Kane Elisabeth J, Braunstein Kara, Ollendick Thomas H, Muris Peter
Child Study Center, Department of Psychology, Virginia Tech, Blacksburg, VA 24061.
Maastricht University, Maastricht, The Netherlands.
J Child Fam Stud. 2015 Jul 1;24(7):2127-2134. doi: 10.1007/s10826-014-0014-5.
The relations of fear to anxiety sensitivity, control beliefs, and maternal overprotection were examined in 126 7- to 13-year-old clinically referred children with specific phobias. Results indicated that anxiety sensitivity and control beliefs were significant predictors of children's fear levels, accounting for approximately 48% of the total variance. Unexpectedly, age, gender, and maternal overprotection did not emerge as significant predictors of fear in the overall sample. In subsequent analyses, anxiety sensitivity was found to be a consistent, significant predictor for both girls and boys, for both younger and older children, and for children with and without an additional anxiety disorder diagnosis. Control beliefs were only a significant predictor for girls, younger children, and children with an additional anxiety diagnosis. Maternal overprotection was not a significant predictor for any group. Children with an additional anxiety disorder diagnosis had higher levels of fear, anxiety sensitivity, and maternal overprotection, as well as lower levels of control beliefs than the non-additional anxiety disorder subgroup. Future directions and clinical implications are explored.
对126名7至13岁患有特定恐惧症的临床转诊儿童,研究了恐惧与焦虑敏感性、控制信念和母亲过度保护之间的关系。结果表明,焦虑敏感性和控制信念是儿童恐惧水平的重要预测因素,约占总方差的48%。出乎意料的是,在整个样本中,年龄、性别和母亲过度保护并未成为恐惧的显著预测因素。在后续分析中,发现焦虑敏感性对女孩和男孩、年幼儿童和年长儿童以及有和没有额外焦虑症诊断的儿童都是一致的、显著的预测因素。控制信念仅对女孩、年幼儿童和有额外焦虑诊断的儿童是显著预测因素。母亲过度保护对任何组都不是显著预测因素。与无额外焦虑症亚组相比,有额外焦虑症诊断的儿童恐惧、焦虑敏感性和母亲过度保护水平更高,而控制信念水平更低。探讨了未来方向和临床意义。