Rodgers Jacqui, Ofield A
Clinical Psychology, Institute of Neuroscience, Sir James Spence Institute, Newcastle University, Royal Victoria Infirmary, Queen Victoria Road, Newcastle, NE1 4LP UK.
2Northumberland, Tyne and Wear NHS Foundation, Newcastle upon Tyne, UK.
Curr Dev Disord Rep. 2018;5(1):58-64. doi: 10.1007/s40474-018-0132-7. Epub 2018 Jan 23.
Autistic people are at increased risk of anxiety, with around 50% of autistic adults and children experiencing this debilitating mental health condition. The purpose of this review is to consider some contemporary ideas about underlying mechanisms for anxiety in autism, explore issues in the identification and assessment of anxiety and discuss emerging trends in anxiety interventions for autistic people, before identifying some important next steps in the field.
Emerging evidence suggests that anxiety may present differently in autism compared to the general population and that whilst CBT holds promise, there may be important differences in neurobiological, affective and cognitive responses to stressors for autistic people, which warrant tailored anxiety models, assessments and interventions.
We conclude that research is needed to develop and evaluate theoretical frameworks, assessment methods and interventions for anxiety in autism, particularly for autistic adults and those with co-occurring intellectual disability.
自闭症患者患焦虑症的风险增加，约50%的自闭症成年人和儿童患有这种使人衰弱的心理健康状况。本综述的目的是思考一些关于自闭症焦虑潜在机制的当代观点，探讨焦虑识别与评估中的问题，并讨论自闭症患者焦虑干预的新趋势，然后确定该领域一些重要的后续步骤。
新出现的证据表明，与普通人群相比，自闭症患者的焦虑表现可能有所不同，虽然认知行为疗法有前景，但自闭症患者对应激源的神经生物学、情感和认知反应可能存在重要差异，这需要量身定制的焦虑模型、评估和干预措施。
我们得出结论，需要开展研究以开发和评估自闭症焦虑的理论框架、评估方法和干预措施，特别是针对自闭症成年人以及同时患有智力残疾的患者。
