ABSTRACT Many children and adolescents with autism spectrum disorder (ASD) present with comorbid anxiety. Therefore, it is imperative that professionals working with youth with ASD and comorbid anxiety symptoms can access evidence-based intervention protocols. This review examined evidence-based guides and websites freely and publicly available to practitioners, with the goal of summarizing interventions for use with youth who have ASD and comorbid anxiety symptoms. Four intervention categories were identified, including cognitive-behavioral (CB), story-based, exposure, and sensory-integrative interventions. CB interventions (CBI) were the most widely researched and supported intervention for anxiety in this population. CBI studies also were more likely to incorporate rigorous methodological approaches (i.e., larger samples, randomized controlled trials). Conversely, research on exposure not in combination with CBI, story-based, and sensory-integrative interventions indicated weak support for decreasing anxiety symptoms in youth with ASD. Although the support for CBI continues to grow, limitations of the extant research suggest caution in interpreting results. In particular, though CBI are effective for youth with ASD who have cognitive ability in the average range or higher, research regarding treatment of anxiety symptoms among lower-functioning persons with ASD is needed.

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我们应该从这里去哪里？鉴定自闭症谱系障碍和合并症青年的心理社会干预文献中的空白

摘要许多患有自闭症谱系障碍（ASD）的儿童和青少年伴有合并症。因此，当务之急是与患有ASD和合并症焦虑症状的年轻人一起工作的专业人员可以使用基于证据的干预方案。这篇综述审查了从业者免费和公开获得的循证指南和网站，目的是总结针对患有自闭症和合并症的年轻人的干预措施。确定了四个干预类别，包括认知行为（CB），基于故事的，暴露和感官整合干预。在此人群中，CB干预（CBI）是研究最广泛和支持最大的干预措施。CBI研究也更有可能采用严格的方法论方法（例如，较大的样本，随机对照试验）。相反，有关暴露不与CBI，基于故事和感官干预相结合的研究表明，对于减少ASD青年的焦虑症状，支持不力。尽管对CBI的支持持续增长，但现有研究的局限性提示在解释结果时要谨慎。尤其是，尽管CBI对具有平均水平或更高认知能力的ASD青年有效，但仍需要研究在功能较弱的ASD中焦虑症状的治疗方法。现有研究的局限性提示在解释结果时要谨慎。尤其是，尽管CBI对具有平均水平或更高认知能力的ASD青年有效，但仍需要研究在功能较弱的ASD中焦虑症状的治疗方法。现有研究的局限性提示在解释结果时要谨慎。尤其是，尽管CBI对具有平均水平或更高认知能力的ASD青年有效，但仍需要研究在功能较弱的ASD中焦虑症状的治疗方法。