认知行为疗法治疗孤独症谱系障碍患者焦虑的研究进展(综述)  

Research progress of cognitive behavioral therapy for anxiety in patients with autism spectrum disorder

作　　者：于宗瑶 郭岚敏 周新玉 刘丽君 段彩灵 宁馨 YU Zongyao;GUO Lanmin;ZHOU Xinyu;LIU Lijun;DUAN Cailing;NING Xin(Rehabilitation Medical College of Jiamusi University,Jiamusi 154007,China;Dongguan Maternal And Child Health Care Hospital;Shandong Daizhuang Hospital;Third Affiliated Hospital of Jiamusi University、Heilongjiang Provincial Key Laboratory of Children's Neurological Rehabilitation)

机构地区：[1]佳木斯大学康复医学院,154007 [2]东莞市妇幼保健院 [3]山东省戴庄医院 [4]佳木斯大学附属第三医院儿童保健科、黑龙江省儿童精神康复重点实验室

出　　处：《中国健康心理学杂志》2025年第4期549-554,共6页China Journal of Health Psychology

基　　金：黑龙江省省属高等学校基本科研业务费科研项目(编号:2021-KYYWF-0613)。

摘　　要：孤独症谱系障碍是一种神经发育障碍性疾病,主要表现为社会交流交往障碍、重复的行为模式、受限的兴趣及异常的感知觉,通常可持续终生。焦虑情绪是该疾病患者常见的精神问题之一,严重损害患者的认知和社交能力。早期识别孤独症谱系障碍患者焦虑情绪并积极采取针对性干预有助于改善其预后。先前文献已证实认知行为疗法在改善孤独症谱系障碍患者心理健康方面有一定的效果,然而尚未有文章将该疗法各种版本的应用情况及疗效进行总结。本文通过对6个中英文数据库进行检索,查阅自建库以来的相关文献,对认知行为疗法的发展史、干预后受试者脑区影像学改变及应用原理进行综述,总结各版本认知行为疗法在孤独症谱系障碍患者中的应用及其对患者焦虑情绪的改善情况,并指出目前存在的不足和未来发展方向,以期为后续相关研究提供依据。Autism spectrum disorder is a neurodevelopmental disorder characterized by difficulties in social communication,repetitive behavior patterns,limited interests,and abnormal sensory perception,often lasting a lifetime.Anxious mood is one of the common mental problems in patients with this disease,which seriously impairs their cognitive and social abilities.Early identification of anxious mood in autism spectrum disorder patients and active targeted intervention can improve their prognosis.Cognitive behavioral therapy has been shown to be effective in improving the mental health of people with autism spectrum disorder,but there are no articles summarizing the application and efficacy of various versions of the therapy.By searching six Chinese and English databases and referring to the relevant literature since the database was established,this paper reviewed the history of cognitive behavioral therapy,the imaging changes of subjects'brain areas after intervention and the application principles,and summarized the application of various versions of cognitive behavioral therapy in patients with autism spectrum disorder and the improvement of patients'anxious mood.It also points out the existing shortcomings and the future development direction,in order to provide the basis for the follow-up related research.

关 键 词：认知行为疗法 孤独症谱系障碍 焦虑 社交能力 

分 类 号：R395.4[哲学宗教—心理学] R749.05[医药卫生—医学心理学]