Ozsivadjian Ann, Knott Fiona
Guy's and St Thomas' NHS Foundation Trust, London, UK.
Clin Child Psychol Psychiatry. 2011 Apr;16(2):203-14. doi: 10.1177/1359104511404749.
It is now well established that the prevalence of mental health difficulties in individuals with autism spectrum disorders (ASD) is considerably higher than in the general population. With recent estimates of the prevalence of autism spectrum disorders being as high as one percent, increasing numbers of children and young people are presenting to local and specialist services with mental health problems in addition to a diagnosis of ASD. Many families report that the impact of the mental health problems can be as or more impairing than the autism spectrum difficulties themselves. Clinical services are frequently called upon to treat these difficulties; however, there is limited evidence for the effectiveness of treatments in this population. This paper reports a case series of children and adolescents with ASD and an anxiety disorder who were treated with a standard cognitive behaviour therapy (CBT) rationale adapted to take account of the neuropsychological features of ASD. Common features of the presentation of the disorders and also treatment processes are discussed.
目前已经明确，自闭症谱系障碍（ASD）患者中出现心理健康问题的比例显著高于普通人群。近期对自闭症谱系障碍患病率的估计高达1%，越来越多的儿童和青少年除了被诊断患有ASD外，还因心理健康问题前往当地及专科服务机构就诊。许多家庭报告称，心理健康问题的影响可能与自闭症谱系障碍本身一样严重，甚至更具损害性。临床服务机构经常需要处理这些问题；然而，关于针对这一人群的治疗效果的证据有限。本文报告了一系列患有ASD和焦虑症的儿童及青少年病例，他们接受了一种经过调整以考虑ASD神经心理学特征的标准认知行为疗法（CBT）理论基础的治疗。文中讨论了这些疾病表现的共同特征以及治疗过程。
