JFK Partners, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO 80045, USA.
Brain Res. 2011 Mar 22;1380:255-63. doi: 10.1016/j.brainres.2010.09.075. Epub 2010 Sep 25.
Anxiety symptoms are one of the most common mental health conditions in childhood. Children and adolescents with Autism Spectrum Disorders (ASD) are at risk for developing mental health symptoms and anxiety in particular, especially when compared with their peers - both in the general population as well as when compared to youth with other developmental disabilities. Cognitive behavior therapy (CBT) has been identified as the treatment of choice in addressing anxiety symptoms in the general population, and an emerging body of literature indicates that modified CBT for youth with ASD can be effective in reducing anxiety symptoms. In a review of these modified treatment protocols, parent involvement is emphasized as an important component of interventions for youth with ASD and anxiety. However, the majority of these studies only briefly describe the parent's role, and little mention is made with regard to how the parent's role evolves over time as children age into adolescence. In this paper, the parent's role in the treatment of anxiety symptoms in children and adolescents with high-functioning ASD will be discussed with a particular emphasis on considerations for parents of teenagers. Specific recommendations for parent involvement will be provided.
焦虑症状是儿童期最常见的心理健康问题之一。自闭症谱系障碍（ASD）儿童和青少年面临着心理健康症状的风险，特别是焦虑症，尤其是与同龄人相比——无论是在普通人群中，还是与其他发育障碍的年轻人相比。认知行为疗法（CBT）已被确定为解决普通人群中焦虑症状的首选治疗方法，越来越多的文献表明，针对 ASD 青少年的改良 CBT 可以有效减轻焦虑症状。在对这些改良治疗方案的回顾中，强调了家长的参与是 ASD 和焦虑青少年干预措施的重要组成部分。然而，这些研究中的大多数只是简要描述了家长的角色，很少提及随着孩子成长为青少年，家长的角色是如何随着时间的推移而演变的。在本文中，将讨论高功能 ASD 儿童和青少年焦虑症状治疗中家长的作用，特别强调青少年家长的考虑因素。将提供具体的家长参与建议。
