Changes in anxiety following a randomized control trial of a theatre-based intervention for youth with autism spectrum disorder.
Changes in anxiety following a randomized control trial of a theatre-based intervention for youth with autism spectrum disorder.
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DOI：
10.1177/1362361316643623
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发表时间：
2017-04
期刊：
影响因子：
--
通讯作者：
Balser M
中科院分区：
文献类型：
--
作者：
Corbett BA;Blain SD;Ioannou S;Balser M
在自闭症谱系障碍儿童中经常发现焦虑和压力增加，并与社会挑战有关。最近，我们报道了在同伴介导的戏剧干预后社会能力的变化。本研究的目的是检验干预对减少焦虑和压力的影响。参与者包括30名患有自闭症谱系障碍的青少年（8 - 14岁），他们被随机分配到实验组（17）和等候组（13）。经测试前调整后，对状态焦虑、特质焦虑、基于游戏的皮质醇和每日皮质醇进行组间差异分析。在焦虑、皮质醇和小组游戏之间进行Pearson相关性研究。经前测校正后，实验组特质焦虑差异显著（F(1,27)= 9.16, p=0.005），状态焦虑差异不显著（F(1,27)=0.03, p=0.86），实验组特质焦虑水平较低。皮质醇在组间没有差异。小组游戏与特质焦虑呈显著负相关（r= - 0.362, p=0.05）。操场皮质醇与实验组的群体游戏相关（r=0.55, p=0.03）。以戏剧为基础的同伴干预不仅有助于提高自闭症谱系障碍青少年的社交能力，而且有助于减少与同伴进行更多社交互动相关的特质焦虑。结果表明，某种程度的生理唤醒对于社会互动是必不可少的。
Increased anxiety and stress are frequently found in children with autism spectrum disorder and are associated with social challenges. Recently, we reported changes in social competence following peer-mediated, theatre-based intervention. The purpose of this study was to examine the impact of the intervention on reducing anxiety and stress. Participants included 30 youth with autism spectrum disorder (8–14years old) randomly assigned to the experimental (17) or waitlist control (13) group. Pretest adjusted, between-group differences were analyzed for state-anxiety, trait-anxiety, play-based cortisol, and diurnal cortisol. Pearson correlations were conducted between anxiety, cortisol, and group play. Significant pretest-adjusted between-group differences at posttest were observed on trait-anxiety (F(1, 27) = 9.16, p=0.005) but not state-anxiety (F(1, 27)=0.03, p=0.86), showing lower trait-anxiety in the experimental group. There were no between-group differences on cortisol. There was a significant negative correlation between group play and trait-anxiety (r=−0.362, p=0.05). Playground cortisol correlated with group play, for the experimental group (r=0.55, p=0.03). The theatre-based, peer-mediated intervention not only contributes to improvement in social competence in youth with autism spectrum disorder but also contributes to reductions in trait-anxiety associated with more social interaction with peers. Results suggest that some degree of physiological arousal is essential for social interaction.
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DOI：
10.1111/jcpp.12184
发表时间：
2014-08
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Corbett BA;Swain DM;Newsom C;Wang L;Song Y;Edgerton D
通讯作者：
Edgerton D
影响因子：
3.8
作者：
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Goldstein, Thalia R.
DOI：
10.1023/b:jadd.0000006004.86556.e0
发表时间：
2003-12-01
影响因子：
3.9
作者：
Barry, TD;Klinger, LG;Bodin, SD
通讯作者：
Bodin, SD
DOI：
10.1073/pnas.93.4.1619
发表时间：
1996-02-20
影响因子：
11.1
作者：
Coplan, JD;Andrews, MW;Nemeroff, CB
通讯作者：
Nemeroff, CB