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Positive thinking in anxiety disordered children reconsidered
Sanne M Hogendoorn1, Pier J M Prins, Leentje Vervoort
1Academic Medical Center, Department of Child and Adolescent Psychiatry/de Bascule, Meibergdreef 5, 1105 AZ Amsterdam, The Netherlands. s.m.hogendoorn@amc.uva.nl
Anxious children have more negative thoughts and fewer positive thoughts than non-anxious children. The ratio of positive to negative thoughts (State of Mind ratio) is also lower in anxious youth, impacting anxiety levels.
Area of Science:
- Cognitive psychology
- Child psychology
- Clinical psychology
Background:
- Negative thoughts are central to anxiety development and maintenance.
- The role of positive thoughts in anxiety remains unclear.
- Cognitive models of anxiety primarily focus on negative cognitions.
Purpose of the Study:
- To investigate the role of negative and positive self-statements in childhood anxiety.
- To compare thought patterns in anxious versus non-anxious children.
- To determine the predictive power of thought patterns on anxiety levels.
Main Methods:
- Study included 139 children with anxiety disorders and 293 non-anxious children, aged 8-18 years.
- Assessed negative and positive self-statements and calculated State of Mind (SOM) ratios.
- Utilized regression analyses to identify predictors of anxiety levels.
Main Results:
- Anxious children reported significantly more negative thoughts and fewer positive thoughts than non-anxious children.
- Anxious children exhibited lower State of Mind (SOM) ratios compared to non-anxious peers.
- Negative thoughts and SOM ratios were key predictors of anxiety in anxious children; both positive and negative thoughts predicted anxiety in non-anxious children.
Conclusions:
- A deficit in positive thinking may be a significant factor in childhood anxiety, not just a byproduct.
- The findings suggest positive thoughts warrant inclusion in cognitive models of anxiety.
- Understanding the balance of positive and negative thoughts is crucial for addressing childhood anxiety.
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