Priming panic interpretations in children of patients with panic disorder
Priming panic interpretations in children of patients with panic disorder
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DOI：
10.1016/s0887-6185(02)00126-3
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发表时间：
2002-01-01
影响因子：
10.3
通讯作者：
Margraf, J
中科院分区：
文献类型：
--
作者：
Schneider, S;Unnewehr, S;Margraf, J
惊恐障碍的认知和心理生理模型强调解释偏差在维持障碍中的作用。几项研究报告的结果与这一假设一致，但目前还不清楚这种偏见是否之前恐慌症或它的后果，在本研究中，我们比较了模糊的情况下的儿童的个人与恐慌症，儿童的个人与动物恐惧症，健康对照组的儿童的解释。向儿童呈现三种类型的场景，每种场景包括以下描述之一：恐慌相关的身体感觉，动物相关的刺激和恐慌无关的身体感觉（即，感冒症状）。为了测试，如果儿童的解释偏见是由启动的影响，我们比较了他们的反应之前和之后的情况下，看恐慌，蜘蛛恐惧症，和冷模型。结果显示：（a）父母有惊恐障碍的儿童，而父母有动物恐惧症的儿童和健康对照组的儿童在启动后焦虑解释显著增加;（B）这种显著增加仅出现在通过呈现惊恐相关模型启动后，而不是在通过呈现恐惧相关或寒冷相关模型启动后。由于父母患有恐慌症的孩子本身并没有恐慌，他们对恐慌的解释增加可以被视为一个脆弱性因素。纵向研究应阐明解释风格在惊恐障碍病因学中的作用。(C)2002年爱思唯尔科学公司All rights reserved.
Cognitive and psycho-physiological models of panic disorder stress the role of interpretation bias in the maintenance of the disorder. Several studies have reported results consistent with this hypothesis, but it is still unclear whether this bias precedes panic disorder or is a consequence of it. In the present study, we compared the interpretations of ambiguous scenarios of children of individuals with panic disorder, children of individuals with animal phobia, and children of healthy controls. Children were presented with three types of scenarios each including one of the following descriptions: panic-relevant physical sensations, animal-relevant stimuli, and panic-irrelevant physical sensations (i.e., cold symptoms). To test, if children's interpretation bias is affected by priming, we compared their responses to the scenarios before and after watching a panic, a spider phobic, and a cold model. The results revealed that (a) children of panic disordered parents but not of parents with animal phobia and of healthy controls showed a significant increase in anxious interpretations after priming; and (b) this significant increase emerged only after priming through presentation of a panic-relevant model and not after priming through presentation of a phobia-relevant or cold-relevant model. Because the children of panic disordered parents did not have panics themselves, their increase in panic interpretations can be viewed as a vulnerability factor. Longitudinal studies should clarify the role of interpretation style in the etiology of panic disorder. (C) 2002 Elsevier Science Inc. All rights reserved.