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青少年和青年时期被诊断为儿童期起病哮喘的患者的哮喘特异性认知、自我关注和对负面评价的恐惧。

Asthma-specific cognitions, self-focused attention, and fear of negative evaluation in adolescents and young adults diagnosed with childhood-onset asthma.

机构信息

a Department of Pain, Palliative Care and Integrative Medicine , Children's Hospitals and Clinics of Minnesota , Minneapolis , MN , USA.

b Department of Psychology , Oklahoma State University , Stillwater , OK , USA.

出版信息

Psychol Health Med. 2018 Jan;23(1):69-81. doi: 10.1080/13548506.2017.1325507. Epub 2017 May 19.

DOI:10.1080/13548506.2017.1325507
PMID:28524707
Abstract

The present study examined the impact of asthma-specific thought intrusion (TI) and thought suppression (TS) on two cognitive-affective variables (self-focused attention and fear of negative evaluation) among adolescents and young adults (AYAs) diagnosed with childhood-onset asthma. Participants were 290 AYAs who completed assessment questionnaires and participated in a written exercise electronically. Asthma-TI and TS were reported by participants following participation in a writing assignment. Asthma-TI was associated with increased private, public, and social anxiety self-focused attention, and greater fear of negative evaluation. Interestingly, asthma-TS was not associated with these same outcome variables. Findings suggest illness-specific cognitions are associated with cognitive-affective variables and it may be important to assess for illness-specific intrusive thoughts following asthma-focused medical appointments. Additionally, findings suggest the importance of assessing asthma-TI and TS separately in order to better understand thoughts about health and psychological functioning.

摘要

本研究考察了哮喘特异性思维闯入(TI)和思维抑制(TS)对患有儿童期起病哮喘的青少年和年轻人(AYAs)的两个认知-情感变量(自我关注和对负面评价的恐惧)的影响。参与者为 290 名 AYAs,他们完成了评估问卷并通过电子方式参与了书面练习。参与者在完成写作任务后报告了哮喘-TI 和 TS。哮喘-TI 与增加的私人、公共和社会焦虑的自我关注以及更大的对负面评价的恐惧相关。有趣的是,哮喘-TS 与这些相同的结果变量无关。研究结果表明,疾病特异性认知与认知-情感变量相关,在进行哮喘相关的医疗预约后,评估疾病特异性的侵入性思维可能很重要。此外,研究结果表明,分别评估哮喘-TI 和 TS 以更好地理解关于健康和心理功能的思维非常重要。

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