父母的内化症状作为临床转诊儿童焦虑症状的预测因素。
Parental internalizing symptoms as predictors of anxiety symptoms in clinic-referred children.
作者信息
Fjermestad Krister Westlye, Lium Christina, Heiervang Einar R, Havik Odd E, Mowatt Haugland Bente Storm, Bjelland Ingvar, Henningsen Wergeland Gro Janne
机构信息
Department of Psychology, University of Oslo, Oslo, Norway.
Faculty of Medicine, University of Oslo, Oslo, Norway.
出版信息
Scand J Child Adolesc Psychiatr Psychol. 2020 Mar 18;8:18-24. doi: 10.21307/sjcapp-2020-003. eCollection 2020.
BACKGROUND
Mothers' and fathers' internalizing symptoms may influence children's anxiety symptoms differently.
OBJECTIVE
To explore the relationship between parental internalizing symptoms and children's anxiety symptoms in a clinical sample of children with anxiety disorders.
METHOD
The sample was recruited through community mental health clinics for a randomized controlled anxiety treatment trial. At pre-intervention, children ( = 182), mothers ( = 165), and fathers ( = 72) reported children's anxiety symptoms. Mothers and fathers also reported their own internalizing symptoms. The children were aged 8 to 15 years ( = 11.5 years, SD = 2.1, 52.2% girls) and all had a diagnosis of separation anxiety, social phobia, and/or generalized anxiety disorder. We examined parental internalizing symptoms as predictors of child anxiety symptoms in multiple regression models.
RESULTS
Both mother and father rated internalizing symptoms predicted children's self-rated anxiety levels (adj. = 22.0%). Mother-rated internalizing symptoms predicted mother-rated anxiety symptoms in children (adj. = 7.0%). Father-rated internalizing symptoms did not predict father-rated anxiety in children.
CONCLUSIONS
Clinicians should incorporate parental level of internalizing symptoms in their case conceptualizations.
背景
母亲和父亲的内化症状可能对孩子焦虑症状产生不同影响。
目的
在焦虑症儿童临床样本中探究父母内化症状与孩子焦虑症状之间的关系。
方法
通过社区心理健康诊所招募样本，用于一项随机对照焦虑治疗试验。干预前，儿童（n = 182）、母亲（n = 165）和父亲（n = 72）报告了儿童的焦虑症状。母亲和父亲还报告了他们自己的内化症状。儿童年龄在8至15岁之间（M = 11.5岁，标准差 = 2.1，52.2%为女孩），均被诊断为分离焦虑、社交恐惧症和/或广泛性焦虑症。我们在多元回归模型中检验了父母内化症状作为儿童焦虑症状预测因素的情况。
结果
母亲和父亲评定的内化症状均能预测儿童自评焦虑水平（调整R² = 22.0%）。母亲评定的内化症状能预测母亲评定的儿童焦虑症状（调整R² = 7.0%）。父亲评定的内化症状不能预测父亲评定的儿童焦虑情况。
结论
临床医生应将父母内化症状水平纳入病例概念化过程中。
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