Children's Neurosciences Department, Newcomen at St Thomas', St Thomas' Hospital, Staircase D, South Wing, Westminster Bridge Road, London, SE1 7EH, UK,
J Autism Dev Disord. 2014 Apr;44(4):969-74. doi: 10.1007/s10803-013-1937-1.
The aims of this study were two-fold; firstly, to investigate whether self-report measures are useful and reflect parent-reported psychiatric symptoms in children with autism spectrum disorder (ASD), and secondly, to investigate whether children with ASD are able to access and report their cognitions, a prerequisite skill for cognitive behavior therapies. Thirty children with ASD and 21 comparison children without ASD completed the Spence Children's Anxiety Scale and the Children's Depression Inventory, with parents completing the parent version of both questionnaires. Intraclass correlations revealed that there was good agreement between ASD children and their parents on both measures, but only on the depression measure in non-ASD children. The children in both groups also completed the Children's Automatic Thoughts Questionnaires; multiple regression analyses indicated that within the ASD group, child-rated scores on the CATS questionnaire were positively related to increased self-reported symptoms of anxiety and depression, but not in the comparison group, suggesting that children with ASD are able to accurately report their anxious and depressed cognitions. The implications of these results for both the practice and theory of CBT for children with ASD are discussed.
本研究旨在达成两个目标；首先，探讨在自闭症谱系障碍（ASD）儿童中，自我报告测量是否有用并反映家长报告的精神症状；其次，调查 ASD 儿童是否能够获取并报告自己的认知，这是认知行为疗法的前提技能。30 名 ASD 儿童和 21 名无 ASD 的对照儿童完成了斯宾塞儿童焦虑量表和儿童抑郁量表，家长则完成了这两个问卷的家长版本。组内相关系数显示，在两个测量中，ASD 儿童与其父母之间的一致性很好，但在非 ASD 儿童中仅在抑郁测量上是如此。两组儿童还完成了儿童自动思维问卷；多元回归分析表明，在 ASD 组中，儿童对 CATS 问卷的评分与自我报告的焦虑和抑郁症状增加呈正相关，但在对照组中并非如此，这表明 ASD 儿童能够准确报告自己的焦虑和抑郁认知。这些结果对 ASD 儿童认知行为疗法的实践和理论都具有启示意义。
