沉默压力:选择性沉默症儿童在口头和非口头任务期间的精神生理激发
N Nikki Nibbering1, S Sophie van Rijn1, E J Eva Brouwer1
1Faculty of Social Sciences, Education and Child studies, Clinical Neurodevelopmental Sciences, Leiden University, Leiden, The Netherlands.
Child psychiatry and human development
|January 9, 2026
概括
具有选择性默默症 (SM) 的儿童使用沉默作为应对机制,以减少社交互动期间的兴奋. 这项研究发现MS儿童的慢性压力较高,支持有针对性的干预措施.
科学领域:
- 儿童心理学 儿童心理学
- 压力和焦虑障碍 压力和焦虑障碍
- 情绪调节 情绪调节
背景情况:
- 选择性沉默 (SM) 具有在社交场合保持一致的沉默的特点,通常归因于社会沟通焦虑.
- 客观证据将急性压力反应与MS小孩的沉默联系起来是有限的.
- 了解急性和慢性压力的作用对于有效的干预至关重要.
研究的目的:
- 调查选择性沉默症儿童沉默背后的与压力相关的机制.
- 在患有MS的儿童中,在社会交流任务期间区分急性和慢性压力反应.
- 探索压力标志物和SM严重程度之间的关系.
主要方法:
- 八十三名4-8岁的儿童 (37名MS,46名对照),参与了口头和非口头社交互动任务.
- 在预测,表现和恢复阶段持续监测心率 (HR).
- 使用头发皮质醇度 (HCC) 来评估慢性压力.
主要成果:
- 与对照人群相比,患有MS的儿童在社交任务中表现出较高的休息HR和更高的兴奋.
- 在口头任务中,SM小组表现出的HR反应性,这表明沉默的应对效应.
- 肌痛性肌痛组的HCC水平显著更高,表明慢性压力增加,但没有发现与肌痛性肌痛性肌痛严重程度的相关性.
结论:
- 选择性沉默中的沉默可能作为一种情绪调节策略,以缓解预期口头要求的兴奋.
- 调查结果强调了压力减轻和基于暴露的干预措施对MS儿童的重要性.
- 干预措施应侧重于帮助儿童应对预期的威胁,从而改善兴奋调节.
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