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情绪调节在 ASD 青少年共病精神病理学中的作用。

The Role of Emotion Regulation on Co-occurring Psychopathology in Emerging Adults with ASD.

机构信息

Virginia Polytechnic Institute and State University, Blacksburg, VA, USA.

University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

J Autism Dev Disord. 2020 Jul;50(7):2585-2592. doi: 10.1007/s10803-019-03983-5.

DOI:10.1007/s10803-019-03983-5
PMID:30875017
Abstract

Deficits in emotion regulation (ER) are commonly observed in individuals with ASD and may contribute to elevated rates of psychiatric comorbidity. The objective of this study was to understand the relationship between ER (self-and caregiver-reported) and clinician-assigned mood and anxiety disorders in emerging adults with ASD (n = 27). Individuals with an anxiety or mood disorder demonstrated significantly greater involuntary engagement (IE) for ER than those without an anxiety or unipolar depression diagnosis. Furthermore, those without anxiety or depression reported significantly more voluntary engagement (VE). However, consistent with prior findings outside of ASD, IE appears closely associated with internalizing diagnoses, even when VE is also utilized. Research on clinical approaches to reduce reliance on involuntary approaches to emotion management should be pursued.

摘要

自闭症谱系障碍(ASD)个体通常存在情绪调节(ER)缺陷,这可能导致精神共病率升高。本研究旨在了解 ASD 青少年(n = 27)中自我和照护者报告的 ER 与临床医生诊断的情绪和焦虑障碍之间的关系。与无焦虑或单相抑郁诊断的个体相比,有焦虑或心境障碍的个体在 ER 时表现出显著更大的非自愿参与(IE)。此外,没有焦虑或抑郁的个体报告了显著更多的自愿参与(VE)。然而,与 ASD 以外的先前发现一致,即使同时使用 VE,IE 似乎也与内化诊断密切相关。应探索减少对情绪管理非自愿方法的依赖的临床方法的研究。

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