患有自闭症谱系障碍的青少年的焦虑：对治疗的启示。
Anxiety in youth with autism spectrum disorders: implications for treatment.
作者信息
Johnco Carly, Storch Eric A
机构信息
a Department of Pediatrics, University of South Florida, Tampa , FL , USA.
b Department of Psychology , University of South Florida , Tampa , FL , USA.
出版信息
Expert Rev Neurother. 2015;15(11):1343-52. doi: 10.1586/14737175.2015.1111762. Epub 2015 Nov 7.
Abstract
Anxiety disorders are one of the most common psychiatric comorbidities among children and adolescents with autism spectrum disorders (ASD). There has been a recent proliferation of research examining the prevalence, phenomenology, assessment and treatment of anxiety disorders among youth with ASD. While there is currently very limited support for the use of pharmacological agents to treat anxiety among youth with ASD and comorbid anxiety, there has been overwhelming support across numerous modestly sized controlled studies for the efficacy of cognitive behavioral therapy. This review discusses advances in the treatment literature for anxiety in youth with ASD, and discusses the current evidence base for whether standard treatment needs to be adapted for this population.
摘要
焦虑症是自闭症谱系障碍（ASD）儿童和青少年中最常见的精神共病之一。最近，针对患有ASD的青少年焦虑症的患病率、现象学、评估和治疗的研究大量涌现。虽然目前使用药物治疗患有ASD和共病焦虑症的青少年焦虑症的支持非常有限，但众多规模适中的对照研究一致强烈支持认知行为疗法的疗效。本综述讨论了ASD青少年焦虑症治疗文献的进展，并讨论了是否需要针对该人群调整标准治疗方法的当前证据基础。
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2
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Child Adolesc Psychiatry Ment Health. 2015 Jun 20;9:22. doi: 10.1186/s13034-015-0054-7. eCollection 2015.
3
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4
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5
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