The mediating effect of trauma and stressor related symptoms and ruminations on the relationship between autistic traits and mood spectrum
The mediating effect of trauma and stressor related symptoms and ruminations on the relationship between autistic traits and mood spectrum
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DOI：
10.1016/j.psychres.2018.10.040
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发表时间：
2019-09-01
影响因子：
11.3
通讯作者：
Gesi, Camilla
中科院分区：
文献类型：
--
作者：
Dell'Osso, Liliana;Carpita, Barbara;Gesi, Camilla
越来越多的研究强调了自闭症特征（AT）和情绪谱症状之间的显著相关性。此外，最近的数据显示，高AT的个体可能会出现创伤和压力相关疾病。本研究旨在探讨AT与大学生情绪症状之间的关系，特别关注AT与反刍和创伤相关症状如何相互作用以预测情绪症状。对来自意大利三所优秀大学的178名学生进行了DSM-5 （SCID-5）结构化临床访谈、成人自闭症亚阈值谱（AdAS谱）、反思反应量表（RRS）、创伤与损失谱（tal）和情绪谱（心境）评估。考虑到AdAS谱总分，133名受试者（74.7%）被划分为“低分”，45名受试者（25.3%）被划分为“高分”。高分组学生的RRS、TALS-SR和MOOD-SR总分均显著高于高分组。AdAS谱总分对mods - sr总分的总影响和直接影响均有统计学意义。AdAS总分通过tal和RRS总分对mods - sr总分也有显著的间接影响。结果表明，AT与情绪谱之间存在显著的关系，而情绪谱部分由反刍和创伤/压力相关症状介导。
An increasing number of studies highlighted significant correlations between autistic traits (AT) and mood spectrum symptoms. Moreover, recent data showed that individuals with high AT are likely to develop trauma and stressor-related disorders. This study aims to investigate the relationship between AT and mood symptoms among university students, focusing in particular on how AT interact with ruminations and trauma-related symptomatology in predicting mood symptoms. 178 students from three Italian Universities of excellence were assessed with The Structured Clinical Interview for DSM-5 (SCID-5), the Adult Autism Subthreshold Spectrum (AdAS Spectrum), the Ruminative Response Scale (RRS), the Trauma and Loss Spectrum (TALS) and the Moods Spectrum (MOODS). Considering the AdAS Spectrum total scores, 133 subjects (74.7%) were categorized as "low scorers" and 45 subjects (25.3%) as "high scorers". Students in the high scorer group showed significantly higher scores on RRS, TALS-SR and MOOD-SR total scores. Total and direct effects of AdAS Spectrum total score on MOODS-SR total score were both statistically significant. AdAS Spectrum total score also showed a significant indirect effect on MOODS-SR total score through TALS and RRS total scores. Results showed a significant relationship between AT and mood spectrum, which is partially mediated by ruminations and trauma/stressorrelated symptomatology.