Parent descriptions of the presentation and management of anxiousness in children on the autism spectrum
Parent descriptions of the presentation and management of anxiousness in children on the autism spectrum
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DOI：
10.1177/1362361318794031
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发表时间：
2019-05-01
期刊：
影响因子：
5.2
通讯作者：
Keen, Deb
中科院分区：
文献类型：
--
作者：
Adams, Dawn;Young, Kate;Keen, Deb
焦虑和自闭症之间复杂的相互作用导致了关于焦虑在个体中的表现的辩论，以及关于传统检查表评估整个自闭症范围的程度的问题。此外，迄今为止的研究还没有探讨焦虑的表现如何在不同的环境中有所不同。通过开放式问题，封闭式问题和标准化措施的组合，173名自闭症谱系儿童（6-13岁）的父母提供了（1）他们孩子在家庭，学校和社区中焦虑的描述符，以及（2）用于减少孩子在每种环境中焦虑的策略。超过一半（52.6%）的人认为他们的孩子在家里焦虑，在学校焦虑占77.6%，在社区焦虑占76.2%。父母报告了不同环境之间的焦虑表现，大多数描述与可观察到的行为变化（例如隐藏/关闭，重复行为）有关，而不是认知或生理迹象。家长们还报告说，他们在不同的环境中使用不同的策略。开放式问题的使用允许识别传统问卷中未探索的焦虑迹象，并强调了迹象在不同环境中的可能性。这些知识对于制定或调整焦虑措施和干预措施至关重要。
The complex interaction between anxiety and autism has led to debate about the presentation of anxiety in individuals on the spectrum and questions about the extent to which traditional checklists assess the entire range of symptomatology. Moreover, studies to date have not explored how the presentation of anxiety may differ between settings. Through a combination of open-ended questions, closed questions and standardised measures, parents of 173 children (aged 6-13) on the autism spectrum provided (1) descriptors of their child's anxiety at home, school and in the community and (2) strategies used to reduce their child's anxiety in each setting. Over half (52.6%) felt their child was anxious at home, 77.6% at school and 76.2% in the community. Parents reported differing presentations of anxiety between settings, with the majority of descriptions relating to observable, behavioural changes (e.g. hides/shuts down, repetitive behaviours) rather than cognitive or physiological signs. Parents also reported using different strategies across settings. The use of open-ended questions allowed the identification of signs of anxiety not explored within traditional questionnaires and highlighted the potential for signs to vary across settings. This knowledge is critical to inform the development or adaptations of anxiety measures and interventions.