Liew Shi Min, Thevaraja Nishta, Hong Ryan Y, Magiati Iliana
Department of Psychology, National University of Singapore (NUS), AS4 02-24, 9 Arts Link, Singapore, 117570, Singapore.
J Autism Dev Disord. 2015 Mar;45(3):858-72. doi: 10.1007/s10803-014-2238-z.
The high prevalence of anxiety symptoms in individuals with autism spectrum disorders has now been well documented. There is also a positive relationship between autistic traits and anxiety symptoms in unselected samples and individuals with anxiety disorders have more autistic traits compared to those without. Less is known, however, regarding which elements of autistic traits (i.e., social versus non-social/behavioral) or which other variables may mediate this relationship. This study investigated the shared and specific role of five autistic-trait related mediators (social problem-solving, social competence, teasing experiences, prevention from/punishment for preferred repetitive behaviors and aversive sensory experiences) in a non-clinical sample of 252 university students. Autistic traits positively correlated with both anxiety and depressive symptoms. Social competence mediated the relationship between autistic traits and social anxiety symptoms only, while only prevention from preferred repetitive behaviors and frequent aversive sensory experiences mediated the relationship between autistic traits, worry and obsessive-compulsive symptoms. Replication of these findings is required in longitudinal studies and with clinical samples. Limitations of the study are discussed and possible implications for intervention are tentatively suggested.
自闭症谱系障碍患者中焦虑症状的高患病率现已得到充分记录。在未经过筛选的样本中,自闭症特征与焦虑症状之间也存在正相关关系,与没有焦虑症的个体相比,患有焦虑症的个体具有更多的自闭症特征。然而,关于自闭症特征的哪些要素(即社交与非社交/行为方面)或哪些其他变量可能介导这种关系,我们所知甚少。本研究在252名大学生的非临床样本中,调查了五种与自闭症特征相关的中介因素(社交问题解决能力、社交能力、被取笑经历、对偏好的重复行为的阻止/惩罚以及厌恶的感官体验)的共同作用和特定作用。自闭症特征与焦虑和抑郁症状均呈正相关。社交能力仅介导了自闭症特征与社交焦虑症状之间的关系,而只有对偏好的重复行为的阻止和频繁的厌恶感官体验介导了自闭症特征、担忧和强迫症状之间的关系。这些研究结果需要在纵向研究和临床样本中进行重复验证。本文讨论了该研究的局限性,并初步提出了可能的干预建议。