孤独症谱系障碍儿童情绪调节的多模态评估及干预

Multimodal assessment and intervention of emotional regulation in children with autism spectrum disorder

摘要

孤独症谱系障碍(ASD)儿童常伴显著的情绪调节困难,表现为情绪反应过强、恢复困难及适应性调节策略不足等,严重影响其社会适应和生活质量。本文围绕ASD儿童情绪调节问题,系统阐述多模态评估方法与综合干预策略,并提出未来应加强多模态评估数据的融合应用,构建先评估后干预的闭环模式,以推动ASD儿童情绪问题的早期筛查、精准识别及个体化干预。

Abstract

Children with autism spectrum disorder (ASD) frequently exhibit pronounced difficulties in emotion regulation, manifested as excessive emotional reactivity, slow emotional recovery, and a lack of adaptive regulatory strategies, which substantially impair social adaptation and quality of life.This article focuses on emotion regulation problems in children with ASD, systematically outlining multimodal assessment approaches and integrative intervention strategies.It further proposes that future work should strengthen the integrated use of multimodal assessment data and develop a closed-loop model that links assessment to intervention, thereby advancing early screening, precise identification, and individualized intervention for emotional difficulties in children with ASD.

关键词

孤独症谱系障碍儿童 / 情绪调节 / 多模态评估 / 干预策略

Key words

autism spectrum disorder / emotion regulation / multi-modal assessments / intervention strategies

[1] American Psychiatric Association.Diagnostic and statistical manual of mental disorders (5th ed.)[M].Arlington, VA: American Psychiatric Publishing,2013.
[2] Zeidan J, Fombonne E, Scorah J, et al.Global prevalence of autism: A systematic review update[J].Autism Res, 2022,15(5):778-790.
[3] Zhou H, Xu X, Yan W, et al.Prevalence of autism spectrum disorder in China: A nationwide multi-center population-based study among children aged 6 to 12 years[J].Neurosci Bull, 2020,36(9):961-971.
[4] Restoy D, Oriol-Escudé M, Alonzo-Castillo T, et al.Emotion regulation and emotion dysregulation in children and adolescents with autism spectrum disorder: A meta-analysis of evaluation and intervention studies[J].Clin Psychol Rev, 2024,109:102410.
[5] Cibralic S, Kohlhoff J, Wallace N, et al.A systematic review of emotion regulation in children with autism spectrum disorder[J].Research in Autism Spectrum Disorders, 2019,68:101422.
[6] Northrup JB, Patterson MT, Mazefsky CA.Predictors of severity and change in emotion dysregulation among children and adolescents with ASD[J].Journal of Clinical Child and Adolescent Psychology, 2021,50(6):708-729.
[7] Kotov R, Krueger RF, Watson D, et al.The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies[J].J Abnorm Psychol, 2017,126(4):454-477.
[8] Forbes MK, Wright AGC, Markon KE, et al.Evidence that psychopathology symptom dimensions are hierarchically structured[J].J Abnorm Psychol, 2020,129(2):135-152.
[9] Thompson RA.Emotion regulation: A theme in search of definition[J].Monogr Soc Res Child Dev, 1994,59(2-3):25-52.
[10] 潘苗苗, 苏彦捷.幼儿情绪理解、情绪调节与其同伴接纳的关系[J].心理发展与教育, 2007,23(2):6-13.
Pan MM, Su YJ.The relation between young children′s emotion competence and peer acceptance[J].Psychological Development and Education, 2007,23(2):6-13.(in Chinese)
[11] Shields A, Cicchetti D.Emotion regulation among school-age children: The development and validation of a new criterion Q-sort scale[J].Dev Psychol, 1997,33(6):906-916
[12] Northrup JB, Goodwin M, Montrenes J, et al.Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder[J].Autism, 2020,24(4):968-982.
[13] Masoomi M, Saeidi M, Cedeno R, et al.Emotion recognition deficits in children and adolescents with autism spectrum disorder:A comprehensive meta-analysis of accuracy and response time[J].Front Child Adolesc Psychiatry, 2025,3:1520854.
[14] Restoy D, Oriol-Escude M, Alonzo-Castillo T, et al.Emotion regulation and emotion dysregulation in children and adolescents with autism spectrum disorder: A meta-analysis of evaluation and intervention studies[J].Clin Psychol Rev, 2024,109:102410.
[15] Mazefsky CA, Herrington J, Siegel M, et al.The role of emotion regulation in autism spectrum disorder[J].J Am Acad Child Adolesc Psychiatry, 2013,52(7):679-688.
[16] Kinnaird E, Stewart C, Tchanturia K.Investigating alexithymia in autism: A systematic review and meta-analysis[J].Eur Psychiatry, 2019,55:80-89.
[17] Siemann JK, Veenstra-VanderWeele J, Wallace MT.Approaches to understanding multisensory dysfunction in autism spectrum disorder[J].Autism Res, 2020,13(9):1430-1449.
[18] Sung YS, Lin CY, Chu SY, et al.Emotion dysregulation mediates the relationship between sensory processing and behavior problems in young children with autism spectrum disorder: A preliminary study[J].J Autism Dev Disord, 2024,54(2):738-748.
[19] Mazefsky CA, Yu L, White SW, et al.The emotion dysregulation inventory: Psychometric properties and item response theory calibration in an autism spectrum disorder sample[J].Autism Res, 2018, 11(6): 928-941.
[20] Shields A, Cicchetti D.Emotion regulation among school-age children: The development and validation of a new criterion Q-sort scale[J].Dev Psychol, 1997,33(6): 906-916.
[21] Gioia GA, Isquith PK, Guy SC, et al.Behavior Rating Inventory of Executive Function[J].Child Neuropsychology, 2000,6(3):235-238.
[22] De Los Reyes A, Kazdin AE.Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study[J].Psychol Bull, 2005,131(4):483-509.
[23] Weiss JA, Thomson K, Chan L.A systematic literature review of emotion regulation measurement in individuals with autism spectrum disorder[J].Autism Res, 2014,7(6):629-648.
[24] Zantinge G, van Rijn S, Stockmann L, et al.Physiological arousal and emotion regulation strategies in young children with autism spectrum disorders[J].J Autism Dev Disord, 2017,47(9):2648-2657.
[25] Samson AC, Phillips JM, Parker KJ, et al.Emotion dysregulation and the core features of autism spectrum disorder[J].J Autism Dev Disord,2014,44(7):1766-1772.
[26] Kreibig SD.Autonomic nervous system activity in emotion: A review[J].Biol Psychol, 2010, 84(3): 394-421.
[27] 袁加锦, 丁南翔, 刘莹莹, 等.无意识接受策略在挫折情景下的情绪调节效应:行为与生理证据[J].中国科学:生命科学, 2015,45(1): 84-95.
Yuan JJ, Ding NX, Liu YY, et al.Emotion regulation effects of unconscious acceptance during a frustrating situation: Behavioral and physiological correlates[J].SCIENTIA SINICA Vitae, 2015, 45(1): 84-95.(in Chinese)
[28] Critchley HD.Electrodermal responses: What happens in the brain[J].Neuroscientist, 2002, 8(2): 132-142.
[29] Chiu HT, Ip IN, Ching FNY, et al.Resting heart rate vari-ability and emotion dysregulation in adolescents with autism spectrum disorder[J].J Autism Dev Disord, 2024, 54(4): 1482-1493.
[30] Kushki A, Drumm E, Pla Mobarak M, et al.Investigating the autonomic nervous system response to anxiety in children with autism spectrum disorders[J].PLoS One, 2013,8(4): e59730.
[31] Vernetti A, Shic F, Boccanfuso L, et al.Atypical emotional electrodermal activity in toddlers with autism spectrum disorder[J].Autism Res, 2020, 13(9): 1476-1488.
[32] Pitskel NB, Bolling DZ, Kaiser MD, et al.Neural systems for cognitive reappraisal in children and adolescents with autism spectrum disorder[J].Dev Cogn Neurosci, 2014,10:117-128.
[33] Chen T, Jiang J, Xu M, et al.Atypical prefrontal neural activity during an emotional interference control task in adolescents with autism spectrum disorder: A functional near-infrared spectroscopy study[J].Neuroimage, 2024,302:120907.
[34] Myin-Germeys I, Kasanova Z, Vaessen T, et al.Experience sampling methodology in mental health research:New insights and technical developments[J].World Psychiatry, 2018,17(2):123-132.
[35] Chen Y, Xi Z, Greene T, Mandy W.A systematic review of ecological momentary assessment in autism research[J].Autism, 2025,29(6):1374-1389.
[36] Failla C, Chilá P, Vetrano N, et al.Virtual reality for autism: Unlocking learning and growth[J].Front Psychol, 2024,15:1417717.
[37] Wiebe A, Kannen K, Selaskowski B, et al.Virtual reality in the diagnostic and therapy for mental disorders: A systematic review[J].Clin Psychol Rev, 2022,98:102213.
[38] Hyman SL, Levy SE, Myers SM, et al.Executive summary: Identification, evaluation, and management of children with autism spectrum disorder[J].Pediatrics, 2020,145(1):e20193448.
[39] Beck KB, Conner CM, BreitenfeldtKE, et al. Assessment and treatment of emotion regulation impairment in autism spectrum disorder across the life span: Current state of the science and future directions. Child Adolesc Psychiatr Clin N Am. 2020,29(3):527-542.
[40] Cai RY, Richdale AL, Uljarevic'M,et al.Emotion regulation in autism spectrum disorder: Where we are and where we need to go[J].Autism Res, 2018;11(7):962-978.
[41] Conner CM, White SW, Beck KB, et al.Improving emotion regulation ability in autism: The Emotional Awareness and Skills Enhancement (EASE) program[J].Autism, 2019,23(5):1273-1287.
[42] 王雪珂, 邓芳, 陈立,等.孤独症儿童负性情绪调节特征及干预:基于多模态评估的正念与认知策略训练[J].心理学报, 2026,58(1):39-56.
Wang XK, Deng F, Chen L,et al.Characteristics and interventions of negative emotion regulation in children with autism: Mindfulness and cognitive strategy training based on multimodal assessment[J].Acta Psychologica Sinica, 2026,58(1):39-56.(in Chinese)
[43] Ridderinkhof A, de Bruin EI, van den Driesschen S,et al.Attention in children with autism spectrum disorder and the effects of a mindfulness-based program[J].J Atten Disord, 2020,24(5):681-692.
[44] Poquerusse J, Pagnini F, Langer EJ.Mindfulness for autism[J].Adv Neurodev Disord, 2021,5(1):77-84.
[45] Wood JJ, Kendall PC, Wood KS, et al.Cognitive behavioral treatments for anxiety in children with autism spectrum disorder: A randomized clinical trial[J].JAMA Psychiatry, 2020,77(5):474-483.
[46] Hendrix NM, Pickard KE, Binion GE, et al.A systematic review of emotion regulation in parent-mediated interventions for autism spectrum disorder[J].Front Psychiatry, 2022,13:846286.
[47] Shaffer RC, Schmitt LM, Reisinger DL, et al.Regulating together: Emotion dysregulation group treatment for ASD youth and their caregivers[J].J Autism Dev Disord, 2023,53(5):1942-1962.
[48] Coulter HL, Donnelly MP, Yakkundi A, et al.Heart rate variability biofeedback to reduce anxiety in autism spectrum disorder: A mini review[J].Front Psychiatry, 2024,15:1409173.