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自闭症青少年患有焦虑障碍的抑郁症状
Rebecca L Greenberg1, Andrew G Guzick1,2, Sophie C Schneider1
1Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX; and.
Journal of developmental and behavioral pediatrics : JDBP
|November 29, 2023
概括
自闭症儿童经常经历抑郁和焦虑. 孤独和功能障碍可能表明情绪问题,但抑郁症在本研究中没有影响焦虑治疗结果.
科学领域:
- 儿童心理学 儿童心理学
- 神经发育障碍 神经发育障碍
- 心理健康研究 心理健康研究
背景情况:
- 焦虑和抑郁症在年轻人中经常同时发生,共享症状.
- 自闭症青少年焦虑和抑郁的并发症并未得到充分理解.
研究的目的:
- 为了确定自闭症儿童显著焦虑的抑郁症状的频率.
- 在这个人群中确定与抑郁症状相关的临床变量.
- 调查治疗前抑郁症状是否预测焦虑认知行为疗法 (CBT) 的结果.
主要方法:
- 一项随机对照试验,涉及87名儿童 (7-13岁) 和他们的父母.
- 两个家长主导的,远程医疗提供的CBT计划的比较.
- 使用治疗前后临床评估和自我报告问卷.
主要成果:
- 57%的儿童报告了高度的抑郁症状;20%的父母报告了他们的孩子.
- 在焦虑和抑郁之间发现了显著的关联.
- 孤独 (儿童报告) 和功能障碍 (父母报告) 与抑郁症状有着独特的联系.
- 抑郁症状没有预测CBT对焦虑的结果.
结论:
- 在自闭症儿童中存在焦虑和抑郁的高并发症.
- 孤独,焦虑和功能障碍可能表明情绪问题正在出现.
- 需要进一步研究焦虑与抑郁的联系以及自闭症儿童的治疗选择.
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