Is reduced social competence a mechanism linking elevated autism spectrum symptoms with increased risk for social anxiety?
Is reduced social competence a mechanism linking elevated autism spectrum symptoms with increased risk for social anxiety?
复制标题
DOI：
10.1111/bjc.12398
复制
发表时间：
2023-03
影响因子：
3.1
通讯作者：
Kofler, Michael J.
中科院分区：
文献类型：
--
作者：
Stark, Chani;Groves, Nicole B.;Kofler, Michael J.
大约50%患有自闭症谱系障碍（ASD）的儿童患有共病社交焦虑障碍，这种共病预测的治疗结果比单独的综合征更差。ASD和社交焦虑都与社交能力降低有关，这一点可以通过难以实施成功的社交互动的基本社交技能来证明，但目前尚不清楚社交能力降低是否反映了一种机制，可以解释与自闭症谱系症状升高相关的社交焦虑风险增加。为了解决文献中的这一差距，目前的研究结合了多信息的措施（儿童，家长和教师的报告）与194名儿童和没有精神疾病（年龄8-13岁，68名女孩，69%白色/非西班牙裔）的样本。自闭症谱系特征，社会能力，和社交焦虑症状进行了连续测量。偏差校正，自举条件效应模型表明，父母报告的自闭症谱系症状升高预示着教师感知的社会能力降低（β=-0.21）和儿童自我报告的社交焦虑升高（β=.17）;社交能力下降占自闭症/社交焦虑联系的20%（间接途径β= 0.04，ER= 0.20），社交能力降低也预测了独立于自闭症症状的更高的社交焦虑（β=-0.16;所有95%CI排除0.0，表明显著影响）。探索性分析表明，这些发现主要是由自闭症谱系社会沟通困难，而不是限制/重复的行为/兴趣。目前的研究结果与先前的工作一致，涉及社交能力降低是ASD儿童社交焦虑发展的风险因素，并通过证明这种联系对于控制单信息人/单测量偏差，年龄，性别，SES，多数/少数民族种族/民族状态，临床合并症和测量项目重叠是稳健的，扩展了先前的工作。
Approximately 50% of children with autism spectrum disorder (ASD) develop comorbid social anxiety disorder, and this comorbidity predicts poorer treatment outcomes than either syndrome alone. ASD and social anxiety are both associated with reduced social competence as evidenced by difficulties implementing fundamental social skills for successful social interactions, but it remains unclear whether reduced social competence reflects a mechanism that explains the increased risk for social anxiety associated with elevated autism spectrum symptoms. To address this gap in the literature, the current study combined multi-informant measures (child, parent, and teacher report) with a sample of 194 children with and without psychiatric disorders (ages 8–13; 68 girls; 69% White/Non-Hispanic). Autism spectrum traits, social competence, and social anxiety symptoms were measured continuously. Bias-corrected, bootstrapped conditional effects modeling indicated that elevated parent-reported autism spectrum symptoms predicted reduced teacher-perceived social competence (β=−.21) and elevated child self-reported social anxiety (β=.17); reduced social competence accounted for 20% of the autism/social anxiety link (indirect pathway β=.04, ER=.20), and reduced social competence also predicted higher social anxiety independent of autism symptoms (β=−.16; all 95%CIs exclude 0.0, indicating significant effects). Exploratory analyses suggested that these findings were driven primarily by autism spectrum social communication difficulties rather than restricted/repetitive behaviors/interests. The current findings are consistent with prior work implicating reduced social competence as a risk factor for the development of social anxiety among children with ASD, and extend prior work by demonstrating that this link is robust to control for mono-informant/mono-measure bias, age, sex, SES, majority/minoritized race/ethnicity status, clinical comorbidities, and item overlap across measures.
登录
查看更多内容
影响因子：
4.6
作者：
Cole, DA;Tram, JM;Maschman, TL
通讯作者：
Maschman, TL
影响因子：
4.1
作者：
Cartwright-Hatton, S;Tschernitz, N;Gomersall, H
通讯作者：
Gomersall, H
影响因子：
--
作者：
Gadow, KD;Sprafkin, J;Loney, J
通讯作者：
Loney, J
影响因子：
4.1
作者：
BEIDEL, DC;TURNER, SM;DANCU, CV
通讯作者：
DANCU, CV
影响因子：
3.9
作者：
Gadow, Kenneth D.;Schwartz, Joseph;Cuva, Simone
通讯作者：
Cuva, Simone