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首页> 外文期刊>Revista Brasileira de Psiquiatria >Specific and social fears in children and adolescents: separating normative fears from problem indicators and phobias
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Specific and social fears in children and adolescents: separating normative fears from problem indicators and phobias

机译：儿童和青少年的特殊和社会恐惧：将规范性恐惧与问题指标和恐惧症分开

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Objective: To distinguish normative fears from problematic fears and phobias. Methods: We investigated 2,512 children and adolescents from a large community school-based study, the High Risk Study for Psychiatric Disorders. Parent reports of 18 fears and psychiatric diagnosis were investigated. We used two analytical approaches: confirmatory factor analysis (CFA)/item response theory (IRT) and nonparametric receiver operating characteristic (ROC) curve. Results: According to IRT and ROC analyses, social fears are more likely to indicate problems and phobias than specific fears. Most specific fears were normative when mild; all specific fears indicate problems when pervasive. In addition, the situational fear of toilets and people who look unusual were highly indicative of specific phobia. Among social fears, those not restricted to performance and fear of writing in front of others indicate problems when mild. All social fears indicate problems and are highly indicative of social phobia when pervasive. Conclusion: These preliminary findings provide guidance for clinicians and researchers to determine the boundaries that separate normative fears from problem indicators in children and adolescents, and indicate a differential severity threshold for specific and social fears.
机译：目的：将规范性恐惧与有问题的恐惧和恐惧症区分开。方法：我们从一项大型的社区学校研究（精神疾病高风险研究）中调查了2,512名儿童和青少年。调查了父母对18种恐惧和精神病诊断的报告。我们使用了两种分析方法：确认性因素分析（CFA）/项目响应理论（IRT）和非参数接收器工作特性（ROC）曲线。结果：根据IRT和ROC分析，与特定恐惧相比，社会恐惧更可能表示问题和恐惧症。轻度时最具体的恐惧是常态。所有具体的恐惧表示普遍存在问题。此外，对厕所和看起来不寻常的人的处境恐惧高度表明了特定的恐惧症。在社会恐惧中，那些不仅仅局限于表现和对在别人面前书写的恐惧表示温和的问题。所有的社会恐惧感都表明存在问题，并且在普遍存在时高度预示着社交恐惧症。结论：这些初步发现为临床医生和研究人员确定将规范性恐惧与儿童和青少年问题指标分开的界限提供了指导，并指出了针对特定和社会恐惧的不同严重性阈值。

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