Mapping the time course of overt emotion dysregulation, self-injurious behavior, and aggression in psychiatrically hospitalized autistic youth: A naturalistic study.
Mapping the time course of overt emotion dysregulation, self-injurious behavior, and aggression in psychiatrically hospitalized autistic youth: A naturalistic study.
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DOI：
10.1002/aur.2773
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发表时间：
2022-10
期刊：
影响因子：
4.7
通讯作者：
Mazefsky, Carla A.
中科院分区：
文献类型：
--
作者：
Northrup, Jessie B.;Goodwin, Matthew S.;Peura, Christine B.;Chen, Qi;Taylor, Briana J.;Siegel, Matthew S.;Mazefsky, Carla A.
关键词：
情绪失调、自残行为（SIB）和攻击性的挑战在自闭症患者中很常见。先前对这些行为之间关系的研究主要局限于父母报告数据的横截面相关性。了解情绪失调、SIB和攻击如何实时呈现并相互关联，可以增加我们对这些行为的背景和功能的理解。本研究调查了53名精神病住院的自闭症青少年这些行为的实时发生和时间关系。在医院的日常活动中进行了500多个小时的行为观察。公开情绪失调、SIB和攻击行为的开始和停止时间使用定制的手机应用程序进行实时编码。结果表明，这些行为的频率和持续时间以及它们的共同发生存在很大的个体差异。SIB和攻击行为都与显性情绪失调同时发生，且发生率高于偶然水平，这表明情绪困扰在这些行为的发生中起着重要作用。然而，在共同发生的个体内部和个体之间存在很大的差异，并且SIB和攻击通常（对某些个体来说，几乎总是）在没有明显情绪失调的情况下发生。与此相关，交叉复发定量分析显示，SIB和攻击发生在情绪失调之前的频率高于情绪失调发生在SIB和攻击之前的频率。未来的研究可能需要使用动态心理生理测量，以了解情绪失调是否可能有时存在，但在SIB和攻击期间不易观察到。这项研究提供了对自闭症患者的显性情绪失调（即可见的痛苦）、攻击和自我伤害如何实时展现的见解。参与者是住在精神病院的53名自闭症青少年。研究人员观察了参与者在医院病房的日常活动，并注意到攻击、自残行为和情绪失调的情况。结果表明，攻击和自伤有时会出现明显的痛苦迹象，但也经常没有明显的痛苦。此外，可观察到的痛苦在这些行为之后的时刻比之前的时刻更常见。
Challenges with emotion dysregulation, self-injurious behavior (SIB), and aggression are common in autistic individuals. Prior research on the relationships between these behaviors is limited mainly to cross-sectional correlations of parent-report data. Understanding how emotion dysregulation, SIB, and aggression present and relate to one another in real-time could add to our understanding of the context and function of these behaviors. The present study examined the real-time occurrence and temporal relationships between these behaviors in 53 psychiatrically hospitalized autistic youth. Over 500 hours of behavioral observation occurred during everyday activities in the hospital. Start and stop times for instances of overt emotion dysregulation, SIB, and aggression were coded live using a custom mobile phone app. Results indicated large individual variability in the frequency and duration of these behaviors and their co-occurrence. Both SIB and aggression co-occurred with overt emotion dysregulation at above-chance levels, suggesting a role for emotional distress in the occurrence of these behaviors. However, there was substantial variability within and between individuals in co-occurrence, and SIB and aggression often (and for some individuals, almost always) occurred without overt emotion dysregulation. Relatedly, cross-recurrence quantitative analysis revealed that SIB and aggression preceded emotion dysregulation more often than emotion dysregulation preceded SIB and aggression. Future research, perhaps using ambulatory psychophysiological measures, is needed to understand whether emotion dysregulation may sometimes be present but not easily observed during SIB and aggression. This study provides insight into how overt emotion dysregulation (i.e., visible distress), aggression, and self-injury unfold in real-time for autistic individuals. Participants were 53 autistic youth staying in a psychiatric hospital. Research staff observed participants in everyday activities on the hospital unit and noted instances of aggression, self-injurious behavior, and emotion dysregulation. Results suggest that aggression and self-injury sometimes occur with visible signs of distress but also often occur without visible distress. In addition, observable distress was more common in the moments after these behaviors than in the moments before.
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影响因子：
5.2
作者：
Patel, Shivani;Day, Taylor N.;Mazefsky, Carla A.
通讯作者：
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影响因子：
4.1
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作者：
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通讯作者：
Pilkonis, Paul A.