Alberts Nicole M, Hadjistavropoulos Heather D
a Department of Psychology , University of Regina , Regina , SK , Canada.
Anxiety Stress Coping. 2014;27(2):216-28. doi: 10.1080/10615806.2013.835401. Epub 2013 Sep 13.
The cognitive-behavioral and interpersonal models of health anxiety propose that parental illness could be a contributory factor to the development of health anxiety but through different mechanisms. The cognitive-behavioral model suggests that exposure to parental illness may lead to health beliefs that could increase health anxiety. In contrast, the interpersonal model proposes that parental illness may contribute to the development of an insecure attachment pattern and consequently health anxiety. To assess the additive value of the models, 116 emerging adults (i.e. aged 18-25) who had a parent diagnosed with a serious medical illness (e.g. cancer, multiple sclerosis) completed measures of health anxiety, adult attachment dimensions, and health beliefs. Attachment anxiety, attachment avoidance, health beliefs, and death of the ill parent were statistically significant predictors of health anxiety. The results provide support for both models of health anxiety. Theoretical implications and directions for future research are discussed.
健康焦虑的认知行为模型和人际模型提出，父母患病可能是导致健康焦虑的一个因素，但通过不同机制。认知行为模型表明，接触父母患病的情况可能导致产生可能增加健康焦虑的健康信念。相比之下，人际模型提出，父母患病可能导致不安全依恋模式的形成，进而导致健康焦虑。为了评估这些模型的附加价值，116名父母被诊断患有严重疾病（如癌症、多发性硬化症）的新兴成年人（即年龄在18至25岁之间）完成了健康焦虑、成人依恋维度和健康信念的测量。依恋焦虑、依恋回避、健康信念以及患病父母的死亡是健康焦虑的统计学显著预测因素。研究结果为健康焦虑的两种模型都提供了支持。文中还讨论了理论意义和未来研究方向。
