Interpretation and expectation in childhood anxiety disorders: age effects and social specificity.
Interpretation and expectation in childhood anxiety disorders: age effects and social specificity.
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DOI：
10.1007/s10802-013-9795-z
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发表时间：
2014
影响因子：
3.6
通讯作者：
Cooper P
中科院分区：
文献类型：
--
作者：
Creswell C;Murray L;Cooper P
儿童焦虑症的理论和治疗通常涉及儿童的负面认知，但对临床焦虑儿童的思维方式特征知之甚少。特别是，目前尚不清楚患有焦虑症的儿童和非焦虑儿童之间的思维方式差异是否会随着儿童年龄的变化而变化，特定的认知扭曲是否与不同儿童年龄的儿童焦虑症有关，以及认知内容是否特定于儿童焦虑症。目前的研究解决了120名7-12岁儿童(53%女性)的这些问题，他们符合社交焦虑症、其他焦虑症的诊断标准，或者目前没有焦虑。与预期相反，与任何年龄的非焦虑儿童相比，焦虑儿童的威胁解读并未被夸大，尽管年龄较大(10-12岁)的焦虑儿童在感知应对措施上确实与非焦虑儿童不同。认知内容专一性的概念并不在整个年龄范围内得到支持。这些发现挑战了目前儿童焦虑的治疗模式，并表明，在童年中期，没有必要将重点放在改变焦虑儿童的认知上，而在儿童晚期，认知方法可能更专注于促进儿童的控制感，而不是挑战威胁解读。
Theory and treatment for childhood anxiety disorders typically implicates children’s negative cognitions, yet little is known about the characteristics of thinking styles of clinically anxious children. In particular, it is unclear whether differences in thinking styles between children with anxiety disorders and non-anxious children vary as a function of child age, whether particular cognitive distortions are associated with childhood anxiety disorders at different child ages, and whether cognitive content is disorder-specific. The current study addressed these questions among 120 7–12 year old children (53% female) who met diagnostic criteria for social anxiety disorder, other anxiety disorder, or who were not currently anxious. Contrary to expectations, threat interpretation was not inflated amongst anxious compared to non-anxious children at any age, although older (10–12 year old) anxious children did differ from non-anxious children on measures of perceived coping. The notion of cognitive-content specificity was not supported across the age-range. The findings challenge current treatment models of childhood anxiety, and suggest that a focus on changing anxious children’s cognitions is not warranted in mid-childhood, and in late childhood cognitive approaches may be better focussed on promoting children’s perceptions of control rather than challenging threat interpretations.
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