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自闭症谱系障碍儿童的焦虑及创伤相关障碍

Anxiety and Trauma-Related Disorders in Children on the Autism Spectrum.

作者信息

Ng-Cordell Elise, Wardell Victoria, Stewardson Charlotte, Kerns Connor M

机构信息

Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, BC, V6S1ZT, Canada.

出版信息

Curr Psychiatry Rep. 2022 Mar;24(3):171-180. doi: 10.1007/s11920-022-01331-6. Epub 2022 Mar 4.

DOI:10.1007/s11920-022-01331-6
PMID:35244867
Abstract

PURPOSE OF REVIEW

To summarize recent findings regarding anxiety and trauma-related disorders in children diagnosed with autism spectrum disorder (autism), focusing on the distinct ways in which these conditions may be expressed, as well as advances in evidence-based assessment and treatment.

RECENT FINDINGS

Current findings suggest both anxiety and trauma-related disorders may be more prevalent, yet more complicated to address in autistic relative to non-autistic children. Overlapping symptoms and distinct manifestations of these disorders pose challenges for the accurate identification, assessment, and treatment of anxiety and trauma-related disorders in autistic children. Emerging evidence recommends adapting traditional assessment and treatment approaches to better meet the needs of autistic children. Recent research suggests autism-centered conceptualizations, which accommodate complexity in how anxiety and trauma-related disorders are experienced and expressed by autistic people, are needed to enhance the psychiatric care of this population.

摘要

综述目的

总结近期关于自闭症谱系障碍(自闭症)儿童焦虑和创伤相关障碍的研究结果,重点关注这些病症可能表现出的不同方式,以及循证评估和治疗方面的进展。

近期研究结果

目前的研究结果表明,与非自闭症儿童相比,自闭症儿童中焦虑和创伤相关障碍可能更为普遍,但处理起来更为复杂。这些障碍的重叠症状和独特表现给自闭症儿童焦虑和创伤相关障碍的准确识别、评估和治疗带来了挑战。新出现的证据建议调整传统的评估和治疗方法,以更好地满足自闭症儿童的需求。最近的研究表明,需要以自闭症为中心的概念化方法,以适应自闭症患者体验和表达焦虑及创伤相关障碍的复杂性,从而加强对这一群体的精神科护理。

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