May T, Cornish K, Rinehart N J
Deakin Child Study Centre, Deakin University, Melbourne Burwood Campus, 221 Burwood Highway, Burwood, VIC 3125, Australia.
School of Psychological Sciences and Monash Institute for Brain Development & Repair, Monash University, Clayton Campus, Building 17, Wellington Road, Clayton, VIC 3800, Australia.
Autism Res Treat. 2015;2015:315495. doi: 10.1155/2015/315495. Epub 2015 Apr 2.
Children with Autism Spectrum Disorder (ASD) experience high anxiety which often prompts clinical referral and requires intervention. This study aimed to compare parent and child reports on the Spence Children's Anxiety Scale (SCAS) and a child-reported "worry thermometer" in 88 children aged 8-13 years, 44 with ASD and 44 age, gender, and perceptual IQ matched typically developing children. There were no gender differences in child report on the SCAS and worry thermometers. Results indicated generally good correlations between parent and child self-reported SCAS symptoms for typically developing children but poor agreement in parent-child ASD dyads. The worry thermometer child-report did not reflect child or parent reports on the SCAS. Findings suggest 8-13-year-old children with ASD may have difficulties accurately reporting their anxiety levels. The clinical implications were discussed.
患有自闭症谱系障碍（ASD）的儿童会经历高度焦虑，这常常促使他们寻求临床转诊并需要进行干预。本研究旨在比较88名8至13岁儿童（44名患有ASD，44名年龄、性别和感知智商匹配的发育正常儿童）的父母报告和儿童报告的斯宾塞儿童焦虑量表（SCAS）以及儿童报告的“担忧温度计”。儿童在SCAS和担忧温度计上的报告不存在性别差异。结果表明，发育正常儿童的父母和儿童自我报告的SCAS症状之间通常具有良好的相关性，但在患有ASD的亲子二元组中一致性较差。儿童报告的担忧温度计并未反映出儿童或父母在SCAS上的报告。研究结果表明，8至13岁患有ASD的儿童可能难以准确报告自己的焦虑水平。文中讨论了其临床意义。
