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患有自闭症谱系障碍的大龄儿童和青少年的感觉亚型与焦虑

Sensory subtypes and anxiety in older children and adolescents with autism spectrum disorder.

作者信息

Uljarević Mirko, Lane Alison, Kelly Amanda, Leekam Susan

机构信息

Olga Tennison Autism Research Centre, School of Psychological Science, La Trobe University, Victoria, 3086, Australia.

School of Psychology and Public Health, Cardiff University, 70 Park Place, Cardiff, Wales, UK, CF10 3AT.

出版信息

Autism Res. 2016 Oct;9(10):1073-1078. doi: 10.1002/aur.1602. Epub 2016 Jan 13.

DOI:10.1002/aur.1602
PMID:26765165
Abstract

This study aimed to identify sensory subtypes in older children and adolescents with Autism Spectrum Disorders (ASD) and examine the relationship of sensory subtypes with anxiety levels in this group. Mothers of 57 children and adolescents with ASD aged 11-17 years (Mean age = 14 years. 2.4 months, SD = 1.81) completed the short sensory profile and Spence anxiety scales. Model-based cluster analysis was applied to sensory profile scores to identify sensory subtypes. Three sensory subtypes, sensory adaptive (N = 19), sensory moderate (N = 29) and sensory severe (N = 9) were identified. The results indicated that the differences between the subtypes were well characterised by the severity of sensory symptoms and were not attributable to sensory modality or varying types of sensory-related behaviors. Children and adolescents from the adaptive subtype had significantly lower anxiety scores when compared with other two subtypes. There were no differences between subtypes based on chronological age, expressive language, or severity of autism diagnostic features as measured by the social communication questionnaire (SCQ total score). This is the first study to identify the existence of sensory subtypes among older children and adolescents with ASD and explore their association with anxiety levels. Autism Res 2016, 9: 1073-1078. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.

摘要

本研究旨在识别大龄儿童及青少年自闭症谱系障碍(ASD)患者的感觉亚型,并探究该群体中感觉亚型与焦虑水平之间的关系。57名年龄在11至17岁(平均年龄=14岁2.4个月,标准差=1.81)的ASD儿童及青少年的母亲完成了简易感觉概况量表和斯彭斯焦虑量表。基于模型的聚类分析应用于感觉概况得分,以识别感觉亚型。确定了三种感觉亚型:感觉适应型(N=19)、感觉中度型(N=29)和感觉重度型(N=9)。结果表明,各亚型之间的差异可通过感觉症状的严重程度得到很好的表征,且并非归因于感觉模态或不同类型的感觉相关行为。与其他两种亚型相比,适应型亚型的儿童及青少年焦虑得分显著更低。基于实际年龄、表达性语言或社交沟通问卷(SCQ总分)所衡量的自闭症诊断特征严重程度,各亚型之间没有差异。这是第一项识别大龄ASD儿童及青少年中感觉亚型的存在并探究其与焦虑水平之间关联的研究。《自闭症研究》2016年,9卷:1073 - 1078页。© 2016国际自闭症研究协会,威利期刊公司

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