Brief Report: Prevalence and Predictors of DSM-Specific and Distinct Anxiety in Cognitively Impaired Autistic Preschool Children.
Brief Report: Prevalence and Predictors of DSM-Specific and Distinct Anxiety in Cognitively Impaired Autistic Preschool Children.
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简要报告：认知障碍自闭症学龄前儿童中 DSM 特异性和明显焦虑的患病率和预测因素。
DOI：
10.1007/s10803-023-05978-9
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发表时间：
2023
影响因子：
3.9
通讯作者：
Roberts,Jane
中科院分区：
文献类型：
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作者：
Klein,Jordan;Kerns,Connor;Hills,Kimberly;Hogan,Abigail;Matherly,Sara;Roberts,Jane
自闭症患者达到焦虑标准的可能性是神经正常儿童的两倍;然而，我们缺乏对自闭症儿童（尤其是认知障碍儿童）早期焦虑表现的了解。本研究是第一个利用自闭症特异性焦虑诊断访谈28学龄前认知障碍，自闭症儿童和18神经典型，年龄匹配的控制。结果表明，64%的自闭症儿童符合DSM规定的或“其他规定”的标准，本文称为“独特的”焦虑症; 32%符合多重焦虑症的标准，最常见的是恐惧症。结果表明，焦虑是非常普遍的认知功能障碍，自闭症学龄前儿童，突出需要发展量身定制的评估和治疗在幼儿期。
Autistic individuals are twice as likely to meet criteria for anxiety than neurotypical children; yet we lack understanding of early presentations of anxiety in young autistic children, especially those with cognitive impairment. This study is the first to utilize an autism-specific anxiety diagnostic interview with 28 preschool cognitively impaired, autistic children and 18 neurotypical, age-matched controls. Results indicate that 64% of autistic children met criteria for DSM-specified or “other specified,” herein referred to as “distinct,” anxiety disorders; 32% met criteria for multiple anxiety disorders, with phobias occurring most often. Results indicate that anxiety is highly prevalent in cognitively-impaired, autistic preschool children, highlighting the need for developmentally-tailored assessment and treatment in early childhood.