St. John's University, Queens, NY, USA.
University of Colorado School of Medicine, Denver, CO, USA.
J Autism Dev Disord. 2017 Dec;47(12):3930-3948. doi: 10.1007/s10803-017-3070-z.
There is little research on the functional assessment and treatment of anxiety and related problem behavior in children with autism spectrum disorder (ASD), particularly those with intellectual and developmental disability (IDD). In a recent study, we evaluated a multimethod strategy for assessing anxiety in children with ASD and IDD (Am J Intellect Dev Disabil 118:419-434, 2013). In the present study, we developed treatments for the anxiety and associated problem behavior in these same children. A multiple baseline design was used to evaluate the effectiveness of a multicomponent intervention package, incorporating individualized strategies from Positive Behavior Support and Cognitive Behavioral Therapy. During intervention, all three participants showed substantial decreases in anxiety and problem behavior and significant increases in respiratory sinus arrhythmia in the situations that had previously been identified as anxiety-provoking.
针对自闭症谱系障碍（ASD）儿童，特别是那些伴有智力和发育障碍（IDD）的儿童，目前关于焦虑和相关问题行为的功能评估及治疗的研究较少。在最近的一项研究中，我们评估了一种用于评估 ASD 和 IDD 儿童焦虑的多方法策略（Am J Intellect Dev Disabil 118:419-434, 2013）。在本研究中，我们为这些儿童的焦虑和相关问题行为制定了治疗方案。采用多基线设计来评估包含积极行为支持和认知行为疗法个体化策略的多成分干预方案的有效性。在干预过程中，所有三名参与者在先前被确定为引发焦虑的情境中，焦虑和问题行为均显著减少，呼吸窦性心律失常显著增加。
