Cognitive Biases and Obsessive-Compulsive Symptoms in Children: Examining the Role of Maternal Cognitive Bias and Child Age
Cognitive Biases and Obsessive-Compulsive Symptoms in Children: Examining the Role of Maternal Cognitive Bias and Child Age
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DOI：
10.1016/j.beth.2011.10.003
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发表时间：
2012-09-01
期刊：
影响因子：
3.7
通讯作者：
Zimmer-Gembeck, Melanie J.
中科院分区：
文献类型：
--
作者：
Farrell, Lara J.;Waters, Allison M.;Zimmer-Gembeck, Melanie J.
目的：在儿童（7-11岁）和青少年（12-17岁）及其母亲的临床样本中测试了与成人强迫症（OCD）相关的多种认知偏差。本研究探讨了（a）儿童认知偏差与强迫症严重程度之间的关系，（B）母亲认知偏差与儿童强迫症严重程度之间的关系，以及（c）母亲认知偏差与儿童认知偏差之间的关系。据推测，年龄将显着缓和这些关系，与强迫症的严重程度，认知偏差在青少年（相对于儿童），母亲的认知偏差在年幼的孩子（相对于青少年）。方法：46名被诊断为强迫症的儿童和青少年及其母亲完成了问卷调查，评估责任偏差，思想-行动融合（TAF），思想抑制和元认知信念。强迫症的症状进行了评估，使用结构化的诊断访谈和半结构化的症状访谈。结果如下：正如预测的那样，年龄显著调节了（a）儿童认知变量和强迫症严重程度之间的关系，特别是儿童责任和儿童元认知之间的关系，这与青少年的强迫症严重程度有关;（B）母亲认知偏见和儿童强迫症严重程度之间的关系，特别是母亲责任和思想抑制，这与儿童强迫症严重程度显著正相关，但与青少年强迫症严重程度无关;母亲认知偏见和儿童认知偏见，只有在年幼的儿童样本中，只有母亲TAF自我和元认知之间，分别与儿童抑制和儿童TAF道德之间存在明显的关联。结论;母亲的认知偏差更一致地与年幼儿童中更严重的强迫症有关，而个人认知偏差与青少年中更严重的强迫症症状有关。儿童强迫症的治疗可能会改善与强迫症相关的母亲和儿童认知偏见的作用的年龄特定的考虑。
Objective: Multiple cognitive biases associated with adult obsessive-compulsive disorder (OCD) were tested in a clinical sample of children (ages 7-11) and adolescents (12-17) and their mothers. This study examined (a) the associations between child cognitive biases and OCD severity, (b) maternal cognitive biases and child OCD severity, and (c) maternal cognitive bias and child cognitive bias. It was hypothesized that age would significantly moderate these relationships, with stronger associations with OCD severity for cognitive bias in adolescents (relative to children), and maternal cognitive bias in younger children (relative to adolescents). Method: Forty-six children and adolescents diagnosed with OCD and their mothers completed questionnaires assessing responsibility bias, thought-action fusion (TAF), thought suppression, and metacognitive beliefs. OCD symptoms were assessed using structured diagnostic interviews and semistructured symptom interviews. Results: As predicted, age significantly moderated associations between (a) child cognitive variables and OCD severity-specifically between child responsibility and child metacognition, which were associated with OCD severity for adolescents only; (b) maternal cognitive biases and child OCD severity-specifically for maternal responsibility and thought suppression, which were significantly and positively associated with child OCD severity but not adolescent OCD severity; and (c) maternal cognitive biases and child cognitive bias such that significant associations were evident only in the younger child sample, and only between maternal TAF self and metacognition, with child suppression and child TAF moral, respectively. Conclusion; Maternal cognitive biases are more consistently linked to greater OCD severity among younger children, whereas personal cognitive biases are associated with greater OCD symptoms in adolescents. Treatments for pediatric OCD are likely to be improved by age-specific considerations for the role of maternal and child cognitive biases associated with OCD.