Assessment and Treatment of Anxiety in Youth With Autism Spectrum Disorders
Assessment and Treatment of Anxiety in Youth With Autism Spectrum Disorders
复制标题
DOI：
10.1542/peds.2015-2851j
复制
发表时间：
2016-02-01
期刊：
影响因子：
8
通讯作者：
Coury, Daniel L.
中科院分区：
文献类型：
--
作者：
Vasa, Roma A.;Mazurek, Micah O.;Coury, Daniel L.
焦虑：焦虑是自闭症谱系障碍（ASD）青少年最常见的共同症状之一。这里提出的评估和治疗建议的目的是帮助初级保健提供者的评估和治疗的焦虑在ASD.METHODS：孤独症说话孤独症治疗网络/孤独症干预研究身体健康焦虑工作组，一个多学科的临床医生和研究人员在ASD的专业知识，制定了临床建议。这些建议是基于现有的科学证据，焦虑治疗，无论是在青年与ASD和典型的发展中的青年，和临床共识的ESTA在那里的数据缺乏。结果：评估焦虑需要一个系统的方法来评估症状和潜在的影响因素，在不同的发展水平。治疗建议包括心理教育，护理协调和改进的认知行为治疗，特别是对高功能ASD的儿童和青少年。由于有限的证据基础，在ASD，焦虑的药物应谨慎地规定与密切监测潜在的好处和副作用.CONCLUSIONS：评估和治疗临床焦虑的青年ASD需要一个标准化的方法，以改善青年ASD的结果。虽然这种方法为临床医生提供了一个框架，但在对个体患者做出决定时，建议进行临床判断。
OBJECTIVES: Anxiety is one of the most prevalent co-occurring symptoms in youth with autism spectrum disorder (ASD). The assessment and treatment recommendations proposed here are intended to help primary care providers with the assessment and treatment of anxiety in ASD.METHODS: The Autism Speaks Autism Treatment Network/Autism Intervention Research on Physical Health Anxiety Workgroup, a multidisciplinary team of clinicians and researchers with expertise in ASD, developed the clinical recommendations. The recommendations were based on available scientific evidence regarding anxiety treatments, both in youth with ASD and typically developing youth, and clinical consensus of the workgroup where data were lacking.RESULTS: Assessment of anxiety requires a systematic approach to evaluating symptoms and potential contributing factors across various developmental levels. Treatment recommendations include psychoeducation, coordination of care, and modified cognitive-behavioral therapy, particularly for children and adolescents with high-functioning ASD. Due to the limited evidence base in ASD, medications for anxiety should be prescribed cautiously with close monitoring of potential benefits and side effects.CONCLUSIONS: Assessment and treatment of clinical anxiety in youth with ASD require a standardized approach to improve outcomes for youth with ASD. Although this approach provides a framework for clinicians, clinical judgment is recommended when making decisions about individual patients.