Anxiety in children and adolescents with autism spectrum disorders.
Anxiety in children and adolescents with autism spectrum disorders.
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DOI：
10.1016/j.cpr.2009.01.003
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发表时间：
2009-04
影响因子：
12.8
通讯作者：
Scahill, Lawrence
中科院分区：
文献类型：
--
作者：
White, Susan W.;Oswald, Donald;Ollendick, Thomas;Scahill, Lawrence
焦虑和压力管理不良是自闭症谱系障碍（ASD）儿童临床样本中常见的问题。焦虑可能在青春期恶化，因为年轻人面临日益复杂的社会环境，往往更加意识到他们的差异和人际交往的困难。本文综述了青少年孤独症及相关疾病如自闭症的患病率、现象学和焦虑治疗的研究现状。通过搜索关键词自闭症、阿斯伯格综合症、广泛性发育障碍和焦虑症来查找1990年至2008年间发表的报告，这篇综述确定了40篇论文。审查的结果表明，焦虑，无论是测量分类或尺寸，确实是常见的自闭症谱系障碍的儿童和青少年，并可能是一个额外的发病率的来源。ASD中焦虑障碍的评估应使用多个信息提供者和方式进行，因为ASD儿童通常不会表现出年龄典型的焦虑症状。迄今为止，尽管有初步证据表明选择的药理学和社会心理学方法具有疗效，但使用特征良好的样本进行的对照干预研究相对较少。对未来的应用研究提出了建议，并探讨了临床意义。
Anxiety and poor stress management are common concerns in clinical samples of children with autism spectrum disorders (ASD). Anxiety may worsen during adolescence, as young people face an increasingly complex social milieu and often become more aware of their differences and interpersonal difficulties. This review summarizes the state of research on the prevalence, phenomenology, and treatment of anxiety in youth with autism and related conditions such as Asperger’s disorder. Using search words autism, asperger(s), or pervasive developmental disorder and anxiety or anxious to find reports published between 1990 and 2008, this review identified 40 papers. The results of the review suggest that anxiety, whether measured categorically or dimensionally, is indeed common in children and adolescents with autism spectrum disorders and may be a source of additional morbidity. The assessment of anxiety disorders in ASD should be conducted using multiple informants and modalities, as children with ASD often do not display age-typical symptoms of anxiety. To date, relatively few controlled intervention studies using well-characterized samples have been conducted despite preliminary evidence for efficacy of select pharmacological and psychosocial approaches. Recommendations for future applied research are presented and clinical implications are explored.
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影响因子：
3.1
作者：
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通讯作者：
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影响因子：
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DOI：
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