University of Missouri, USA.
Autism. 2014 Apr;18(3):223-32. doi: 10.1177/1362361312474121. Epub 2013 Oct 3.
This study examined the relations among loneliness, friendship, and emotional functioning in adults (N = 108) with autism spectrum disorders. Participants completed self-report measures of symptoms of autism spectrum disorders, loneliness, number and nature of friendships, depression, anxiety, life satisfaction, and self-esteem. The results indicated that loneliness was associated with increased depression and anxiety and decreased life satisfaction and self-esteem, even after controlling for symptoms of autism spectrum disorders. In addition, greater quantity and quality of friendships were associated with decreased loneliness among adults with autism spectrum disorders. Multivariate models indicated that friendship did not moderate the relationship between loneliness and well-being; however, number of friends provided unique independent effects in predicting self-esteem, depression, and anxiety above and beyond the effects of loneliness. This was the first study to examine the relations among these aspects of social and emotional functioning in adults with autism spectrum disorders, and the results indicate that this topic warrants further clinical and research attention.
本研究考察了孤独感、友谊和情感功能在自闭症谱系障碍成年人（N=108）中的关系。参与者完成了自闭症谱系障碍症状、孤独感、友谊数量和性质、抑郁、焦虑、生活满意度和自尊的自我报告测量。结果表明，即使在控制了自闭症谱系障碍的症状后，孤独感也与抑郁和焦虑增加以及生活满意度和自尊降低有关。此外，自闭症谱系障碍成年人中，更多数量和更高质量的友谊与孤独感降低有关。多元模型表明，友谊并没有调节孤独感和幸福感之间的关系；然而，与孤独感的影响相比，朋友的数量对自尊、抑郁和焦虑具有独特的独立影响。这是第一项研究自闭症谱系障碍成年人社会和情感功能这些方面之间关系的研究，结果表明，这一主题值得进一步的临床和研究关注。
