The tripartite model of fear in children with specific phobias: assessing concordance and discordance using the behavioral approach test.
The tripartite model of fear in children with specific phobias: assessing concordance and discordance using the behavioral approach test.
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DOI：
10.1016/j.brat.2011.04.003
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发表时间：
2011-08
影响因子：
4.1
通讯作者：
Cowart M
中科院分区：
文献类型：
--
作者：
Ollendick T;Allen B;Benoit K;Cowart M
Lang的三重模型假定三个主要组成部分表征了恐惧反应：生理唤醒，认知（主观）痛苦和行为回避。这些成分可能相互串联（一致性），也可能独立变化（不一致性）。行为接近测试（BAT）已被用来同时检查恐惧反应的三个组成部分。在本研究中，73名患有特定恐惧症的临床转诊儿童和青少年参加了恐惧症特异性BAT。结果显示，整体模式的一致性：相关性分析显示，这三个指数显着相关的预测方向。然而，注意到相当大的差异，例如，一些儿童在整个响应组件中是一致的，而另一些则不是。更具体地说，根据生理唤醒和主观痛苦的水平，确定了两个一致组（高唤醒-高痛苦，低唤醒-低痛苦）和一个不一致组（高唤醒-低痛苦或低唤醒-高痛苦）的青年。然后比较这些一致组和不一致组在BAT上完成的行为步骤的百分比。分析显示，低唤醒低苦恼组完成的步骤比高唤醒高苦恼组显着更大的百分比，并略高于不和谐组的步骤的百分比。还探讨了与年龄、性别、恐怖症严重程度和恐怖症类型相关的潜在组差异，未检测到显著差异。理论和治疗的影响进行了讨论。
Lang’s tripartite model posits that three main components characterize a fear response: physiological arousal, cognitive (subjective) distress, and behavioral avoidance. These components may occur in tandem with one another (concordance) or they may vary independently (discordance). The Behavioral Approach Test (BAT) has been used to simultaneously examine the three components of the fear response. In the present study, 73 clinic-referred children and adolescents with a specific phobia participated in a phobia-specific BAT. Results revealed an overall pattern of concordance: correlation analyses revealed the three indices were significantly related to one another in the predicted directions. However, considerable variation was noted such that some children were concordant across the response components while others were not. More specifically, based on levels of physiological arousal and subjective distress, two concordant groups (high arousal-high distress, low arousal-low distress) and one discordant (high arousal-low distress or low arousal-high distress) group of youth were identified. These concordant and discordant groups were then compared on the percentage of behavioral steps completed on the BAT. Analyses revealed that the low arousal-low distress group completed a significantly greater percentage of steps than the high arousal-high distress group, and a marginally greater percentage of steps than the discordant group. Potential group differences associated with age, gender, phobia severity, and phobia type were also explored and no significant differences were detected. Implications for theory and treatment are discussed.
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影响因子：
5.8
作者：
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通讯作者：
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