Romney Justin S, Garcia Miranda
Department of Community, Family, and Addiction Sciences, Texas Tech University, 1301 Akron Ave., MS 41250, Lubbock, TX 79409-1250 USA.
J Child Adolesc Trauma. 2021 Apr 20;14(3):415-424. doi: 10.1007/s40653-021-00354-0. eCollection 2021 Sep.
A diagnosis of autism spectrum disorder (ASD) often puts a child in a vulnerable position. While the research of the effects of trauma on children diagnosed with ASD is limited, we know children diagnosed with ASD presenting with a comorbid diagnosis of post-traumatic stress disorder (PTSD) have an increased risk of suicidal thoughts and behaviors. TF-CBT is an empirically validated treatment for trauma; in this paper, we provide adaptions for using this treatment with children diagnosed with ASD and using this method for teletherapy. These adaptions include recognizing trauma behaviors and ASD behaviors, the use of repetition and the need for flexibility from the therapist, and addressing safety with ASD behaviors while working from a teletherapy platform.
自闭症谱系障碍（ASD）的诊断往往会使儿童处于脆弱境地。虽然关于创伤对被诊断为ASD儿童影响的研究有限，但我们知道，被诊断为ASD且伴有创伤后应激障碍（PTSD）共病诊断的儿童出现自杀念头和行为的风险会增加。创伤聚焦认知行为疗法（TF-CBT）是一种经实证验证的创伤治疗方法；在本文中，我们提供了针对被诊断为ASD儿童使用该疗法以及将此方法用于远程治疗的调整方案。这些调整包括识别创伤行为和ASD行为、使用重复手段以及治疗师需要具备灵活性，以及在远程治疗平台开展治疗时处理与ASD行为相关的安全问题。
