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青少年的早期适应不良模式与社交焦虑:焦虑自动思维的中介作用。

Early maladaptive schemas and social anxiety in adolescents: the mediating role of anxious automatic thoughts.

机构信息

Department of Personality, Psychological Assessment and Treatment, University of Deusto, Apdo. 1, 48080 Bilbao, Spain.

出版信息

J Anxiety Disord. 2013 Apr;27(3):278-88. doi: 10.1016/j.janxdis.2013.02.011. Epub 2013 Mar 26.

Abstract

Cognitive models state that cognitions are organized hierarchically, so that the underlying schemas affect behavior via more automatic, superficial cognitive processes. This study aimed to demonstrate that early maladaptive schemas predict anxious automatic thoughts, and to show that such automatic thoughts act as mediators between schemas and prospective changes in social anxiety symptoms. The study also examined an alternative reverse model in which schemas acted as mediators between automatic thoughts and social anxiety. A total of 1052 adolescents (499 girls and 553 boys; M(age)=13.43; SD(age)=1.29) completed measures of early maladaptive schemas, socially anxious automatic thoughts, and social anxiety symptoms at Times 1, 2, and 3. The results revealed bidirectional longitudinal relationships among schemas and automatic thoughts that were consistent in content (e.g., the disconnection/rejection schemas and automatic thoughts of negative self-concept). Furthermore, the automatic thoughts of anticipatory negative evaluation by others at Time 2 mediated the relationship between the other-directedness schemas at Time 1 and social anxiety symptoms at Time 3. These findings are consistent with hierarchical cognitive models of social anxiety given that deeper schemas predict more surface-level thoughts. They also support that these more surface-level thoughts contribute to perpetuating schemas. Finally, results show that early maladaptive schemas of the other-directedness domain play a relevant role in the development and maintenance of social anxiety.

摘要

认知模型表明,认知是分层组织的,因此潜在的图式通过更自动、更表面的认知过程影响行为。本研究旨在证明早期适应不良图式预测焦虑自动思维,并表明这些自动思维在图式和社交焦虑症状的未来变化之间起中介作用。该研究还检验了一种替代的反向模型,其中图式在自动思维和社交焦虑之间起中介作用。共有 1052 名青少年(499 名女孩和 553 名男孩;M(年龄)=13.43;SD(年龄)=1.29)在第 1、2 和 3 次分别完成了早期适应不良图式、社交焦虑自动思维和社交焦虑症状的测量。结果表明,图式和自动思维之间存在双向的纵向关系,其内容是一致的(例如,断开/拒绝图式和消极自我概念的自动思维)。此外,第 2 次时他人预期负面评价的自动思维在第 1 次时的指向他人的图式和第 3 次时的社交焦虑症状之间起中介作用。这些发现与社交焦虑的分层认知模型一致,因为更深层次的图式预测更表面的思维。它们还支持这些更表面的思维有助于维持图式。最后,结果表明,指向他人的领域的早期适应不良图式在社交焦虑的发展和维持中起着重要作用。

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