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自我陈述在青少年焦虑症治疗中作为调解因素的作用。

The role of self-statements as a mediator in treatment for youth with anxiety disorders.

作者信息

Kendall Philip C, Treadwell Kimberli R H

机构信息

Department of Psychology, Temple University, Philadelphia, PA 19122, USA.

出版信息

J Consult Clin Psychol. 2007 Jun;75(3):380-9. doi: 10.1037/0022-006X.75.3.380.

DOI:10.1037/0022-006X.75.3.380
PMID:17563155
Abstract

The authors investigated features of self-statements as predictors of anxiety in children with and without anxiety disorder (AD) and as a mediator of treatment of ADs in children. Children (N = 145) between the ages of 9 and 13 years participated (71 AD youth, 84 controls). Self-statements were classified by valence and content. Results indicated that children's anxious, but not positive or depressed, self-statements significantly predicted anxiety in children with and without AD. For children with AD, changes in anxious self-statements mediated treatment gains, replicating a previously reported finding. A states of mind ratio mediated only 1 outcome measure, and positive and depressive cognitions served no mediating role. The impact of anxious self-talk on children's adjustment and implications for cognitive theory of anxiety in children are discussed.

摘要

作者们研究了自我陈述的特征,将其作为患有和未患有焦虑症(AD)儿童焦虑的预测指标,以及作为儿童焦虑症治疗的中介因素。9至13岁的儿童(N = 145)参与了研究(71名患有焦虑症的青少年,84名对照)。自我陈述按效价和内容进行分类。结果表明,儿童焦虑的自我陈述(而非积极或抑郁的自我陈述)能显著预测患有和未患有焦虑症儿童的焦虑。对于患有焦虑症的儿童,焦虑自我陈述的变化介导了治疗效果,重复了之前报道的一项发现。一种思维状态比率仅介导了一项结果指标,积极和抑郁认知未起到中介作用。文中讨论了焦虑的自我对话对儿童适应的影响以及对儿童焦虑认知理论的启示。

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