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父母患有和未患有精神疾病的幼儿行为抑制的精神科相关因素

Psychiatric correlates of behavioral inhibition in young children of parents with and without psychiatric disorders.

作者信息

Biederman J, Rosenbaum J F, Hirshfeld D R, Faraone S V, Bolduc E A, Gersten M, Meminger S R, Kagan J, Snidman N, Reznick J S

机构信息

Clinical Psychopharmacology Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114.

出版信息

Arch Gen Psychiatry. 1990 Jan;47(1):21-6. doi: 10.1001/archpsyc.1990.01810130023004.

Abstract

Behavioral inhibition is a laboratory-based temperamental category by the tendency to constrict behavior in unfamiliar situations and assumed to reflect low thresholds of limbic arousal. We previously found behavioral inhibition prevalent in the offspring of parents with panic disorder and agoraphobia. In this report, we examined the psychiatric correlates of behavioral inhibition by evaluating the sample of offspring of parents with panic disorder and agoraphobia, previously dichotomized as inhibited and not inhibited, and an existing epidemiologically derived sample of children, followed by Kagan and colleagues and originally identified at 21 months of age as inhibited or uninhibited. A third group of healthy children was added for comparison. Our findings indicate that inhibited children had increased risk for multiple anxiety, overanxious, and phobic disorders. It is suggested that behavioral inhibition may be associated with risk for anxiety disorders in children.

摘要

行为抑制是一种基于实验室的气质类型,其特征是在不熟悉的情境中倾向于限制行为,并被认为反映了边缘系统唤醒的低阈值。我们之前发现,患有惊恐障碍和广场恐惧症的父母的后代中行为抑制很普遍。在本报告中,我们通过评估患有惊恐障碍和广场恐惧症的父母的后代样本(该样本先前被分为抑制型和非抑制型)以及一个现有的来自流行病学研究的儿童样本(该样本由卡根及其同事跟踪研究,最初在21个月大时被确定为抑制型或非抑制型),来研究行为抑制与精神疾病的相关性。另外增加了一组健康儿童作为对照。我们的研究结果表明,抑制型儿童患多种焦虑症、过度焦虑症和恐惧症的风险增加。研究表明,行为抑制可能与儿童患焦虑症的风险有关。

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