对于自闭症成年人来说,DSM-5社会焦虑障碍严重程度尺度的适用性
Simon G Brett1,2, Jacquiline E den Houting1, Melissa H Black3,4
1Macquarie University, Australia.
Autism : the international journal of research and practice
|December 19, 2024
概括
社会焦虑障碍严重程度测量可能不准确地评估自闭症成年人,因为他们的反应通常受到自闭症特征的影响,而不仅仅是社会焦虑. 在与自闭症患者使用此工具时建议谨慎使用.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经发育障碍 神经发育障碍
背景情况:
- 自闭症成年人经常表现出与社会焦虑障碍重叠的特征.
- 现有的社会焦虑障碍措施通常在非自闭症人群中得到验证,这可能导致自闭症成年人的误解.
- 需要对自闭症成年人的社会焦虑障碍进行验证的测量工具.
研究的目的:
- 在一批自闭症成年人中评估社会焦虑障碍 (SM-SASD) 严重性测量标准的心理测量特性.
- 探索SM-SASD对自闭症报告差异的解释的修改版.
- 确定影响自闭症成年人对SM-SASD反应的因素.
主要方法:
- 向284名自闭症成年人和80名非自闭症成年人提供SM-SASD.
- 对SM-SASD反应进行了确认因素分析 (CFA) 和探索因素分析 (EFA).
- 在对模两可的SM-SASD问题进行定性反的内容分析.
主要成果:
- 在自闭症成年人中,CFA并不支持SM-SASD的单维结构.
- 超过50%的自闭症成年人将至少一个反应归因于除了社会焦虑之外的其他因素 (例如,疲劳,感官压倒).
- 在EFA的恢复版本中出现了一种双因素解决方案,表明社会焦虑不是一个孤独的潜在变量.
结论:
- 由于混因素,SM-SASD可能不是评估自闭症成年人的社会焦虑障碍的合适措施.
- 研究结果表明,在自闭症患者中解释SM-SASD结果时,需要谨慎.
- 确定非焦虑影响的类别可以为自闭症成年人开发更准确的未来测量工具提供信息.
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