Child Study Center and School of Nursing, Yale University, New Haven, CT, USA.
J Autism Dev Disord. 2013 Oct;43(10):2341-52. doi: 10.1007/s10803-013-1775-1.
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.
本研究探讨了在一份 20 项、父母评定的、参考 DSM-IV 的焦虑量表上，415 名自闭症谱系障碍儿童的焦虑症状表现和测量。在高功能和低功能儿童（智商高于 70 与低于 70）中，普遍被认可的项目评估了不安、紧张和睡眠困难。需要孩子用言语表达担忧的项目则很少被认可。较高的焦虑与功能性语言、智商高于 70 以及其他几项行为测量得分较高相关。四个潜在因素显现出来：广泛性焦虑、分离焦虑、社交焦虑和过度警觉。我们的研究结果扩展了对自闭症谱系障碍中跨智商的焦虑的理解，并为改善焦虑结果测量提供了指导。
