Department of Psychology, University of Miami, Coral Gable, FL, 33146, USA.
Child Psychiatry Hum Dev. 2021 Dec;52(6):1032-1043. doi: 10.1007/s10578-020-01078-2. Epub 2020 Oct 17.
Theoretical models suggest parent anxiety leads to increased anxiogenic parenting, an important etiological factor for child anxiety disorders. Evidence suggests that parents engage in anxiogenic parenting to reduce distress in response to their child's anxiety; however, further study of this mechanism is needed. Cognitive risk factors, including distress intolerance, anxiety sensitivity, emotion-related impulsivity, and repetitive negative thinking are promising to examine as they impact emotion regulation. This study examined whether an indirect association between parent anxiety and anxiogenic parenting via these risk factors exists, and if child anxiety moderated this effect. Findings demonstrated evidence for an indirect association via distress intolerance in mothers at high levels of child anxiety, but not low levels. An unmoderated indirect effect via emotion-related impulsivity was found. Anxiety sensitivity and repetitive negative thinking did not demonstrate significant indirect effects. These findings suggest distress intolerance and emotional-related impulsivity may be targets for parent-focused child anxiety treatments.
理论模型表明，父母的焦虑会导致焦虑养育增加，这是儿童焦虑障碍的一个重要病因。有证据表明，父母采用焦虑养育方式是为了减轻孩子焦虑时的痛苦；然而，需要进一步研究这种机制。认知风险因素，包括痛苦耐受力、焦虑敏感性、情绪相关冲动性和重复性消极思维，很有希望作为影响情绪调节的因素进行研究。本研究检验了父母焦虑通过这些风险因素与焦虑养育之间是否存在间接关联，以及儿童焦虑是否调节了这种效应。研究结果表明，在儿童焦虑水平高的母亲中，痛苦耐受力存在间接关联，但在儿童焦虑水平低的母亲中不存在。通过情绪相关冲动性发现了一个无调节的间接效应。焦虑敏感性和重复性消极思维没有表现出显著的间接影响。这些发现表明，痛苦耐受力和情绪相关冲动性可能是针对父母为中心的儿童焦虑治疗的目标。
