Schimmenti Adriano, Bifulco Antonia
Faculty of Human and Social Sciences, UKE - Kore University of Enna, Cittadella Universitaria, 94100, Italy.
Department of Psychology, Middlesex University, London, UK.
Child Adolesc Ment Health. 2015 Feb;20(1):41-48. doi: 10.1111/camh.12051. Epub 2013 Dec 9.
Emotional neglect can be characterized as cold or critical parenting and denotes a parent intentionally or unintentionally overlooking the signs that a child needs comfort or attention and ignoring its emotional needs. Parental emotional neglect is widely posited as an antecedent of anxiety disorder, with attachment researchers arguing for anxious-ambivalent attachment style as a mediating factor.
Childhood experience of neglect and abuse, including antipathy (cold, critical parenting), attachment styles, and anxiety disorders were assessed in a high-risk sample of 160 adolescents and young adults by means of interview measures.
Antipathy was associated with 12-month prevalence of anxiety disorders in the sample. Anxious-ambivalent attachment scores statistically mediated the relationship between antipathy and anxiety disorders.
Clinicians treating anxiety disorders in youths need to consider that emotional neglect in childhood in the form of antipathy could lead to anxious-ambivalent internal working models operating around fear of rejection and fear of separation.
情感忽视可表现为冷漠或挑剔的养育方式，指父母有意或无意地忽略孩子需要安慰或关注的迹象，忽视其情感需求。父母的情感忽视被广泛认为是焦虑症的一个先兆，依恋研究人员认为焦虑矛盾型依恋风格是一个中介因素。
通过访谈措施，对160名青少年和青年的高风险样本评估了童年期的忽视和虐待经历，包括反感（冷漠、挑剔的养育方式）、依恋风格和焦虑症。
在该样本中，反感与焦虑症的12个月患病率相关。焦虑矛盾型依恋得分在统计学上介导了反感与焦虑症之间的关系。
治疗青少年焦虑症的临床医生需要考虑，童年期以反感形式出现的情感忽视可能导致围绕害怕被拒绝和害怕分离而运作的焦虑矛盾型内部工作模式。
