Exploring the Manifestations of Anxiety in Children with Autism Spectrum Disorders

被引：124

作者：

Hallett, Victoria ^{[1
,2
]}

Lecavalier, Luc ^{[3
]}

Sukhodolsky, Denis G. ^{[1
,2
]}

Cipriano, Noreen ^{[1
,2
]}

Aman, Michael G. ^{[3
]}

McCracken, James T. ^{[4
]}

McDougle, Christopher J. ^{[5
,6
]}

Tierney, Elaine ^{[7
]}

King, Bryan H. ^{[8
]}

Hollander, Eric ^{[9
]}

Sikich, Linmarie ^{[10
]}

Bregman, Joel ^{[11
]}

Anagnostou, Evdokia ^{[12
]}

Donnelly, Craig ^{[13
]}

Katsovich, Lily ^{[1
,2
]}

Dukes, Kimberly ^{[14
,15
]}

Vitiello, Benedetto ^{[16
]}

Gadow, Kenneth ^{[17
]}

Scahill, Lawrence ^{[1
,2
]}

机构：

[1] Yale Univ, Ctr Child Study, New Haven, CT 06520 USA

[2] Yale Univ, Sch Nursing, New Haven, CT 06536 USA

[3] Ohio State Univ, Dept Psychol, Columbus, OH 43210 USA

[4] Univ Calif Los Angeles, Sch Med, Div Child & Adolescent Psychiat, Semel Inst Neurosci, Los Angeles, CA USA

[5] Massachusetts Gen Hosp Children, Lurie Ctr Autism, Boston, MA USA

[6] Harvard Univ, Sch Med, Boston, MA USA

[7] Kennedy Krieger Inst, Dept Psychiat, Baltimore, MD USA

[8] Univ Washington, Dept Psychiat, Seattle Childrens Hosp, Seattle, WA 98195 USA

[9] Albert Einstein Coll Med, Montefiore Med Ctr, New York, NY USA

[10] Univ N Carolina, Dept Psychiat, Chapel Hill, NC USA

[11] Ctr Autism, Philadelphia, PA USA

[12] Univ Toronto, Dept Pediat, Bloorview Res Inst, Toronto, ON, Canada

[13] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Psychiat, Hanover, NH 03756 USA

[14] DM STAT Inc, Malden, MA USA

[15] Boston Univ, Dept Biostat, Boston, MA 02215 USA

[16] NIMH, Bethesda, MD 20892 USA

[17] SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2013年 / 43卷 / 10期

关键词：

Autism spectrum disorders; Anxiety; Measurement; Clinical Trials; PERVASIVE DEVELOPMENTAL DISORDERS; ABERRANT BEHAVIOR CHECKLIST; OBSESSIVE-COMPULSIVE SCALE; YOUNG-PEOPLE; SYMPTOMS; VALIDITY; RELIABILITY; RISPERIDONE; ADOLESCENTS; COMMUNITY;

D O I：

10.1007/s10803-013-1775-1

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

This study explores the manifestation and measurement of anxiety symptoms in 415 children with ASDs on a 20-item, parent-rated, DSM-IV referenced anxiety scale. In both high and low-functioning children (IQ above vs. below 70), commonly endorsed items assessed restlessness, tension and sleep difficulties. Items requiring verbal expression of worry by the child were rarely endorsed. Higher anxiety was associated with functional language, IQ above 70 and higher scores on several other behavioral measures. Four underlying factors emerged: Generalized Anxiety, Separation Anxiety, Social Anxiety and Over-arousal. Our findings extend our understanding of anxiety across IQ in ASD and provide guidance for improving anxiety outcome measurement.

引用

页码：2341 / 2352

页数：12

共 41 条

[1]

Aman MG, 2005, ARCH GEN PSYCHIAT, V62, P1266

[2]

AMAN MG, 1985, AM J MENT DEF, V89, P485

[3] Medication and Parent Training in Children With Pervasive Developmental Disorders and Serious Behavior Problems: Results From a Randomized Clinical Trial [J].

Aman, Michael G. ;

McDougle, Christopher J. ;

Scahill, Lawrence ;

Handen, Benjamin ;

Arnold, L. Eugene ;

Johnson, Cynthia ;

Stigler, Kimberly A. ;

Bearss, Karen ;

Butter, Eric ;

Swiezy, Naomi B. ;

Sukhodolsky, Denis D. ;

Ramadan, Yaser ;

Pozdol, Stacie L. ;

Nikolov, Roumen ;

Lecavalier, Luc ;

Kohn, Arlene E. ;

Koenig, Kathleen ;

Hollway, Jill A. ;

Korzekwa, Patricia ;

Gavaletz, Allison ;

Mulick, James A. ;

Hall, Kristy L. ;

Dziura, James ;

Ritz, Louise ;

Trollinger, Stacte ;

Yu, Sunkyung ;

Vitiello, Benedetto ;

Wagner, Ann .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2009, 48 (12) :1143-1154

[4]

[Anonymous], 1980, DSM 3

[5]

[Anonymous], 1997, Leiter International Performance Scale-Revised (Leiter-R)

[6]

[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787

[7] Factor analysis and norms for parent ratings on the Aberrant Behavior Checklist-Community for young people in special education [J].

Brown, EC ;

Aman, MG ;

Havercamp, SM .

RESEARCH IN DEVELOPMENTAL DISABILITIES, 2002, 23 (01) :45-60

[8]

Browne M.W., 2009, CEFA: Comprehensive Exploratory Factor Analysis

[9] Self injurious behavior in autism: clinical aspects and treatment with risperidone [J].

Canitano, R .

JOURNAL OF NEURAL TRANSMISSION, 2006, 113 (03) :425-431

[10] The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity [J].

Costello, EJ ;

Egger, HL ;

Angold, A .

CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA, 2005, 14 (04) :631-+

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