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执行功能和注意力调节对青少年功能性腹痛应对成功的预测作用。

Executive function and attention regulation as predictors of coping success in youth with functional abdominal pain.

机构信息

University of Alabama, USA.

出版信息

J Pediatr Psychol. 2011 Jan;36(1):64-73. doi: 10.1093/jpepsy/jsq056. Epub 2010 Jun 30.

DOI:10.1093/jpepsy/jsq056
PMID:20592102
Abstract

OBJECTIVE

To examine the role of executive function and attention regulation in coping and their indirect effects on anxiety and depression through coping in youth with functional abdominal pain.

METHODS

Participants (n = 44, mean age = 11.77, SD = 7.16, 68.2% female) and their accompanying caregivers completed measures of executive function, attention regulation, coping, anxiety, and depression during scheduled clinic appointments at a tertiary pediatric medical center.

RESULTS

Regression analyses revealed significant relations between selective attention abilities and two different approaches to coping with the stressor of abdominal pain episodes. Bootstrapping procedures for mediation provided evidence for the indirect effects of selective attention and attentional control on anxiety through cognitive coping strategies.

CONCLUSIONS

Attention regulation may be an important factor that contributes to the variability in outcomes in youth with functional abdominal pain and should be considered when assessing the coping and psychological adjustment of this population.

摘要

目的

探讨执行功能和注意调节在应对中的作用,以及它们通过应对对功能性腹痛青少年的焦虑和抑郁的间接影响。

方法

参与者(n=44,平均年龄=11.77,SD=7.16,68.2%为女性)及其随行照顾者在一家三级儿科医疗中心的预约门诊期间完成了执行功能、注意调节、应对、焦虑和抑郁的测量。

结果

回归分析显示,选择性注意能力与应对腹痛发作这一应激源的两种不同应对方式之间存在显著关系。中介的 bootstrap 程序为选择性注意和注意力控制通过认知应对策略对焦虑的间接影响提供了证据。

结论

注意调节可能是导致功能性腹痛青少年结果变异性的一个重要因素,在评估该人群的应对和心理调整时应予以考虑。

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