Cognitive coping and childhood anxiety disorders
Cognitive coping and childhood anxiety disorders
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DOI：
10.1007/s00787-009-0051-6
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发表时间：
2010-02-01
影响因子：
6.4
通讯作者：
Utens, Elisabeth M. W. J.
中科院分区：
文献类型：
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作者：
Legerstee, Jeroen S.;Garnefski, Nadia;Utens, Elisabeth M. W. J.
探讨9-11岁焦虑障碍儿童与非焦虑儿童认知应对策略的差异。此外，特定的焦虑症之间的认知应对的差异进行了检查。收集了131名焦虑障碍儿童的临床样本和452名非焦虑儿童的一般人群样本。所有的孩子都填写了儿童版的认知情绪调节问卷（CERQ-k）。结构化的临床访谈被用来评估儿童焦虑症。结果表明，焦虑障碍儿童经历了显着更多的“终身”负性生活事件比非焦虑儿童。调整的负性生活事件的“一生”的经验，焦虑障碍儿童得分显着较高的灾难化和反刍的策略，并显着低于策略积极的重新评价和重新专注于规划比非焦虑儿童。不同焦虑症儿童的认知应对能力无显著差异。与非焦虑儿童相比，焦虑障碍儿童在应对负性生活事件时采用了更多的适应不良认知应对策略和更少的适应性认知应对策略。结果提示，认知应对是儿童焦虑问题防治的一个有价值的指标。
To investigate differences in cognitive coping strategies between anxiety-disordered and non-anxious 9-11-year-old children. Additionally, differences in cognitive coping between specific anxiety disorders were examined. A clinical sample of 131 anxiety-disordered children and a general population sample of 452 non-anxious children were gathered. All children filled out the child version of the Cognitive Emotion Regulation Questionnaire (CERQ-k). Structured clinical interviews were used to assess childhood anxiety disorders. Results showed that anxiety-disordered children experience significantly more 'lifetime' negative life events than non-anxious children. Adjusted for the 'lifetime' experience of negative life events, anxiety-disordered children scored significantly higher on the strategies catastrophizing and rumination, and significantly lower on the strategies positive reappraisal and refocus on planning than non-anxious children. No significant differences in cognitive coping were found between children with specific anxiety disorders. Anxiety-disordered children employ significantly more maladaptive and less adaptive cognitive coping strategies in response to negative life events than non-anxious children. The results suggest that cognitive coping is a valuable target for prevention and treatment of childhood anxiety problems.