑症状的增加。最后,我们讨论了可能影响二元过程的其他调节因素(例如,父母性别,儿童恐惧气质)。我们的模型被提出作为一个概念框架,用于测试关于动态过程的假设,这些过程可能最终指导新的治疗方法,旨在干预症状发作前的动态相关生物行为机制。
The intergenerational transmission of psychopathology is one of the strongest known risk factors for childhood disorder and may be a malleable target for prevention and intervention. Anxious parents have distinct parenting profiles that impact socioemotional development, and these parenting effects may result in broad alterations to the biological and cognitive functioning of their children. Better understanding the functional mechanisms by which parental risk is passed on to children can provide (1) novel markers of risk for socioemotional difficulties, (2) specific targets for intervention, and (3) behavioral and biological indices of treatment response. We propose a developmental model in which dyadic social dynamics serve as a key conduit in parent-to-child transmission of anxiety. Dyadic social dynamics capture the moment-to-moment interactions between parent and child that occur on a daily basis. In shaping the developmental trajectory from familial risk to actual symptoms, dyadic processes act on mechanisms of risk that are evident prior to, and in the absence of, any eventual disorder onset. First, we discuss dyadic synchrony or the moment-to-moment coordination between parent and child within different levels of analysis, including neural, autonomic, behavioral, and emotional processes. Second, we discuss how overt emotion modeling of distress is observed and internalized by children and later reflected in their own behavior. Thus, unlike synchrony, this is a more sequential process that cuts across levels of analysis. We also discuss maladaptive cognitive and affective processing that is often evident with increases in child anxiety symptoms. Finally, we discuss additional moderators (e.g., parent sex, child fearful temperament) that may impact dyadic processes. Our model is proposed as a conceptual framework for testing hypotheses regarding dynamic processes that may ultimately guide novel treatment approaches aimed at intervening on dyadically linked biobehavioral mechanisms before symptom onset.
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