The Transmitter, Journal Year: 2022, Volume and Issue: unknown
Published: Jan. 1, 2022
Language: Английский
Autism Research, Journal Year: 2023, Volume and Issue: 16(4), P. 685 - 696
Published: Feb. 14, 2023
Autism severity is currently defined and measured based exclusively on the levels of two core symptom domains: social-communication restricted or repetitive patterns behaviors interests. Autistic individuals, however, are often diagnosed with other medical, developmental, psychological co-occurring conditions. These additional challenges such as intellectual disability, limited expressive and/or receptive language, anxiety disorders, can have a tremendous impact day-to-day lives autistic for both their adaptive functioning well sense wellbeing. Furthermore, initial presentation symptoms likelihood changing over time influenced by presence In order to truly understand how person's autism impacts life, should be considered. This approach was recently taken byThe Lancet Commission future care clinical research in autism, which proposed term "profound autism" subgroup individuals presenting high severity, little no who require extensive long-term care. Considering individual factors daily living skills, specific support needs environmental resources would also enhance evaluation disability individuals. As employed assessment multidimensional could provide more comprehensive system classification impairment. At present, there formal way designate combined effect these different aspects life. A outlook that acknowledges impairments, capabilities, conditions, useful identifying subgroups determining strengths assessments.
Language: Английский
Citations
53
Nature Human Behaviour, Journal Year: 2023, Volume and Issue: 7(10), P. 1620 - 1637
Published: Oct. 20, 2023
Language: Английский
Citations
28
Autism Research, Journal Year: 2025, Volume and Issue: unknown
Published: March 14, 2025
ABSTRACT Assessing autistic traits alongside co‐occurring emotional/behavioral concerns (EBCs) is challenging due to their overlap in clinical presentations, which can vary by age and sex. This study aimed investigate domain‐specific associations between EBCs–including anxiety, affective, attention‐deficit/hyperactivity, oppositional‐defiant problems–across childhood boys girls. We prospectively followed 389 children (84% male) diagnosed with autism at ages 2–5 years, using the Social Responsiveness Scale (SRS) Child Behavior Checklist (CBCL) across eight timepoints until 12. Moderated nonlinear factor analysis was used identify adjust for measurement non‐invariance of SRS items age, sex, EBCs. The adjusted scores were then sex‐moderated time‐varying modeling Several domains social‐interaction difficulties repetitive mannerisms showed significant intercept bias level anxiety ADHD (effect size r > 0.20). In boys, strong observed social‐communication EBCs around 7–9, tended diminish late childhood. contrast, girls stable or intensifying associations, particularly into Results revealed after addressing item‐level biases. varying over time highlight importance continuous monitoring promptly address children's sex‐differential mental health needs. These findings emphasize benefits refining behavioral constructs adopting a nuanced developmental approach critical periods symptom coupling/decoupling informing evaluation service provision.
Language: Английский
Citations
1
Journal of Neurodevelopmental Disorders, Journal Year: 2023, Volume and Issue: 15(1)
Published: June 15, 2023
It is well-documented that children with Developmental Language Disorder (DLD) have a higher likelihood of experiencing anxiety, as well other socio-emotional and behavioural (SEB) difficulties. Despite this, there little consensus to how these difficulties manifest. This study aims understand the prevalence broader SEB informing intervention development by understanding relationships between them. A mixed-methods, case-control was conducted. First, an online survey completed 107 parents either DLD ("DLD sample"; n = 57) or typically developing ("typical 50), aged 6-12 years old. Binary statements informed previous qualitative work (e.g. "my child requires routine/sameness"; has frequent tantrums") provided insight into in both typical samples. Validated measures emotion regulation, intolerance uncertainty, insistence on sameness, family stress coping mechanisms were also collected. Correlation mediation analyses run using validated manifestation anxiety more detail. Qualitative interviews then carried out select panel respondents (n 4). The sample scored significantly all binary than sample: (80.7%, p < .05), requiring routine sameness (75.4%, .001) emotional dysregulation (75.4%; most common reported for DLD. Using scales, found only correlate group, not group. "Intolerance uncertainty" "insistence sameness" fully mediate relationship diagnosis symptoms anxiety. Parent's contextual support analysis, highlighting sensory sensitivities focus future research. Parents appear cope their children's complex needs. Intervention focussing uncertainty may help management Behaviours such should be investigated further, potential indicators amongst
Language: Английский
Citations
13
Autism, Journal Year: 2024, Volume and Issue: 28(11), P. 2909 - 2922
Published: May 9, 2024
Age at autism diagnosis is associated with sex assigned birth (hereafter, “sex”), such that girls/women are more likely to be delayed or “missed” entirely in the diagnostic process compared boys/men. Later diagnosed individuals, especially girls/women, demonstrate increased anxious/depressive symptoms. Data on autistic youth from clinic-based ( n = 1035; 22.9% female) and sex-balanced research-based 128; 43% samples were probed via regression-based mediation models understand relationships between age, sex, symptoms of anxiety/depression. We hypothesized age would mediate relationship In both samples, later predicted greater anxious depressive symptoms, did not directly predict but sample, individuals female than those male, there was a significant indirect effect through experienced Within sample only, The present study provides an important impetus for further evaluating implications timing, enhancing tools recognizing birth, grounding research real-world ascertainment strategies. Lay Abstract Previous has shown boys/men autism. Individuals who life, have been limited due narrow inclusionary criteria enrollment studies. uses two samples—one clinic-based, large “real-world” another strict diagnosis—to had anxiety by sex. male birth. anxiety/depression benefited earlier timing. male. These findings highlight importance timely identification autism, often later. Community-based needed better sex-based age-based disparities mental health.
Language: Английский
Citations
4
BMC Psychology, Journal Year: 2025, Volume and Issue: 13(1)
Published: Jan. 21, 2025
Autism spectrum disorder (ASD) is characterized by impairments in social communication and interaction, restricted repetitive patterns of behavior, sensory processing abnormalities. These core features are often accompanied comorbid anxiety disorders. However, the sequence mechanisms these associations warrant further investigation. Therefore, aim this study was to examine relationship separation on insistence sameness, mediated hypersensitivity. This a cross-sectional based caregiver reports 247 children, aged 7 ̶ 11 years. The parents completed Quotient-Children's Version (AQ-C), Repetitive Behavior Questionnaire-2 (RBQ-2), Sensory Profile 2 (SP2), Spence Children's Anxiety Scale-Parent (SCAS-P). path analysis revealed significant indirect effect sameness via hypersensitivity (p ≤ 0.05). neither nor had direct = 0.108 p 0.342, respectively). Based results, association with between anxiety, observed. article discusses theoretical explanations implications as well various manifestations symptoms children ASD.
Language: Английский
Citations
0
Psychiatric Annals, Journal Year: 2025, Volume and Issue: 55(4)
Published: April 1, 2025
Anxiety disorders and clinically significant anxiety symptoms are highly prevalent in children with autism spectrum (ASD), a growing body of research has addressed how to diagnose treat them older children. These can interfere children's ability benefit from interventions designed address ASD. Many preschoolers also exhibit that significantly affects their daily functioning. Some be challenging disentangle traits autism, but correctly identifying clinical is important, as studies suggest it responds psychosocial intervention even this age range. This article provides an overview the assessment treatment anxious young Several skills-based reduce reviewed. Recommendations for providers offered. [ Psychiatr Ann . 2025;55(4):e98–e101.]
Language: Английский
Citations
0
Autism, Journal Year: 2023, Volume and Issue: 28(3), P. 565 - 579
Published: June 16, 2023
Anxiety disorders commonly occur in autism. Existing studies implicate intolerance of uncertainty, alexithymia, sensory processing differences and emotion regulation difficulties as influencing factors anxiety To date, a few have considered the combination these within same sample. This study used structural equation modelling to test prediction that uncertainty constitute more direct causes autism mediate influences difference alexithymia sequential contributing factors. Autistic ( n = 86) non-autistic adults 100) completed battery self-report questionnaires. Only when applied each group separately, broad predictions model were confirmed for autistic following data-driven additions paths between implying contribute indirectly well directly individual anxiety. For group, fit could only be achieved after removing autism-related traits predictors These results suggest aetiology expression partially overlap with what is observed general population except appear play relatively unique role context Lay abstract are common Research identified influence autism, such uncertain situations, understanding own emotions, input (related our senses) regulating emotions. contribution group. The situations emotions central Difficulties both through their respective interrelation other two (difficulties emotions). Importantly, imply not but also cause/development
Language: Английский
Citations
6
Research in autism spectrum disorders, Journal Year: 2024, Volume and Issue: 117, P. 102428 - 102428
Published: June 20, 2024
Autistic people are more likely to experience anxiety than their non-autistic peers. Understanding mechanisms underpinning in autism is a vital aspect of developing effective interventions. Intolerance uncertainty (IU) and restrictive/repetitive behaviours (RRBs) proposed contribute for autistic people. This paper includes the first meta-analysis investigate associations between all three these variables. A systematic search identified 33 papers that measured anxiety, IU RRBs 8347 participants. Evidence was found positive correlations Analysis average participant age demonstrated relationship stronger younger No significant differences were studies included participants with intellectual disabilities those did not. quality assessment framework methodological threats validity. Most had good methods recruitment; however, many measurement tools unvalidated populations. Results suggest should be considered when designing interventions people, role particular needs investigated further prevent from taking away important coping strategies due misunderstanding causal relationships.
Language: Английский
Citations
2
Journal of Autism and Developmental Disorders, Journal Year: 2024, Volume and Issue: unknown
Published: Sept. 26, 2024
Abstract Anxiety is a common co-occurring condition for autistic preschoolers. Whilst there has been extensive research evaluating anxiety prevention/reduction interventions neurotypical preschoolers, such limited children. Fifty-seven parents of 4–5-year olds, with varying levels anxiety, participated in randomised controlled trial an autism-specific, parent-mediated intervention (CLK-CUES) to prevent or reduce Baseline, short-term (post-intervention) and longer term (12 months follow-up) assessments included child (ASC-ASD-P PAS-R), intolerance uncertainty, parent well-being. (Trial registration ACTRN12620001322921). There were no reports harmful effects the trial. Linear mixed models show significant group x time interaction ASC-ASD-P Total score Uncertainty subscale medium large effect sizes. Post-hoc analyses decline only (specifically, around uncertainty) from pre-post intervention, maintained at one year follow-up. was change on PAS-R other subscales. CLK-CUES shows promise as way young children, specifically related uncertainty. Trials larger samples are warranted. Findings also highlight importance using measures designed
Language: Английский
Citations
2