Child and Adolescent Mental Health Service, Somerset NHS Foundation Trust, Taunton, TA2 7PG, England.
Child and Adolescent Mental Health Service, NHS Lothian, Edinburgh, EH26 8EZ, Scotland.
J Autism Dev Disord. 2022 Dec;52(12):5500-5514. doi: 10.1007/s10803-021-05359-0. Epub 2021 Dec 4.
We explored the role of negative performance beliefs and self-focused attention considered central to psychological models of social anxiety but not studied in autism. Firstly, we compared self- and observer ratings of performance on a social task for 71 young autistic people, 41 high and 30 low in social anxiety, finding a significant main effect of social anxiety but not rater. Subsequently, 76 autistic young people, 46 high and 30 low social anxiety completed measures of interoceptive sensibility and focus of attention following a social task. Only heightened interoceptive sensibility fully mediated the relationship between self-ratings of social performance and social anxiety. These findings suggest awareness of bodily sensations are critical to anxiety in social situations with implications for treatment.
我们探讨了消极的表现信念和自我关注的作用，这些因素被认为是社交焦虑症心理模型的核心，但在自闭症中并未得到研究。首先，我们比较了 71 名年轻自闭症患者在社交任务中的自我和观察者评分，其中 41 名社交焦虑程度较高，30 名较低，发现社交焦虑症有显著的主要影响，但没有评价者的影响。随后，76 名自闭症年轻人，46 名社交焦虑程度较高，30 名较低，完成了社交任务后的内感受敏感性和注意力焦点的测量。只有更高的内感受敏感性完全中介了自我社交表现评分与社交焦虑症之间的关系。这些发现表明，对身体感觉的意识对社交情境中的焦虑至关重要，这对治疗有影响。
