Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation.
Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation.
复制标题
患有自闭症谱系障碍和焦虑症的青少年的愤怒爆发：现象学以及与家庭住宿的关系。
DOI：
10.1007/s10578-022-01489-3
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发表时间：
2022
影响因子：
2.9
通讯作者：
Storch,EricA
中科院分区：
文献类型：
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作者：
Townsend,AllieN;Guzick,AndrewG;Hertz,AlyssaG;Kerns,ConnorM;Goodman,WayneK;Berry,LeandraN;Kendall,PhilipC;Wood,JeffreyJ;Storch,EricA
愤怒爆发（AO）与焦虑儿童的严重症状，损伤和较差的治疗结果有关，尽管有限的研究已经检查了患有自闭症和焦虑症的青少年的AO。本研究通过评估自闭症和焦虑儿童的临床特征、家庭适应和焦虑治疗后AO的变化来研究AO。样本包括167名患有自闭症和焦虑的青少年，他们参加了一项多中心随机临床试验，比较了标准护理CBT对焦虑的影响，CBT适用于自闭症青少年，以及常规护理。大多数参与者（60%）患有AO，这导致了焦虑和自闭症之外的障碍。AO通过父母调节通路间接影响功能障碍。焦虑集中治疗可降低AO。研究结果强调AO在该人群中很常见，并且是功能障碍的独特原因，表明需要直接靶向治疗。
Anger outbursts (AO) are associated with severe symptoms, impairment and poorer treatment outcomes for anxious children, though limited research has examined AO in youth with co-occurring autism and anxiety disorders. This study examined AO in children with autism and anxiety by evaluating clinical characteristics, family accommodation, and changes in AO following anxiety-focused treatment. The sample comprised 167 youth with autism and anxiety enrolled in a multi-site randomized clinical trial comparing standard care CBT for anxiety, CBT adapted for youth with autism, and usual care. Most participants (60%) had AO, which contributed to impairment above and beyond anxiety and autism. AO impacted functional impairment indirectly through a pathway of parental accommodation. AO reduced with anxiety-focused treatment. Findings highlight that AO are common in this population and uniquely contribute to functional impairment, indicating a need for direct targeting in treatment.