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Gender Differences in Emotion Dysregulation in an Autism Inpatient Psychiatric Sample.
Autism Research ( IF 4.7 ) Pub Date : 2020-03-28 , DOI: 10.1002/aur.2295
Andrea Trubanova Wieckowski 1 , Stephanie Luallin 2 , Zhaoxing Pan 3 , Giulia Righi 4 , Robin L Gabriels 5 , Carla Mazefsky 6
Affiliation  

There is a wide range of emotion regulation (ER)‐related impairment observed in autism spectrum disorder (ASD), which is associated with both internalizing and externalizing problems. Although the importance of ER is widely acknowledged in the ASD literature, little is known about factors associated with variability in ER impairment. Given the identified gender differences in ASD, gender may be a potential contributor to ER. This study examined gender differences in ER in an ASD inpatient psychiatric sample (n = 722; 146 females) aged 4–20 years, collected as part of the Autism Inpatient Collection. In addition, the study investigated whether age, nonverbal intelligence quotient (NVIQ), or verbal ability moderate the association between ER and gender. While both male and female inpatients with ASD presented with clinically elevated emotion dysregulation compared to general population norms, results suggest that female psychiatric inpatients have more severe dysregulation, including higher reactivity and dysphoria, than inpatient males. NVIQ and verbal ability did not moderate the association between gender and ER. Age moderated the association between gender and ER, with greater gender difference seen in older individuals, but only for dysphoria. However, overall, these effects were small. Improved understanding of ER presentation in males and females with ASD is critical, as these symptoms may differentially impact individuals with ASD and may warrant a different treatment emphasis.

中文翻译:

自闭症住院精神病患者样本中情绪失调的性别差异。

在自闭症谱系障碍 (ASD) 中观察到广泛的情绪调节 (ER) 相关障碍,这与内化和外化问题有关。尽管 ER 的重要性在 ASD 文献中得到广泛承认,但对与 ER 损伤变异性相关的因素知之甚少。鉴于 ASD 中已确定的性别差异,性别可能是 ER 的潜在因素。本研究检查了 ASD 住院精神病患者样本中 ER 的性别差异(n= 722; 146 名女性)年龄在 4-20 岁之间,作为自闭症住院患者收藏的一部分收集。此外,该研究调查了年龄、非语言智商 (NVIQ) 或语言能力是否会调节 ER 与性别之间的关联。虽然与普通人群相比,患有 ASD 的男性和女性住院患者都表现出临床上升高的情绪失调,但结果表明,女性精神病住院患者比住院男性有更严重的失调,包括更高的反应性和烦躁不安。NVIQ 和语言能力并没有缓和性别和 ER 之间的关联。年龄缓和了性别与 ER 之间的关联,老年人的性别差异更大,但仅限于烦躁不安。然而,总的来说,这些影响很小。
更新日期:2020-03-28
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