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自闭症谱系障碍成年人中被排斥的生理和心理影响。

The Physiological and Psychological Effects of Ostracism in Adults with ASD.

作者信息

Trimmer Emily, McDonald Skye, Kelly Michelle, Rushby Jacqueline Ann

机构信息

School of Psychology, University of New South Wales, Sydney, NSW, 2052, Australia.

Newcastle University, Newcastle, Australia.

出版信息

J Autism Dev Disord. 2017 Aug;47(8):2326-2335. doi: 10.1007/s10803-017-3146-9.

DOI:10.1007/s10803-017-3146-9
PMID:28488077
Abstract

Whilst some form of ostracism is experienced by most people at some point in their lives, it is experienced far more often in individuals with Autism Spectrum Disorder (ASD). Little is known about how this social exclusion is interpreted, experienced or managed. This study aimed to explore the psychological (mood and social needs) as well as the physiological (arousal) effects of ostracism using a well-established paradigm, Cyberball. Results demonstrated no differences between groups on social needs, however, mood was rated as more negatively by ASDs overall. Arousal was increased in when excluded compared with when excluded for ASDs, but not for controls. Overall, individuals with ASD experienced heightened physiological arousal but whilst these individuals reported overall lower mood, this response to ostracism was not expressed as emotionally significant to these individuals, suggesting possible interoceptive difficulties in this population. This highlights the need for both understanding in non-ASD individuals and intervention of this emotional distress in individuals with ASD.

摘要

虽然大多数人在人生的某个阶段都会经历某种形式的排斥,但自闭症谱系障碍(ASD)患者经历排斥的频率要高得多。对于这种社会排斥是如何被理解、体验或应对的,我们知之甚少。本研究旨在使用一种成熟的范式——网络抛球游戏,探讨排斥在心理(情绪和社交需求)以及生理(唤醒)方面的影响。结果表明,两组在社交需求方面没有差异,然而,总体而言,ASD患者对情绪的评分更为负面。与对照组相比,ASD患者在被排斥时唤醒水平增加,但对照组没有。总体而言,ASD患者的生理唤醒水平较高,但尽管这些患者报告总体情绪较低,但这种对排斥的反应对他们来说在情感上并不显著,这表明该人群可能存在内感受困难。这凸显了非ASD个体理解以及干预ASD个体这种情绪困扰的必要性。

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本文引用的文献

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Alexithymia: a general deficit of interoception.述情障碍:一种普遍的内感受缺陷。
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The psychophysiological mechanisms of alexithymia in autism spectrum disorder.自闭症谱系障碍中述情障碍的心理生理学机制。
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Alexithymia, not autism, is associated with impaired interoception.述情障碍而非自闭症与内感受性受损有关。
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