Characterization and Prediction of Anxiety in Adolescents with Autism Spectrum Disorder: A Longitudinal Study.

IF 3.6
Esther Ben-Itzchak, Judah Koller, Ditza A Zachor
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引用次数: 10

Abstract

Anxiety is one of the most common comorbidities in youth with autism spectrum disorder (ASD). The current study's aims were: To examine the frequency of elevated anxiety symptoms in adolescents diagnosed with ASD in toddlerhood; To explore the impact of comorbid anxiety in adolescents on clinical presentation; To evaluate variables in toddlerhood that associate with anxiety symptom severity in adolescence. The study included 61 adolescents (mean age = 13:8y) diagnosed with ASD in toddlerhood (T1). Participants underwent a comprehensive assessment of cognitive ability, adaptive skills and autism severity at T1 and again as adolescents (T2), and an evaluation of anxiety symptoms at T2. For the first aim, the most prevalent anxiety subtypes noted in adolescence were separation (39.3%), social (27.9%) and generalized anxiety (18.0%). For the second aim, cognitive ability, autism severity and adaptive skills in adolescents with and without elevated anxiety symptoms scores of any type did not differ significantly. For the third aim, younger age at adolescence was associated with more severe separation and generalized anxiety symptoms. Higher cognitive ability and adaptive skills in toddlerhood were associated with elevated generalized anxiety symptoms in adolescence. Lower adaptive behaviors and repetitive behaviors (RRBs) correlated with elevated social anxiety symptoms. Lower cognitive abilities and more severe RRBs in toddlerhood predicted separation anxiety in adolescence. The study sheds light on early characteristics in ASD that associate with anxiety symptom severity in adolescence. The type of elevated anxiety symptoms presented in adolescence associated with the level of cognitive ability, adaptive skills and RRBs in toddlerhood.

自闭症谱系障碍青少年焦虑的特征和预测:一项纵向研究。
焦虑是青少年自闭症谱系障碍(ASD)最常见的合并症之一。当前研究的目的是:检查在幼儿期被诊断为ASD的青少年中焦虑症状升高的频率;探讨青少年共病焦虑对临床表现的影响;评估幼儿期与青春期焦虑症状严重程度相关的变量。该研究包括61名在学步期被诊断为ASD的青少年(平均年龄= 13:8岁)。参与者在T1和青少年时期(T2)接受了认知能力、适应技能和自闭症严重程度的综合评估,并在T2接受了焦虑症状的评估。对于第一个目标,青春期最常见的焦虑亚型是分离(39.3%),社交(27.9%)和广泛性焦虑(18.0%)。对于第二个目标,认知能力、自闭症严重程度和适应技能在有和没有任何类型的焦虑症状升高的青少年得分没有显著差异。对于第三个目标,青少年年龄越小,分离和广泛性焦虑症状越严重。幼儿期较高的认知能力和适应技能与青春期广泛性焦虑症状的升高有关。低适应行为和重复行为(RRBs)与社交焦虑症状升高相关。幼儿期较低的认知能力和较严重的RRBs预示着青春期的分离焦虑。这项研究揭示了与青春期焦虑症状严重程度相关的ASD的早期特征。青春期出现的焦虑症状类型与幼儿期认知能力、适应技能和RRBs水平相关
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来源期刊
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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