Patel Shivani, Day Taylor N, Jones Neil, Mazefsky Carla A
1 University of Pittsburgh, USA.
2 Florida State University, USA.
Autism. 2017 Feb;21(2):181-189. doi: 10.1177/1362361316633566. Epub 2016 Jul 9.
Rumination has a large direct effect on psychopathology but has received relatively little attention in autism spectrum disorder despite the propensity to perseverate in this population. This study provided initial evidence that adolescents with autism spectrum disorder self-report more anger-focused rumination than typically developing controls, though there was substantial within-group variability. Anger rumination was positively correlated with autism symptom severity with both groups combined. Future studies that include measures of perseveration on special interests are needed to understand whether anger rumination is a manifestation of a perseverative type of repetitive behavior or a distinct trait. Even when controlling for autism symptom severity, however, anger-focused rumination was associated with poorer functioning, including more depression symptoms and overall emotional and behavioral dysregulation. Therefore, further inquiry regarding anger rumination in autism spectrum disorder is clinically important, and the potential impact of rumination-focused interventions should be explored.
反刍思维对精神病理学有很大的直接影响,但尽管自闭症谱系障碍患者有固执坚持的倾向,但该领域受到的关注相对较少。本研究提供了初步证据,表明自闭症谱系障碍青少年自我报告的以愤怒为焦点的反刍思维比发育正常的对照组更多,尽管组内存在很大差异。将两组合并后,愤怒反刍思维与自闭症症状严重程度呈正相关。未来需要开展包括对特殊兴趣的固执坚持测量在内的研究,以了解愤怒反刍思维是重复行为的一种固执类型的表现还是一种独特的特质。然而,即使在控制了自闭症症状严重程度之后,以愤怒为焦点的反刍思维仍与功能较差有关,包括更多的抑郁症状以及整体情绪和行为失调。因此,进一步探究自闭症谱系障碍中的愤怒反刍思维在临床上很重要,并且应该探索以反刍思维为重点的干预措施的潜在影响。
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