儿童行为抑制和过度控制:精神病和同行结果的风险
Molly Fennig Steinhoff1, Ella Sudit2, Nathan A Fox3
1Department of Psychological and Brain Sciences, Washington University in St. Louis.
Developmental psychology
|August 4, 2025
概括
过度控制,而不是行为抑制或与错误相关的消极性,预测了儿童焦虑和同龄人问题恶化. 过度控制可能是将行为抑制与这些负面结果联系起来的关键因素.
科学领域:
- 儿童心理学 儿童心理学
- 发育神经科学的发展神经科学.
- 临床精神病学 临床精神病学
背景情况:
- 行为抑制 (BI),与错误相关的消极性 (ERN) 和过度控制与儿童焦虑,强迫症症状和社会问题有关.
- 这些因素对精神病和社会功能的独立和联合预测能力仍然不清楚.
研究的目的:
- 研究童年BI,ERN和对纵向精神病症状和同伴功能过度控制的独立预测作用.
- 检查过度控制在BI和纵向结果之间的关系中的调解作用.
- 探索ERN是否通过过度控制来调节BI的调解.
主要方法:
- 与123名护理人员进行的长度研究,在基线 (儿童年龄5-6岁) 评估BI,过度控制,精神病和同行功能.
- 86名儿童通过脑电图 (EEG) 完成了去/不去的任务,以测量ERN.
- 两年后,收集了家长关于精神症状和同伴功能的报告.
主要成果:
- 只有过度控制能显著预测随着时间的推移,焦虑和同行关系的恶化.
- 过度控制调解了BI和纵向焦虑之间的关联.
- 过度控制也调解了BI和纵向同行功能之间的关系.
- 但ERN并没有调节这些调解途径.
结论:
- 过度控制增加了儿童精神病和同伴困难的风险,作为将BI与不良结果联系起来的潜在机制.
- 早期识别过度控制的表型对于应对加剧的精神病学和社会挑战至关重要.
- 过度控制对于儿童精神和社会问题来说是一个有前途的治疗目标.
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