自我报告的社交技能损害解释了广泛性社交焦虑障碍患者自闭症特征的升高。
Self-reported social skills impairment explains elevated autistic traits in individuals with generalized social anxiety disorder.
作者信息
Tonge Natasha A, Rodebaugh Thomas L, Fernandez Katya C, Lim Michelle H
机构信息
Department of Psychology, Washington University in St. Louis, St. Louis, MO, United States.
Department of Psychology, Washington University in St. Louis, St. Louis, MO, United States.
出版信息
J Anxiety Disord. 2016 Mar;38:31-6. doi: 10.1016/j.janxdis.2015.12.005. Epub 2015 Dec 18.
Screening for autism in individuals with generalized social anxiety disorder (GSAD) is complicated by symptom overlap between GSAD and autism spectrum disorder (ASD). We examined the prevalence of self-reported autistic traits within a sample of participants with a diagnosis of GSAD (n=37) compared to individuals without a GSAD diagnosis (NOSAD; n=26). Of the GSAD sample participants, 70.84% self-reported autistic traits above a cut-off of 65 on the Autism Quotient-Short (AQ-S) and reported significantly more autistic traits on 3 of 5 AQ-S subscales compared to the NOSAD group. Diagnosis uniquely predicted variation in the social skills subscale above and beyond the other subscales and other predictors. Furthermore, variation in the social skills subscale largely explained group differences on the other subscales. Our results suggest caution in utilizing measures like the AQ-S with clinical populations characterized by social difficulties such as individuals with a GSAD diagnosis.
广泛性社交焦虑障碍（GSAD）患者的自闭症筛查因GSAD与自闭症谱系障碍（ASD）之间的症状重叠而变得复杂。我们调查了诊断为GSAD的参与者样本（n = 37）中自我报告的自闭症特征的患病率，并与未诊断为GSAD的个体（非GSAD；n = 26）进行了比较。在GSAD样本参与者中，70.84%的人自我报告在自闭症商数简表（AQ-S）上的自闭症特征得分高于65分的临界值，并且与非GSAD组相比，在AQ-S的5个分量表中的3个上报告的自闭症特征明显更多。诊断独特地预测了社交技能分量表上的变异，超出了其他分量表和其他预测因素。此外，社交技能分量表上的变异在很大程度上解释了其他分量表上的组间差异。我们的结果表明，对于像GSAD诊断个体这样具有社交困难特征的临床人群，在使用AQ-S等测量方法时要谨慎。
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