Nicole N Capriola-Hall, Jordan A Booker, Thomas H Ollendick
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引用次数: 1
Abstract
Specific phobias are among the most prevalent anxiety disorders in children and adolescents. Although brief and intensive treatments are evidence-based interventions (Davis III et al. Annual Review of Clinical Psychology, 15, 233-256, 2019), up to one-third of youth do not show significant change in their symptoms following these interventions. Hence, consideration of additional factors influencing treatment response is necessary. Child-factors such as temperament and parent-factors such as parenting behaviors both contribute to the development of specific phobias and their maintenance over time. Specifically, we addressed child temperament (negative affectivity) and parenting behaviors (overprotection) that could uniquely predict clinical outcomes for specific phobias and that might interact to inform goodness-of-fit in the context of these interventions. We also considered whether child- and/or parent-gender shaped the effects of temperament or parenting on clinical outcomes. Participants were 125 treatment-seeking youth (M age = 8.80 years; age range = 6-15 years; 51.5% girls) who met criteria for specific phobia and their mothers and fathers. Mothers' reports of children's negative affectivity uniquely predicted poorer specific phobia symptom severity and global clinical adjustment at post-treatment. Interaction effects were supported between parental overprotection and child negative affectivity for post-treatment fearfulness. The direction of these effects differed between fathers and mothers, suggesting that goodness-of-fit is important to consider, and that parent gender may provide additional nuance to considerations of parent-child fit indices.
特异性恐惧症是儿童和青少年中最常见的焦虑症之一。虽然简短治疗和强化治疗是循证干预措施(Davis III 等,《临床心理学年度评论》,15,233-256,2019 年),但多达三分之一的青少年在接受这些干预措施后症状并没有明显改变。因此,有必要考虑影响治疗反应的其他因素。儿童因素(如气质)和父母因素(如养育行为)都会导致特定恐惧症的发展和长期维持。具体来说,我们研究了儿童气质(消极情绪)和父母行为(过度保护),它们可以独特地预测特异性恐惧症的临床结果,并在这些干预措施的背景下相互影响,从而提供合适度信息。我们还考虑了儿童和/或父母的性别是否会影响气质或养育行为对临床结果的影响。研究对象是125名寻求治疗的青少年(中位年龄=8.80岁;年龄范围=6-15岁;51.5%为女孩),他们符合特定恐惧症的标准,同时也包括他们的母亲和父亲。母亲对孩子消极情绪的报告独特地预测了治疗后较差的特殊恐惧症症状严重程度和整体临床适应情况。在治疗后的恐惧感方面,父母的过度保护和儿童的消极情绪之间存在交互效应。这些效应的方向在父亲和母亲之间有所不同,这表明拟合度是需要考虑的重要因素,而父母的性别可能会为亲子拟合度指数的考虑提供更多的细微差别。
期刊介绍:
Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured.
Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.