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失调的恐惧可预测幼儿园时期的社交警惕和社交焦虑症状。

Dysregulated fear predicts social wariness and social anxiety symptoms during kindergarten.

机构信息

a Department of Psychology , The Pennsylvania State University.

出版信息

J Clin Child Adolesc Psychol. 2013;42(5):603-16. doi: 10.1080/15374416.2013.769170. Epub 2013 Mar 4.

Abstract

Fearful temperament is associated with risk for the development of social anxiety disorder in childhood; however, not all fearful children become anxious. Identifying maladaptive trajectories is thus important for clarifying which fearful children are at risk. In an unselected sample of 111 two-year-olds (55% male, 95% Caucasian), Buss ( 2011 ) identified a pattern of fearful behavior, dysregulated fear, characterized by high fear in low threat situations. This pattern of behavior predicted parent- and teacher-reported withdrawn/anxious behaviors in preschool and at kindergarten entry. The current study extended original findings and examined whether dysregulated fear predicted observed social wariness with adults and peers, and social anxiety symptoms at age 6. We also examined prosocial adjustment during kindergarten as a moderator of the link between dysregulated fear and social wariness. Consistent with predictions, children with greater dysregulated fear at age 2 were more socially wary of adults and unfamiliar peers in the laboratory, were reported as having more social anxiety symptoms, and were nearly 4 times more likely to manifest social anxiety symptoms than other children with elevated wariness in kindergarten. Results demonstrated stability in the dysregulated fear profile and increased risk for social anxiety symptom development. Dysregulated fear predicted more social wariness with unfamiliar peers only when children became less prosocial during kindergarten. Findings are discussed in relation to the utility of the dysregulated fear construct for specifying maladaptive trajectories of risk for anxiety disorder development.

摘要

恐惧气质与儿童期社交焦虑障碍的发展风险有关;然而,并非所有恐惧的儿童都会变得焦虑。因此,识别适应不良的轨迹对于阐明哪些恐惧儿童有风险很重要。在一项对 111 名两岁儿童(55%为男性,95%为白种人)的未选择样本中,Buss(2011 年)确定了一种恐惧行为模式,即失调恐惧,其特征是在低威胁情况下出现高度恐惧。这种行为模式预测了学前和幼儿园入学时父母和教师报告的退缩/焦虑行为。本研究扩展了最初的发现,并检验了失调恐惧是否预测了与成年人和同伴的观察到的社交警惕性以及 6 岁时的社交焦虑症状。我们还研究了幼儿园期间的亲社会调整作为失调恐惧与社交警惕性之间联系的调节因素。与预测一致,在 2 岁时具有更大失调恐惧的儿童在实验室中对成年人和陌生同伴更加警惕,报告的社交焦虑症状更多,并且表现出社交焦虑症状的可能性比幼儿园中具有较高警惕性的其他儿童高近 4 倍。结果表明,失调恐惧特征具有稳定性,并增加了社交焦虑症状发展的风险。只有当儿童在幼儿园期间变得不那么亲社会时,失调恐惧才会预测与不熟悉的同伴更强烈的社交警惕性。研究结果与失调恐惧结构对于指定焦虑障碍发展风险的适应不良轨迹的实用性有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb42/3675171/3f3a06c7c692/nihms-438846-f0001.jpg

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