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简短报告:针对学龄前儿童焦虑症的特定自闭症家长介导干预后的学校焦虑、上学出勤率及学校拒绝/苦恼情况

Brief Report: School Anxiety, School Attendance and School Refusal/Distress Following an Autism-Specific Parent-Mediated Intervention for Anxiety in Preschoolers.

作者信息

Adams Dawn, Malone Stephanie, Dargue Nicole, Rodgers Jacqui, Simpson Kate, Wicks Rachelle, Rapee Ron

机构信息

Autism Centre of Excellence, Griffith University, Messines Ridge Road, Mt Gravatt, Brisbane, QLD, 4122, Australia.

Griffith Institute for Educational Research, Brisbane, QLD, Australia.

出版信息

J Autism Dev Disord. 2025 Apr 12. doi: 10.1007/s10803-025-06828-6.

Abstract

PURPOSE

Autistic children have an increased likelihood of experiencing anxiety, even in the preschool years. Studies evaluating anxiety interventions in autistic children have tended to focus upon home or community settings. This study expands upon previous work to evaluate whether a parent-mediated intervention for autistic preschool children's anxiety impacts later school anxiety and school attendance.

METHOD

Data for this study comes from a randomised controlled trial of an autism-specific program designed to reduce and/or prevent anxiety in autistic preschoolers; CLK-CUES. In addition to pre- and post-group anxiety measures, the trial included data from parents and teachers one year later, once the children started school. Teacher-reported school anxiety and parent-reported school attendance data were available for the CLK-CUES (n = 15) and control group (n = 13).

FINDINGS

Children whose parents received CLK-CUES had lower levels of separation anxiety in school and significantly lower non-attendance rates than the control group. This was predominantly due to a significant between-group difference in the number of days missed due to school refusal/distress.

INTERPRETATION

Findings indicate promise for this autism-specific anxiety program to reduce school anxiety and support school attendance in young autistic children. Further research with larger samples and an extended follow-up is warranted.

摘要

目的

自闭症儿童出现焦虑的可能性增加,即使在学龄前也是如此。评估自闭症儿童焦虑干预措施的研究往往集中在家庭或社区环境。本研究在先前工作的基础上进行扩展,以评估针对自闭症学龄前儿童焦虑的家长介导干预是否会影响后期的学校焦虑和出勤率。

方法

本研究的数据来自一项针对自闭症儿童的特定项目的随机对照试验,该项目旨在减少和/或预防自闭症学龄前儿童的焦虑;CLK-CUES。除了组内焦虑的前后测量外,该试验还包括一年后孩子们开始上学时来自家长和教师的数据。CLK-CUES组(n = 15)和对照组(n = 13)有教师报告的学校焦虑和家长报告的出勤率数据。

结果

父母接受CLK-CUES干预的儿童在学校的分离焦虑水平较低,且缺勤率显著低于对照组。这主要是由于因拒绝上学/苦恼而缺课天数的组间差异显著。

解读

研究结果表明,这个针对自闭症的特定焦虑项目有望减少自闭症幼儿的学校焦虑并支持其上学出勤率。有必要进行更大样本量和更长随访期的进一步研究。

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