The development and modification of temperamental risk for anxiety disorders: Prevention of a lifetime of anxiety?
The development and modification of temperamental risk for anxiety disorders: Prevention of a lifetime of anxiety?
复制标题
DOI：
10.1016/s0006-3223(02)01572-x
复制
发表时间：
2002-11-15
影响因子：
10.6
通讯作者：
Rapee, RM
中科院分区：
文献类型：
--
作者：
Rapee, RM
这篇综述提出了一个问题，是否有可能通过选择性干预来预防焦虑症的发展？文章首先回顾了焦虑症的主要心理社会危险因素。证据审查支持的作用，抑制气质，父母的焦虑，环境支持的回避应对，和替代和教学学习的避免焦虑的风险。有人认为，这些风险的中心焦点是一个抑制气质和其他风险因素很可能是温和的和介导的这种气质风格。因此，一个明确的预防选择是改变早期抑制。一些初步数据来自麦考瑞大学学前干预项目，一项关于减少学龄前儿童抑制气质的简短家长教育计划的纵向研究。虽然仍有相当大的空间，更强的影响，初步结果显示明确的承诺，它可能会改变焦虑症的早期风险。(C)2002生物精神病学学会。
This review poses the question, is it possible to prevent the development of anxiety disorders through selective interventions? The article begins with a review of the major psychosocial risk factors for anxiety disorders. Evidence is reviewed to support the role of inhibited temperament, parent anxiety, environmental support of avoidant coping, and vicarious and instructional learning of avoidance as risks for anxiety. It is argued that the central focus of these risks is an inhibited temperament and that the other risk factors are likely to be both moderated and mediated by this temperamental style. Thus, a clear option for prevention would be to modify early inhibition. Some preliminary data are presented from the Macquarie University Preschool Intervention Project, a longitudinal study of a brief parent education program for the reduction of inhibited temperament in preschool children. Although there remains considerable room for stronger effects, preliminary results show clear promise that it may be possible to modify early risk for anxiety disorders. (C) 2002 Society of Biological Psychiatry.