Levels of anxiety and sources of stress in adults with autism

Levels of anxiety and sources of stress in adults with autism
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DOI:
10.1177/1744629507083585
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发表时间:
2007-12-01
影响因子:
1.5
通讯作者:
Standen, P. J.
Standen, P. J.
中科院分区:
医学4区
文献类型:
--
作者:
Gillott, Alinda;Standen, P. J.

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临床报告表明,焦虑是成年自闭症患者的一个相关问题。我们比较了34名自闭症成年人和20名智障成年人,利用基于信息的焦虑和压力测量。各组按年龄、性别和智力进行匹配。成年自闭症患者的焦虑程度几乎是对照组的三倍,在恐慌和广场恐怖症、分离焦虑、强迫症和广泛性焦虑症等焦虑子量表上的得分也明显更高。在压力来源方面,两组之间也存在显着差异,自闭症组的压力与高焦虑水平相关,特别是科普变化,预期,感官刺激和不愉快事件的能力。也就是说,自闭症患者越焦虑,他们就越不可能科普这些要求。这对临床医生在评估和治疗方面都有重要意义。
Clinical reports suggest that anxiety is a pertinent issue for adults with autism. We compared 34 adults with autism with 20 adults with intellectual disabilities, utilizing informant-based measures of anxiety and stress. Groups were matched by age, gender and intellectual ability. Adults with autism were almost three times more anxious than the comparison group and gained significantly higher scores on the anxiety subscales of panic and agoraphobia, separation anxiety, obsessive-compulsive disorder and generalized anxiety disorder. In terms of sources of stress, significant differences between the two groups were also found, and stress was found to correlate with high anxiety levels for the autism group, particularly the ability to cope with change, anticipation, sensory stimuli and unpleasant events. That is, the more anxious the individual with autism, the less likely they were able to cope with these demands. This has important implications for clinicians in terms of both assessment and treatment.