Swain Deanna, Scarpa Angela, White Susan, Laugeson Elizabeth
Department of Psychology (MC 0436), Virginia Polytechnic Institute and State University, 109 Williams Hall, Virginia Tech, 890 Drillfield Drive, Blacksburg, VA, 24061, USA.
University of California in Los Angeles, Los Angeles, CA, USA.
J Autism Dev Disord. 2015 Dec;45(12):3971-7. doi: 10.1007/s10803-015-2567-6.
Young adults with ASD and no intellectual impairment are more likely to exhibit clinical levels of anxiety than typically developing peers (DSM-5, American Psychiatric Association, 2013). This study tests a mechanistic model in which anxiety culminates via emotion dysregulation and social motivation. Adults with ASD (49 males, 20 females) completed self-report measures on emotion regulation, caregivers completed measures on ASD severity and both on social anxiety. Results indicated that emotion dysregulation (p < .001; p < .05) and social motivation (p < .05, p < .001) significantly predicted social anxiety as reported by caregivers and young adults respectively. However, social motivation did not appear to play a moderating role in the relationship between emotion regulation and anxiety, even when controlling for social awareness. Significant predictor variables of social anxiety varied based on reporter (i.e. caregiver versus young adult), with difficulty engaging in goal-directed behaviors during negative emotions serving as the only shared predictor.
与发育正常的同龄人相比，没有智力障碍的患有自闭症谱系障碍（ASD）的年轻人更有可能表现出临床水平的焦虑（《精神疾病诊断与统计手册》第5版，美国精神病学协会，2013年）。本研究测试了一种机制模型，其中焦虑通过情绪失调和社会动机达到顶点。患有ASD的成年人（49名男性，20名女性）完成了关于情绪调节的自我报告测量，照顾者完成了关于ASD严重程度以及两者关于社交焦虑的测量。结果表明，情绪失调（p <.001；p <.05）和社会动机（p <.05，p <.001）分别显著预测了照顾者和年轻人报告的社交焦虑。然而，即使在控制了社会意识的情况下，社会动机在情绪调节与焦虑之间的关系中似乎也没有起到调节作用。社交焦虑的显著预测变量因报告者（即照顾者与年轻人）而异，在负面情绪期间难以参与目标导向行为是唯一共同的预测因素。
