Division of Child and Adolescent Psychiatry, Erasmus Medical University Centre Rotterdam/Sophia Children's Hospital, Rotterdam, Leiden, The Netherlands.
J Adolesc. 2011 Apr;34(2):319-26. doi: 10.1016/j.adolescence.2010.04.008.
The present study investigated differences in cognitive coping strategies between anxiety-disordered and non-anxious adolescents. In addition, the interaction effect with gender as well as differences between specific anxiety diagnoses was examined. A clinical sample of 159 anxiety-disordered adolescents and a general community sample of 370 non-anxious adolescents were recruited. Nine cognitive coping strategies were assessed in all adolescents (aged 12-16 years). Results showed that anxiety-disordered adolescents had significantly higher scores on most of the cognitive coping strategies than non-anxious adolescents. The cognitive coping strategies rumination, self-blame and catastrophizing accounted for most of the variance. Gender did not modify the results. Further analyses within the anxiety-disordered sample indicated that adolescents with a generalized anxiety disorder scored significantly higher on rumination, but not on other cognitive coping strategies, than social phobic adolescents. The results suggest that cognitive coping is a valuable target for psychological assessment and treatment in adolescents.
本研究调查了焦虑障碍青少年和非焦虑青少年在认知应对策略上的差异。此外，还考察了性别交互作用以及特定焦虑诊断之间的差异。研究招募了 159 名焦虑障碍青少年的临床样本和 370 名非焦虑青少年的一般社区样本。所有青少年（12-16 岁）都评估了 9 种认知应对策略。结果表明，焦虑障碍青少年在大多数认知应对策略上的得分明显高于非焦虑青少年。认知应对策略中的沉思、自责和灾难化解释了大部分的差异。性别并没有改变结果。在焦虑障碍样本中的进一步分析表明，广泛性焦虑障碍青少年在沉思上的得分显著高于社交恐惧症青少年，但在其他认知应对策略上的得分没有显著差异。研究结果表明，认知应对是青少年心理评估和治疗的一个有价值的目标。
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