Bar-Ilan University, Israel.
Autism Treatment and Research Center-Association for Children at Risk, Israel.
Autism. 2022 Feb;26(2):538-544. doi: 10.1177/13623613211035240. Epub 2021 Jul 28.
Autism spectrum disorder is a neurodevelopmental condition characterized by social communication difficulties and restricted repetitive behaviors. Individuals with autism spectrum disorder are often diagnosed with other psychiatric conditions, including attention deficit hyperactivity disorder, anxiety, and depression. However, research on post-traumatic stress disorder among individuals with autism spectrum disorder is scarce. Nonetheless, studies have shown that those with autism spectrum disorder may face an increased risk of exposure to traumatic events. Separate lines of research in autism spectrum disorder and post-traumatic stress disorder have shown that the two may share several vulnerability factors. One of those is ruminative thinking, that is, one's tendency to re-hash thoughts and ideas, in a repetitive manner. This article examined the role of two rumination types as potential factors connecting autism spectrum disorder and post-traumatic stress disorder: brooding (continuously comparing one's current condition to one's desired condition) and reflection (an introspective effort to cognitively solve one's problems). A total of 34 adults with autism spectrum disorder (with no intellectual impairment) and 66 typically developing adults completed questionnaires assessing post-traumatic stress disorder symptoms and rumination. The results showed increased post-traumatic stress disorder symptoms in adults with autism spectrum disorder, compared to typically developing adults. Brooding rumination was also higher among those with autism spectrum disorder. Finally, brooding, but not reflection, served as a mechanism connecting autism spectrum disorder and post-traumatic stress disorder, that is, those with autism spectrum disorder showed increased brooding, which in turn predicted more post-traumatic stress disorder symptoms. This study has potential clinical implications. Rumination and cognitive inflexibility, which are common in autism spectrum disorder, could exacerbate post-traumatic symptoms among individuals with autism spectrum disorder who experience traumatic events. Interventions targeting brooding rumination and cognitive flexibility may assist in alleviating post-traumatic symptoms in individuals with autism spectrum disorder.
自闭症谱系障碍是一种神经发育障碍,其特征是社交沟通困难和受限的重复行为。自闭症谱系障碍患者通常被诊断出患有其他精神疾病,包括注意力缺陷多动障碍、焦虑和抑郁。然而,关于自闭症谱系障碍患者的创伤后应激障碍的研究很少。尽管如此,研究表明,自闭症谱系障碍患者可能面临更高的暴露于创伤性事件的风险。自闭症谱系障碍和创伤后应激障碍的独立研究表明,两者可能有几个共同的脆弱性因素。其中之一是反刍思维,即一个人以重复的方式重新思考和想法的倾向。本文研究了两种反刍类型作为将自闭症谱系障碍和创伤后应激障碍联系起来的潜在因素的作用:沉思(不断将自己的现状与期望进行比较)和反思(一种内省努力,以认知方式解决自己的问题)。共有 34 名自闭症谱系障碍成年人(无智力障碍)和 66 名正常发育成年人完成了评估创伤后应激障碍症状和反刍的问卷。结果显示,自闭症谱系障碍成年人的创伤后应激障碍症状比正常发育成年人更为严重。自闭症谱系障碍患者的沉思反刍也更高。最后,沉思反刍,但不是反思,作为自闭症谱系障碍和创伤后应激障碍之间的联系机制,即自闭症谱系障碍患者表现出更高的沉思反刍,进而预测更多的创伤后应激障碍症状。这项研究具有潜在的临床意义。反刍和认知灵活性在自闭症谱系障碍中很常见,可能会加剧经历过创伤事件的自闭症谱系障碍患者的创伤后症状。针对沉思反刍和认知灵活性的干预措施可能有助于减轻自闭症谱系障碍患者的创伤后症状。