Oxford Health NHS Foundation Trust, University of Oxford, Oxford, UK.
Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK.
Clin Child Fam Psychol Rev. 2020 Sep;23(3):379-392. doi: 10.1007/s10567-020-00316-2.
Current cognitive models of social anxiety disorder (SAD) in adults indicate that negative self-images play a pivotal role in maintaining the disorder. However, little is known about the role of negative imagery in the maintenance of social anxiety for children and young people. We systematically reviewed studies that have investigated the association between imagery and social anxiety in children and young people. Four databases were searched for 'social anxiety' and related terms (including 'social phobia' and 'performance anxiety') combined with 'imagery', 'representation*', and 'observer perspective'. The nine studies that met the inclusion criteria provided some evidence that children and young people with higher social anxiety report more negative, observer's perspective images, and some evidence to support the cognitive models of SAD's conceptualisation of imagery. Only two studies included samples with pre-adolescent children. The literature is limited by a number of methodological issues, including inconsistencies in, and a lack of good psychometric measures for, imagery in children and young people. More conclusive evidence is needed to develop significant and robust conclusions.
目前，针对成人社交焦虑障碍（SAD）的认知模型表明，消极的自我形象在维持该障碍方面起着关键作用。然而，对于儿童和青少年的社交焦虑中，意象的作用知之甚少。我们系统地回顾了研究儿童和青少年之间意象与社交焦虑之间关系的研究。四个数据库以“社交焦虑”和相关术语（包括“社交恐惧症”和“表现焦虑”）与“意象”、“表象”和“观察者视角”进行了搜索。符合纳入标准的九项研究提供了一些证据表明，社交焦虑程度较高的儿童和青少年报告了更多的消极、观察者视角的意象，并且有一些证据支持 SAD 意象认知模型的概念化。只有两项研究纳入了青春期前儿童的样本。该文献受到许多方法学问题的限制，包括儿童和青少年意象的不一致性和缺乏良好的心理测量学测量。需要更确凿的证据来得出重要而稳健的结论。
