The role of emotion regulation in autism spectrum disorder.
The role of emotion regulation in autism spectrum disorder.
复制标题
DOI：
10.1016/j.jaac.2013.05.006
复制
发表时间：
2013-07
影响因子：
13.3
通讯作者：
White SW
中科院分区：
文献类型：
--
作者：
Mazefsky CA;Herrington J;Siegel M;Scarpa A;Maddox BB;Scahill L;White SW
自闭症谱系障碍（ASD）与情绪反应放大和情绪控制不良有关，但对其潜在机制知之甚少。本文提供了一个概念和方法框架，了解受损的情绪调节（ER）在ASD。在定义ER和相关结构后，对ER的研究方法进行了综述，特别考虑了如何将这些方法应用于ASD。在ASD的认知特征和现有ER理论的背景下，对现有的研究进行了检查，以确定ASD中情绪失调的可能因素。目前对ASD青年的ER知之甚少。导致ASD中ER差的一些机制可能与其他临床人群（例如，生理唤醒、消极和积极影响的程度、杏仁核和前额皮质的改变），而其他机制可能是ASD更独特的（例如，信息处理/感知的差异，认知因素（例如，僵化），更少的目标导向行为和ASD中更多的混乱情绪）。虽然在某些情况下，伴随的精神病诊断的分配是必要的，穷人的ER可能是固有的ASD，并可能提供一个更简约的概念，在这个人群中的许多相关的社会情绪和行为问题。对ASD青年患者ER的进一步研究可能会发现有意义的患者亚组，并导致更有效的个性化治疗。
Autism spectrum disorder (ASD) is associated with amplified emotional responses and poor emotional control, but little is known about the underlying mechanisms. This paper provides a conceptual and methodological framework for understanding compromised emotion regulation (ER) in ASD. After defining ER and related constructs, methods to study ER were reviewed with special consideration on how to apply these approaches to ASD. Against the backdrop of cognitive characteristics in ASD and existing ER theories, available research was examined to identify likely contributors to emotional dysregulation in ASD. Little is currently known about ER in youth with ASD. Some mechanisms that contribute to poor ER in ASD may be shared with other clinical populations (e.g., physiological arousal, degree of negative and positive affect, alterations in the amygdala and prefrontal cortex), whereas other mechanisms may be more unique to ASD (e.g., differences in information processing/perception, cognitive factors (e.g., rigidity), less goal-directed behavior and more disorganized emotion in ASD). Although assignment of concomitant psychiatric diagnoses is warranted in some cases, poor ER may be inherent in ASD and may provide a more parsimonious conceptualization for the many associated socio-emotional and behavioral problems in this population. Further study of ER in youth with ASD may identify meaningful subgroups of patients and lead to more effective individualized treatments.
登录
查看更多内容
影响因子：
16.2
作者：
Dinstein I;Heeger DJ;Lorenzi L;Minshew NJ;Malach R;Behrmann M
通讯作者：
Behrmann M
影响因子：
1.9
作者：
Doyle-Thomas, Krissy A. R.;Kushki, Azadeh;Anagnostou, Evdokia
通讯作者：
Anagnostou, Evdokia
影响因子：
4
作者：
CAMPOS, JJ;CAMPOS, RG;BARRETT, KC
通讯作者：
BARRETT, KC
影响因子：
3.9
作者：
Bal, Elgiz;Harden, Emily;Porges, Stephen W.
通讯作者：
Porges, Stephen W.
影响因子：
10.6
作者：
Barnea-Goraly, N;Kwon, H;Reiss, AL
通讯作者：
Reiss, AL