The Relationship Between Stress and Social Functioning in Adults With Autism Spectrum Disorder and Without Intellectual Disability
The Relationship Between Stress and Social Functioning in Adults With Autism Spectrum Disorder and Without Intellectual Disability
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DOI：
10.1002/aur.1433
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发表时间：
2015-04-01
期刊：
影响因子：
4.7
通讯作者：
Eack, Shaun M.
中科院分区：
文献类型：
--
作者：
Bishop-Fitzpatrick, Lauren;Mazefsky, Carla A.;Eack, Shaun M.
患有自闭症谱系障碍 (ASD) 的成年人在完成与日常生活相关的基本任务时面临着巨大的挑战，而他们广泛而普遍的社交互动困难又加剧了这些挑战。这些挑战使自闭症谱系障碍患者面临更大的心理生理困扰风险，这可能会严重影响自闭症谱系障碍成人的社会功能，越来越多的关于儿童压力的文献表明，自闭症谱系障碍儿童对压力的反应与健康儿童不同。我们假设患有自闭症谱系障碍且无智力障碍的成年人 (n=38) 会比健康志愿者 (n=37) 承受更多的压力，并且自闭症谱系障碍患者的压力与社会功能之间存在反比关系。使用对自闭症谱系障碍成人的两种治疗方法进行的随机对照试验的基线半结构化访谈数据来评估自闭症谱系障碍成人与健康志愿者之间的压力差异，并评估自闭症谱系障碍成人的压力反应与社会功能之间的关系。研究结果表明，患有自闭症谱系障碍的成年人比健康志愿者感受到更大的感知和采访者观察到的压力，并且压力与患有自闭症谱系障碍的成年人的社会功能显着相关。这些发现强调了压力在成人功能和结果中的作用，并表明需要开发和评估旨在针对自闭症谱系障碍成人的压力和应对的治疗方法。自闭症研究 2015，8：164-173。 (c) 2014 年国际自闭症研究协会，Wiley periodicals, Inc.
Adults with autism spectrum disorder (ASD) face substantial challenges accomplishing basic tasks associated with daily living, which are exacerbated by their broad and pervasive difficulties with social interactions. These challenges put people with ASD at increased risk for psychophysiological distress, which likely factors heavily into social functioning for adults with ASD, as suggested by a growing literature on stress in children that indicates that children with ASD have differential responses to stress than healthy children. We hypothesized that adults with ASD and without intellectual disability (n=38) would experience more stress than healthy volunteers (n=37) and that there would be an inverse relationship between stress and social functioning in individuals with ASD. Baseline, semi-structured interview data from a randomized controlled trial of two treatments for adults with ASD were used to assess differences in stress between adults with ASD and healthy volunteers and to assess the relationship between stress response and social functioning in adults with ASD. Findings indicate that adults with ASD experience greater perceived and interviewer-observed stress than healthy volunteers and that stress is significantly related to social functioning in adults with ASD. These findings highlight the role of stress in adult functioning and outcomes and suggest the need to develop and assess treatments designed to target stress and coping in adults with ASD. Autism Res 2015, 8: 164-173. (c) 2014 International Society for Autism Research, Wiley Periodicals, Inc.