{"title":"A longitudinal investigation of the relationships among PTSD symptoms and various cognitive biases in children and adolescents.","authors":"Fulei Geng, Xiaoyan Xiong, Lan Zhang","doi":"10.1080/10615806.2026.2615345","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the prospective associations among cognitive biases, including negative appraisals, attention to threat, belief inflexibility, and jumping to conclusions, and to examine bidirectional relationships between PTSD symptoms and these biases.</p><p><strong>Method: </strong>A total of 1,549 trauma-exposed children and adolescents (52.6% male; mean age = 13.66 years, SD = 1.24) were surveyed at baseline and one-year follow-up using self-report questionnaires. Cross-lagged models were used to examine significant associations via path analysis.</p><p><strong>Results: </strong>Negative appraisals, attention to threat and PTSD symptoms prospectively predicted and were predicted by one another. No significant prospective links were found among attention to threat, belief inflexibility, and jumping to conclusions, although these variables showed strong concurrent correlations. Additionally, baseline PTSD symptoms and negative appraisals were associated with increased belief inflexibility at follow-up.</p><p><strong>Conclusions: </strong>Our findings reveal a vicious circle involving negative appraisals, attention to threat and PTSD symptoms in trauma-exposed children and adolescents. These cognitive biases play a critical role in the development and maintenance of PTSD. Interventions combining multiple forms of cognitive bias modification may enhance PTSD treatment and prevention.</p>","PeriodicalId":51415,"journal":{"name":"Anxiety Stress and Coping","volume":" ","pages":"455-466"},"PeriodicalIF":2.6000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anxiety Stress and Coping","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10615806.2026.2615345","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/12 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: This study aimed to investigate the prospective associations among cognitive biases, including negative appraisals, attention to threat, belief inflexibility, and jumping to conclusions, and to examine bidirectional relationships between PTSD symptoms and these biases.
Method: A total of 1,549 trauma-exposed children and adolescents (52.6% male; mean age = 13.66 years, SD = 1.24) were surveyed at baseline and one-year follow-up using self-report questionnaires. Cross-lagged models were used to examine significant associations via path analysis.
Results: Negative appraisals, attention to threat and PTSD symptoms prospectively predicted and were predicted by one another. No significant prospective links were found among attention to threat, belief inflexibility, and jumping to conclusions, although these variables showed strong concurrent correlations. Additionally, baseline PTSD symptoms and negative appraisals were associated with increased belief inflexibility at follow-up.
Conclusions: Our findings reveal a vicious circle involving negative appraisals, attention to threat and PTSD symptoms in trauma-exposed children and adolescents. These cognitive biases play a critical role in the development and maintenance of PTSD. Interventions combining multiple forms of cognitive bias modification may enhance PTSD treatment and prevention.
期刊介绍:
This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.