Relationship between social anxiety and separation anxiety symptoms with insistence on sameness with the mediating role of sensory hypersensitivity.

IF 2.7 3区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY BMC Psychology Pub Date : 2025-01-21 DOI:10.1186/s40359-025-02369-w

Shima Keshavarz, Khalil Esmaeilpour

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Abstract

Background: Autism spectrum disorder (ASD) is characterized by impairments in social communication and interaction, restricted and repetitive patterns of behavior, and sensory processing abnormalities. These core features are often accompanied by comorbid anxiety disorders. However, the sequence and mechanisms of these associations warrant further investigation. Therefore, the aim of this study was to examine the relationship of social anxiety and separation anxiety on insistence on sameness, mediated by sensory hypersensitivity.

Methods: This was a cross-sectional study based on caregiver reports of 247 children, aged 7 ̶ 11 years. The parents completed the Autism Quotient-Children's Version (AQ-C), the Repetitive Behavior Questionnaire-2 (RBQ-2), the Sensory Profile 2 (SP2), and the Spence Children's Anxiety Scale-Parent Version (SCAS-P).

Results: The path analysis revealed a significant indirect effect of social anxiety and separation anxiety on insistence on sameness via sensory hypersensitivity (p ≤ 0.05). However, neither social anxiety nor separation anxiety had a significant direct effect on insistence on sameness (p = 0.108 and p = 0.342, respectively).

Conclusions: Based on the results, the mediated association of sensory hypersensitivity with the relationship between social anxiety, separation anxiety, and insistence on sameness was observed. The article discusses the theoretical explanations and implications of the results, as well as various manifestations of anxiety symptoms in children with ASD.

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坚持同一性的社交焦虑与分离焦虑症状的关系及感觉超敏反应的中介作用。

背景：自闭症谱系障碍（ASD）的特征是社会沟通和互动障碍，限制和重复的行为模式，以及感觉处理异常。这些核心特征通常伴有共病性焦虑症。然而，这些关联的顺序和机制值得进一步研究。因此，本研究旨在探讨以感觉超敏反应为中介的社交焦虑与分离焦虑对同一性坚持的关系。方法：这是一项基于247名7 - 11岁儿童看护报告的横断面研究。家长完成自闭症商数-儿童版（AQ-C）、重复行为问卷-2 （RBQ-2）、感觉特征问卷-2 （SP2）和斯宾塞儿童焦虑量表-家长版（SCAS-P）。结果：通径分析显示，社交焦虑和分离焦虑对通过感觉超敏来坚持同一性有显著的间接影响（p≤0.05）。然而，社交焦虑和分离焦虑对同一性坚持的直接影响均不显著（p = 0.108和p = 0.342）。结论：在此基础上，观察到了感觉超敏反应与社交焦虑、分离焦虑和坚持同一性之间的中介关系。本文讨论了研究结果的理论解释和意义，以及ASD儿童焦虑症状的各种表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Psychology Psychology-Psychology (all)

CiteScore

3.90

自引率

2.80%

发文量

265

审稿时长

24 weeks

期刊介绍： BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.