Donovan Caroline L, Holmes Monique C, Farrell Lara J, Hearn Catherine S
School of Applied Psychology and the Menzies Health Institute Queensland, Griffith University, Mount Gravatt Campus, Mount Gravatt, QLD 4122, Australia.
School of Applied Psychology and the Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Southport, QLD 4222, Australia.
J Affect Disord. 2017 Jan 15;208:230-237. doi: 10.1016/j.jad.2016.09.061. Epub 2016 Oct 15.
Despite being extensively studied in adults, investigation of worry and it's associated cognitive variables remains in its infancy in paediatric samples.
This study aimed to investigate 1) whether the child cognitive variables of intolerance of uncertainty (IU), positive beliefs about worry (PBW), negative beliefs about worry (NBW), negative problem orientation (NPO) and cognitive avoidance (CA) were associated with child worry, 2) whether parental worry and cognitive variables were associated with child worry, 3) whether the relationship between child and parent worry was mediated by child cognitive variables and 4) whether the relationships between specific parent cognitive factors and child worry were mediated by specific child cognitive factors.
Participants were 114 children plus one of their parents. Parents and children completed questionnaires assessing each of the five cognitive variables and worry.
When examined together, child NBW and CA significantly predicted child worry. Parent worry, IU and CA were significantly and positively related to child worry. The relationship between parent worry and child worry was mediated by child NBW and CA. The relationship between parent IU, NPO and CA and child worry was mediated by child IU, NPO and CA respectively.
Child NBW and CA may be particularly important to child worry and may represent potential treatment targets. Parental worry and cognitive variables may play a role in the development and / or maintenance of child worry.
尽管在成年人中已得到广泛研究,但在儿科样本中,对担忧及其相关认知变量的研究仍处于起步阶段。
本研究旨在调查:1)儿童的不确定性不耐受(IU)、对担忧的积极信念(PBW)、对担忧的消极信念(NBW)、消极问题取向(NPO)和认知回避(CA)等认知变量是否与儿童担忧相关;2)父母的担忧和认知变量是否与儿童担忧相关;3)儿童与父母担忧之间的关系是否由儿童认知变量介导;4)特定父母认知因素与儿童担忧之间的关系是否由特定儿童认知因素介导。
参与者为114名儿童及其一名父母。父母和儿童完成了评估五个认知变量和担忧的问卷。
综合考虑时,儿童的NBW和CA显著预测儿童担忧。父母担忧、IU和CA与儿童担忧显著正相关。父母担忧与儿童担忧之间的关系由儿童NBW和CA介导。父母的IU、NPO和CA与儿童担忧之间的关系分别由儿童的IU、NPO和CA介导。
儿童的NBW和CA可能对儿童担忧尤为重要,可能是潜在的治疗靶点。父母的担忧和认知变量可能在儿童担忧的发展和/或维持中起作用。