摘要
目的探讨焦虑障碍(anxiety disorder,AD)青少年患者的注意偏向特点。方法收集符合DSM-5诊断标准焦虑障碍青少年患者40例,并同期收集性别、年龄和受教育程度匹配的正常对照组40例。采用儿童焦虑性情绪障碍筛查量表(the screen for child anxiety related emotional disorders,SCARED)进行症状评估,采用注意偏向任务对两组受试者进行注意偏向进行评估。采用SPSS 21.0对数据进行统计分析。结果(1)注意偏向任务测试中,病例组负性反应时小于中性反应时[(647.14±94.44)ms,(661.08±112.07)ms],病例组注意偏向值大于正常对照组[(13.93±33.27)ms,(-0.13±18.49)ms],均差异具有统计学意义(均P<0.05)。(2)在SCARED量表总分及各因子分中,SCARED总分与中性正确率成负相关(r=-0.38),分离性焦虑因子分与负性正确率成负相关(r=-0.52),社交恐怖因子分与负性正确率(r=-0.45)及中性正确率(r=-0.43)呈负相关(均P<0.05);躯体化、广泛性焦虑及学校恐怖与注意偏向测试分不存在相关性(P>0.05)。结论焦虑障碍青少年患者更快关注负性刺激,并难以将注意力从负性刺激转移,对中性刺激的回避可能是焦虑障碍青少年患者症状严重程度的危险因素。
Objective To investigate the characteristics of attentional bias in adolescents with anxiety disorder.Methods Totally 40 adolescents with anxiety disorder who met the DSM-5 diagnostic criteria were recruited as the case group,40 normal adolescents matched with the case group in terms of gender,age and education level were served as the control group.Symptom was assessed by the screen for child anxiety related emotional disorders(SCARED),and attention bias was assessed by attention bias test on both groups.All data were analyzed using SPSS 21.0.Results(1)In the test of attentional bias,the negative reaction of the case group was lower than the neutral response((647.14±94.44)ms,(661.08±112.07)ms),and the attention bias value of the case group was higher than the control group((13.93±33.27)ms,(-0.13±18.49)ms),the differences were statistically significant(both P<0.05).(2)In the total score and each factor score of SCARED,total score of SCARED was negatively correlated with the negative accuracy rate(r=-0.38),and the separation anxiety score was negatively correlated with the negative accuracy rate(r=-0.52),social terrorism scores were negatively correlated with negative accuracy(r=-0.45)and neutral accuracy(r=-0.43)(all P<0.05).The correlation between somatization,generalized anxiety and school terror with attention bias test were not significant(P>0.05).Conclusion Adolescents with anxiety disorder are more concerned with negative stimuli,and it is difficult to shift attention from negative stimuli to others.The avoidance to neutral stimuli may be a risk factor for the severity of symptoms in adolescents with anxiety disorders.
作者
李欣
李晓驷
钟慧
莫大明
耿峰
朱丽
程丽
陈彬彬
Li Xin;Li Xiaosi;Zhong Hui;Mo Daming;Geng Feng;Zhu Li;Cheng Li;Chen Binbin(Department of Psychology of Anhui Medical University,Hefei 230022,China;Mental Health Clinical College of Anhui Medical University,Anhui Mental Health Center,Hefei 230022,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2020年第4期332-336,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
合肥市卫生计生委应用医学研究项目(hwk2016zc012)。
关键词
注意偏向
负性刺激
焦虑障碍
青少年
Attention bias
Negative stimulation
Anxiety disorder
Adolescents
