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面对未知:自闭症谱系障碍儿童对不确定性的不耐受

Facing the Unknown: Intolerance of Uncertainty in Children with Autism Spectrum Disorder.

作者信息

Hodgson Anna R, Freeston Mark H, Honey Emma, Rodgers Jacqui

机构信息

Institute of Neuroscience, Newcastle University, Newcastle, UK.

Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle Upon Tyne, UK.

出版信息

J Appl Res Intellect Disabil. 2017 Mar;30(2):336-344. doi: 10.1111/jar.12245. Epub 2016 Feb 12.

Abstract

BACKGROUND

Anxiety is a common problem for children with autism spectrum disorder (ASD). Recent research indicates that intolerance of uncertainty (IU) may be an important aspect of anxiety for this population. IU is the belief that uncertainty is upsetting, and not knowing what is going to happen is negative. There is little known about the phenomenology of IU in children with ASD. We therefore present data from parent focus groups exploring this concept in children with ASD.

METHODS

Participants were asked to differentiate IU from dislike of change and fear, and to discuss examples of IU and the strategies they use to manage it. Their experiences of IU and strategies are presented.

RESULTS

IU was evident across novel and familiar situations and parents used a variety of strategies to manage IU. Their experiences of IU and strategies used are presented.

CONCLUSIONS

Participants were able to identify and provide examples of IU suggesting that it is a recognizable construct among children with ASD.

摘要

背景

焦虑是自闭症谱系障碍(ASD)儿童的常见问题。最近的研究表明,对不确定性的不耐受(IU)可能是这一人群焦虑的一个重要方面。IU是指认为不确定性令人不安,不知道将会发生什么是消极的。关于ASD儿童中IU的现象学知之甚少。因此,我们展示了来自家长焦点小组的数据,探讨了ASD儿童中的这一概念。

方法

要求参与者区分IU与对变化的厌恶和恐惧,并讨论IU的例子以及他们用来应对它的策略。展示了他们对IU的体验和策略。

结果

IU在新奇和熟悉的情境中都很明显,家长们使用了多种策略来应对IU。展示了他们对IU的体验和所使用的策略。

结论

参与者能够识别并提供IU的例子,这表明IU在ASD儿童中是一个可识别的概念。

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