自闭症谱系障碍儿童的焦虑水平：一项元分析。
Anxiety Levels in Children with Autism Spectrum Disorder: A Meta-Analysis.
作者信息
van Steensel Francisca J A, Heeman Emma J
机构信息
Child Development and Education, University of Amsterdam, Research priority area Yield, Nieuwe Achtergracht 127, 1018 WS Amsterdam, Netherlands.
De Opvoedpoli B.V., Dorpstraat 145, 2712 AG Zoetermeer, Netherlands.
出版信息
J Child Fam Stud. 2017;26(7):1753-1767. doi: 10.1007/s10826-017-0687-7. Epub 2017 Mar 20.
The aim of the current study was to meta-analytically examine whether anxiety levels in children with autism spectrum disorders (ASD) are elevated. A total of 83 articles were selected from a systematic literature search and were included in the meta-analyses. Results demonstrated that children with ASD had higher anxiety levels compared to typically developing children, and this difference increased with IQ. Youth with ASD also tended to have higher anxiety levels compared to clinically referred children, and this difference increased with age. Children with ASD had higher anxiety levels compared to youth with externalizing or developmental problems, but not when compared to youth with internalizing problems. The study findings highlight the importance of more research in order to fully understand the nature and development of anxiety in children with ASD. More specifically, the results suggest that especially high-functioning adolescents with ASD may be at risk for developing anxiety disorders. Therefore, it seems important to carefully follow and monitor children with ASD transcending to adolescence.
本研究的目的是通过荟萃分析来检验自闭症谱系障碍（ASD）儿童的焦虑水平是否升高。通过系统的文献检索共筛选出83篇文章，并纳入荟萃分析。结果表明，与发育正常的儿童相比，ASD儿童的焦虑水平更高，且这种差异随智商升高而增大。与临床转诊儿童相比，患有ASD的青少年的焦虑水平也往往更高，且这种差异随年龄增长而增大。与有外化或发育问题的青少年相比，ASD儿童的焦虑水平更高，但与有内化问题的青少年相比则不然。研究结果凸显了开展更多研究以全面了解ASD儿童焦虑的本质和发展情况的重要性。更具体地说，结果表明，尤其是高功能的ASD青少年可能有患焦虑症的风险。因此，密切关注和监测步入青春期的ASD儿童似乎很重要。
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