School of Psychology and Clinical Language Sciences, University of Reading, UK.
Br J Clin Psychol. 2018 Jun;57(2):148-162. doi: 10.1111/bjc.12170. Epub 2018 Jan 16.
It has been suggested that elevated maternal social anxiety may play a disorder-specific role in maintaining childhood social anxiety disorder (SAD), but few studies have examined whether mothers of children with SAD are more socially anxious than mothers of children with other anxiety disorders (ANX). This study set out to examine whether symptoms of social anxiety were more severe amongst mothers of 7-12 year old children presenting for treatment with SAD (n = 260) compared to those presenting with ANX (n = 138). In addition, we examined whether there were differences between these two groups in terms of maternal and paternal general anxiety, depression, and stress.
Parents of 7-12 year old children referred for treatment of SAD or ANX completed self-report questionnaire measures of emotional symptoms.
Compared to mothers of children with ANX, mothers of children with SAD reported significantly higher levels of social anxiety, general anxiety, and depression. In addition, fathers of children with SAD reported significantly higher levels of anxiety, stress, and depression than fathers of children with ANX.
This study is one of the few existing studies that have examined mothers' and fathers' psychopathology across different childhood anxiety disorders. Compared to parents of children with ANX, parents of children with SAD may have poorer mental health which may inhibit optimum child treatment outcomes for children with SAD. Thus, targeting parental psychopathology may be particularly important in the treatment of childhood SAD.
Consideration of parental psychopathology may be particularly important in the treatment of childhood social anxiety disorder. Mothers of children with social anxiety disorder are more socially anxious than mothers of children with other anxiety disorders Fathers of children with social anxiety disorder are more anxious and depressed than fathers of children with other anxiety disorders Participants were predominantly of high socioeconomic status. Parental diagnostic information was not obtained.
有人认为,升高的孕产妇社交焦虑可能在维持儿童社交焦虑障碍(SAD)方面具有特定障碍的作用,但很少有研究检查患有 SAD 的儿童的母亲是否比患有其他焦虑障碍(ANX)的儿童的母亲更具有社交焦虑。本研究旨在检查 7-12 岁儿童中患有 SAD(n=260)的儿童的母亲与患有 ANX(n=138)的儿童的母亲相比,社交焦虑症状是否更严重。此外,我们还检查了这两组母亲和父亲在一般焦虑,抑郁和压力方面是否存在差异。
7-12 岁儿童的父母因 SAD 或 ANX 而接受治疗,他们完成了情绪症状的自我报告问卷测量。
与患有 ANX 的儿童的母亲相比,患有 SAD 的儿童的母亲报告了更高水平的社交焦虑,一般焦虑和抑郁。此外,患有 SAD 的儿童的父亲报告了比患有 ANX 的儿童的父亲更高的焦虑,压力和抑郁水平。
这项研究是少数检查不同儿童焦虑症的父母精神病理学的研究之一。与患有 ANX 的儿童的父母相比,患有 SAD 的儿童的父母可能心理健康状况较差,这可能会抑制患有 SAD 的儿童的最佳儿童治疗效果。因此,针对父母的精神病理学可能在儿童 SAD 的治疗中尤为重要。
考虑父母的精神病理学在儿童社交焦虑障碍的治疗中可能特别重要。患有社交焦虑症的儿童的母亲比患有其他焦虑症的儿童的母亲更具社交焦虑患有社交焦虑症的儿童的父亲比患有其他焦虑症的儿童的父亲更焦虑和抑郁。参与者主要来自高社会经济地位。未获得父母的诊断信息。