Further evidence of association between behavioral inhibition and social anxiety in children
Further evidence of association between behavioral inhibition and social anxiety in children
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DOI：
10.1176/appi.ajp.158.10.1673
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发表时间：
2001-10-01
影响因子：
17.7
通讯作者：
Faraone, SV
中科院分区：
文献类型：
--
作者：
Biederman, J;Hirshfeld-Becker, DR;Faraone, SV
目的：探讨父母患有惊恐障碍和/或重度抑郁症的年轻子女行为抑制的精神病理学相关性。通过标准实验室观察确定的行为抑制，对四组儿童（2-6岁）进行了评估：129名父母同时患有惊恐障碍和严重抑郁症的儿童，22名父母单独患有惊恐障碍的儿童，49名父母单独患有严重抑郁症的儿童，84名父母既没有惊恐障碍也没有严重抑郁症的儿童进行了比较。比较5岁以上儿童的精神病理情况，有行为抑制的儿童（N=64）和没有行为抑制的儿童（N=152）。结果：有行为抑制的儿童出现社交焦虑障碍（社交恐惧症或回避障碍）的比例（17%）明显高于无行为抑制的儿童（5%）。不受抑制的儿童比受抑制的儿童更有可能出现破坏性行为障碍（分别为20%和6%），并且在儿童行为检查表的注意问题量表上得分更高（平均=52.1比50.8）。结论：本研究进一步证实了行为抑制与社交焦虑障碍之间的关联，以及行为抑制与破坏性行为障碍之间的反比关系。
Objective: The authors sought to examine psychopathological correlates of behavioral inhibition in young offspring of parents with panic disorder and/or major depression.Method. Behavioral inhibition, determined by using standard laboratory observations, was assessed in four groups of children (age 2-6 years): 129 children of parents with both panic disorder and major depression, 22 children of parents with panic disorder alone, 49 children of parents with major depression alone, and 84 comparison children of parents with neither panic disorder nor major depression. Psychopathology in children greater than or equal to5 years was compared between children with behavioral inhibition (N=64) and without (N=152).Results: Social anxiety disorder (social phobia or avoidant disorder) was significantly more likely to be found in the children with behavioral inhibition (17%) than in those without (5%). Noninhibited children were significantly more likely than inhibited children to have disruptive behavior disorders (20% versus 6%, respectively) and had higher scores on the attention problems scale of the Child Behavior Checklist (mean=52.1 versus 50.8).Conclusions: This study adds to the growing literature suggesting an association between behavioral inhibition and social anxiety disorder and an inverse relationship between inhibition and disruptive behavior disorders.