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选择性沉默症的家庭适应:患病率,与症状严重程度的关系以及测量/评估方面的问题

Julia Fisher¹, Melanie J Wadkins², Steven Kurtz³

¹Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.

Child psychiatry and human development

|June 30, 2025

概括

父母的适应性在选择性无声症 (SM) 的儿童中很常见,但发生的频率较少,痛苦也比预期的要小. 适应和MS症状严重程度之间没有联系,这表明需要专门的评估工具.

科学领域:

儿童和青少年精神病学儿童和青少年精神病学
临床心理学临床心理学
发展心理学发展心理学

背景情况:

父母适应,即照顾者修改他们的行为以避免引发孩子的焦虑,是焦虑障碍的常见因素.
选择性沉默症 (SM) 是一种焦虑障碍,其特点是儿童在特定的社会情况下始终无法说话.
了解父母在SM中的适应性对于制定有效的治疗策略至关重要.

研究的目的:

确定选择性沉默症 (SM) 和相关疾病的儿童中父母适应的流行率.
为了比较不同诊断组的父母住宿,包括MS,并发性焦虑,其他焦虑障碍和非焦虑障碍.
检查MS症状的严重程度与父母适应程度之间的关系.

主要方法:

评估了诊断为MS的儿童 (n=38),伴随性焦虑的SM (n=28),其他焦虑障碍 (n=34) 和非焦虑障碍 (n=30) 的临床样本.
父母填写了家庭适应度-焦虑度 (FASA) 调查问卷,以衡量适应行为.
额外的措施评估了焦虑和SM症状严重程度.

主要成果:

父母的住宿在SM样本中普遍存在.
适应发生的频率较低,父母的痛苦也比假设的要低.
没有发现父母适应和SM症状严重程度之间有显著的相关性.

结论:

这些发现表明,父母的适应性是选择性无声症的一个共同特征,尽管可能比以前假设的不那么普遍和痛苦.
适应和症状严重程度之间缺乏相关性表明,当前的评估工具可能无法完全捕捉SM适应的细微差别.
显然,临床上需要一种专门的措施来准确评估选择性沉默症儿童独特的父母适应行为.

关键词:

焦虑焦虑是一种焦虑.评估评估的方法家长的住宿条件选择性沉默是一种选择性沉默.

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