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自闭症谱系障碍青少年的愤怒沉思与自闭症症状严重程度、抑郁症状、攻击行为及总体失调之间的关联。

Association between anger rumination and autism symptom severity, depression symptoms, aggression, and general dysregulation in adolescents with autism spectrum disorder.

作者信息

Patel Shivani, Day Taylor N, Jones Neil, Mazefsky Carla A

机构信息

1 University of Pittsburgh, USA.

2 Florida State University, USA.

出版信息

Autism. 2017 Feb;21(2):181-189. doi: 10.1177/1362361316633566. Epub 2016 Jul 9.


DOI:10.1177/1362361316633566
PMID:27095831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6070295/
Abstract

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.

摘要

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。

相似文献

[1]
Association between anger rumination and autism symptom severity, depression symptoms, aggression, and general dysregulation in adolescents with autism spectrum disorder.

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[10]
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引用本文的文献

[1]
Emotion regulation difficulties and differences in autism including demand-avoidant presentations-A clinical review of research and models, and a proposed conceptual formulation: Neural-preferencing locus of control (NP-LOC).

JCPP Adv. 2024-8-19

[2]
Dialectical Behavior Therapy in Autism.

Curr Psychiatry Rep. 2025-5

[3]
A Normative Model Representing Autistic Individuals Amidst Autism Spectrum Phenotypic Heterogeneity.

Brain Sci. 2024-12-14

[4]
Obsessive-Compulsive Traits and Problematic Internet Use Are Increased Among Adults with Autism Spectrum Disorder: Is There a Role of Obsessive Doubts and Communication Impairment?

Brain Sci. 2024-11-22

[5]
Exploring Emotional Dysregulation and Avoidance with Caregivers as the Mechanisms Linking Social Communication Understanding and Aggressive Behaviours.

J Autism Dev Disord. 2024-5-8

[6]
Cognitive emotion regulation difficulties increase affective reactivity to daily-life stress in autistic adolescents and young adults.

Autism. 2024-7

[7]
Emotional dysregulation as a part of the autism spectrum continuum: a literature review from late childhood to adulthood.

Front Psychiatry. 2023-9-18

[8]
Predictors of Aggression, Disruptive Behavior, and Anger Dysregulation in Youths with Autism Spectrum Disorder.

J Autism Dev Disord. 2024-4

[9]
Effects of nonsocial and circumscribed interest images on neural mechanisms of emotion regulation in autistic adults.

Front Behav Neurosci. 2022-12-7

[10]
The effectiveness of an attention-based intervention for school-aged autistic children with anger regulating problems: A randomized controlled trial.

Autism Res. 2022-10

本文引用的文献

[1]
A Two-Hit Model of Autism: Adolescence as the Second Hit.

Clin Psychol Sci. 2015-5

[2]
Suicidal ideation and suicide plans or attempts in adults with Asperger's syndrome attending a specialist diagnostic clinic: a clinical cohort study.

Lancet Psychiatry. 2014-7

[3]
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Perspect Psychol Sci. 2008-9

[4]
Transdiagnostic Case Conceptualization of Emotional Problems in Youth with ASD: An Emotion Regulation Approach.

Clin Psychol (New York). 2014-12

[5]
The role of anger rumination and autism spectrum disorder-linked perseveration in the experience of aggression in the general population.

Autism. 2015-8

[6]
Rumination and perceived impairment associated with depressive symptoms in a verbal adolescent-adult ASD sample.

Autism Res. 2014-6

[7]
Emotion regulation patterns in adolescents with high-functioning autism spectrum disorder: comparison to typically developing adolescents and association with psychiatric symptoms.

Autism Res. 2014-6

[8]
Prepotent response inhibition and interference control in autism spectrum disorders: two meta-analyses.

Autism Res. 2014-8

[9]
Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder.

J Am Acad Child Adolesc Psychiatry. 2014-2

[10]
The role of emotion regulation in autism spectrum disorder.

J Am Acad Child Adolesc Psychiatry. 2013-6-3

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