Treadwell K R, Kendall P C
Department of Psychology, Temple University, Philadelphia, Pennsylvania 19122, USA.
J Consult Clin Psychol. 1996 Oct;64(5):941-50. doi: 10.1037//0022-006x.64.5.941.
This study investigated the relationship between childhood anxiety disorders, the valence and content of self-statements, and the impact of treatment on the internal dialogue. Participants (151 8- to 13-year-olds) included 71 youth with anxiety disorders and 80 control participants. Positive and negative self-statements and a states-of-mind (SOM) ratio were examined. Results indicated that the negative self-statements and SOM ratio (but not positive self-statements) of children with anxiety disorders significantly predicted anxiety. Results also indicated that negative (but not positive cognition) and SOM ratio predicted improvement in anxiety after treatment and mediated treatment gains. Results of analyses to explore the content specificity hypothesis were mixed. The impact of negative self-talk on children's anxious symptomatology and favorable treatment outcome is discussed.
本研究调查了儿童焦虑症、自我陈述的效价和内容之间的关系,以及治疗对内心对话的影响。参与者(151名8至13岁儿童)包括71名患有焦虑症的青少年和80名对照参与者。对积极和消极的自我陈述以及心境(SOM)比率进行了检查。结果表明,患有焦虑症儿童的消极自我陈述和SOM比率(而非积极自我陈述)能显著预测焦虑。结果还表明,消极(而非积极认知)和SOM比率可预测治疗后焦虑的改善情况,并介导治疗效果。探索内容特异性假设的分析结果喜忧参半。本文讨论了消极自我对话对儿童焦虑症状和良好治疗结果的影响。