自闭症患者的社会焦虑:克拉克和威尔斯模型是否合适?
Alexander C Wilson1, Fiona Gullon-Scott2
1School of Psychology, Newcastle University, Dame Margaret Barbour Building, Wallace Street, Newcastle Upon Tyne, NE2 4DR, UK. alexander.wilson11@nhs.net.
Journal of autism and developmental disorders
|September 26, 2023
概括
对社会焦虑的认知行为疗法可能不完全适合自闭症患者. 不确定性的痛苦也会导致自闭症患者的社会恐惧,这表明需要适应治疗方法.
科学领域:
- 心理学 心理学 心理学
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
背景情况:
- 基于克拉克和威尔斯模型的认知行为疗法 (CBT) 是神经类型个体社会焦虑的标准.
- 自闭症成年人经常经历高水平的社会焦虑,但当前的CBT模型的适用性是不确定的.
研究的目的:
- 评估克拉克和威尔斯模型对自闭症成年人社会焦虑的适当性.
- 调查克拉克和威尔斯模型的关键变量是否解释了自闭症特征和社会恐惧之间的联系.
主要方法:
- 一项在线调查评估了300多名自闭症和非自闭症成年人的社会焦虑,消极思想,安全行为和自我关注.
- 用多重回归和结构方程建模来分析数据.
主要成果:
- 自闭症个体表现出比单靠克拉克和威尔斯变量预测的更大的社会恐惧.
- 在自闭症患者中,安全行为对社会恐惧的预测能力较低.
- 与不确定性相关的痛苦成为关联自闭症特征和社会恐惧的重要因素.
结论:
- 克拉克和威尔斯模型是相关的,但不足以完全解释自闭症成年人的社会焦虑.
- 当前的CBT方法可能对具有社会焦虑的自闭症个体来说不是最佳的.
- 需要进一步的研究来开发适应治疗,以适应自闭症患者经历社会焦虑的特定需求.
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