Department of Education, University of California, Los Angeles, Moore Hall, Los Angeles, CA 90095, USA.
J Autism Dev Disord. 2013 Sep;43(9):2135-46. doi: 10.1007/s10803-013-1767-1.
Despite reports of high anxiety in children with autism spectrum disorders (ASD), there is controversy regarding differential diagnosis of ASD symptoms and anxiety symptoms. This study examined 88 children, aged 7-11 years, with ASD referred for concerns about anxiety. A multitrait-(social anxiety, separation anxiety, overall anxiety severity, and overall ASD severity), multimethod-(diagnostic interviews, parent-, and child-based measures) analysis was conducted. Results from structural equation modeling suggest statistical discrimination between anxiety and ASD severity and convergence among differing reports of two of the anxiety subdomains (separation anxiety and overall anxiety). These findings suggest that anxiety symptoms experienced by children with ASD are separate from ASD symptom severity and may instead reflect anxiety syndromes (e.g., separation anxiety) similar to those that occur in typically developing children.
尽管有报道称自闭症谱系障碍（ASD）儿童存在高度焦虑，但关于 ASD 症状和焦虑症状的鉴别诊断仍存在争议。本研究调查了 88 名 7-11 岁因焦虑问题就诊的 ASD 儿童。采用多特质（社交焦虑、分离焦虑、总体焦虑严重程度和总体 ASD 严重程度）、多方法（诊断访谈、父母和儿童评估）分析。结构方程模型的结果表明，焦虑和 ASD 严重程度之间存在统计学差异，两个焦虑子领域（分离焦虑和总体焦虑）的不同报告之间存在收敛。这些发现表明，ASD 儿童的焦虑症状与 ASD 严重程度不同，而可能反映出与在正常发育儿童中出现的类似的焦虑症（如分离焦虑症）。
