Anxiety and aggression in adolescents with autism spectrum disorders attending mainstream schools

Anxiety and aggression in adolescents with autism spectrum disorders attending mainstream schools
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DOI:
10.1016/j.rasd.2015.07.005
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发表时间:
2015-10-01
影响因子:
2.5
通讯作者:
Gregory, Christopher
Gregory, Christopher
中科院分区:
医学3区
文献类型:
--
作者:
Ambler, Pamela Gaye;Fidels, Ami;Gregory, Christopher

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这项研究调查了患有自闭症谱系障碍(ASDS)的青少年中焦虑和攻击性之间的联系,使用焦虑和愤怒的自我报告测量和教师的行为评级。参与者是104名12-18岁的高中生:52名患有自闭症的学生,没有智力残疾,他们的典型发育同龄人在年龄和性别上匹配。就读主流高中的自闭症学生报告说,他们比同龄人有更高的焦虑和反应性愤怒,他们的老师报告说他们采取了更具攻击性的行为,而且被停学的风险更高。研究结果进一步表明,社交焦虑是自闭症和身体攻击之间关系的重要调节因素。对于ASD学生,而不是对照组学生,存在着强烈的、积极的关系:更高的焦虑水平与更高的身体攻击性水平相关。然而,愤怒控制力较高的自闭症学生没有表现出身体攻击。我们的结果对筛查学生的焦虑、提供管理焦虑的干预措施和发展愤怒管理技能,以及将停学作为学校身体攻击事件的强制性反应的适当性具有重要意义。(C)2015爱思唯尔有限公司。保留所有权利。
This study investigated the link between anxiety and aggression in adolescents with autism spectrum disorders (ASDs) using self-report measures of anxiety and anger and teacher ratings of behaviour. Participants were 104 high school students aged 12-18: 52 students with ASDs, without intellectual disability, and their typically developing peers matched for age and gender. Students with ASDs who attend mainstream high schools reported higher levels of anxiety and reactive anger than their peers, were reported by their teachers to engage in more aggressive behaviours, and were at higher risk of being suspended from school. The results further suggested that social anxiety is a significant moderator of the relationship between autism and physical aggression. For ASD students, but not for the control students, there was a strong, positive relationship: higher levels of anxiety were associated with higher levels of physical aggression. However, ASD students with high anger control did not display physical aggression. Our results have implications for screening students for anxiety, the provision of interventions for managing anxiety and the development of anger management skills, and for the appropriateness of suspension as a mandatory response to incidents of physical aggression in schools. (C) 2015 Elsevier Ltd. All rights reserved.