Department of Psychology, Centre for Applied Autism Research, University of Bath, Bath, BA2 7AY, UK.
J Autism Dev Disord. 2021 May;51(5):1729-1747. doi: 10.1007/s10803-020-04657-3.
Understanding shared and unique constructs underlying social communication difficulties in autism spectrum disorder (ASD) and social anxiety disorder (SAD) can address potential diagnostic overshadowing when evaluating SAD in the context of autism. Using self-report measures, factor analyses examined constructs underlying autistic traits, social anxiety, internalising symptoms and wellbeing amongst 267 neurotypical (17-19 years) and 145 autistic (15-22 years) students in the UK. Shared constructs across measures assessed general social communication competency (e.g., social distress in new situations and peer relationships). Fear of Negative Evaluation (FNE) was identified in both samples as a stable construct unique to social anxiety. Adapting interventions targeting SAD in autism should target FNE during adolescence which marks a period of heightened peer interaction and social vulnerability.
理解自闭症谱系障碍（ASD）和社交焦虑障碍（SAD）中社交沟通困难的共同和独特结构，可以解决在评估自闭症背景下的 SAD 时潜在的诊断掩盖问题。本研究使用自陈式量表，对英国 267 名神经典型（17-19 岁）和 145 名自闭症（15-22 岁）学生的自闭症特质、社交焦虑、内化症状和幸福感的潜在结构进行了因子分析。评估一般社交沟通能力的共同结构（例如，新情境下的社交困扰和同伴关系）横跨多种测量方法。在两个样本中，负面评价恐惧（FNE）都被确定为社交焦虑所特有的稳定结构。针对自闭症中的 SAD 进行干预的适应应该针对青少年时期的 FNE，因为这是一个同伴互动和社交脆弱性增加的时期。
