Cited by 1,463Autism Spectrum Disorder ResearchChild and Adolescent Psychosocial and Emotional DevelopmentChild Nutrition and Feeding Issues

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Anxiety Disorders in Children and Adolescents with Autistic Spectrum Disorders: A Meta-Analysis

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van Steensel, Francisca J. A., Bögels, Susan M., Perrin, Sean·2011·Clinical Child and Family Psychology Review

DOI 10.1007/s10567-011-0097-0PMC PMC3162631

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Abstract

There is considerable evidence that children and adolescents with autistic spectrum disorders (ASD) are at increased risk of anxiety and anxiety disorders. However, it is less clear which of the specific DSM-IV anxiety disorders occur most in this population. The present study used meta-analytic techniques to help clarify this issue. A systematic review of the literature identified 31 studies involving 2,121 young people (aged <18 years) with ASD, and where the presence of anxiety disorder was assessed using standardized questionnaires or diagnostic interviews. Across studies, 39.6% of young people with ASD had at least one comorbid DSM-IV anxiety disorder, the most frequent being specific phobia (29.8%) followed by OCD (17.4%) and social anxiety disorder (16.6%). Associations were found between the specific anxiety disorders and ASD subtype, age, IQ, and assessment method (questionnaire versus interview). Implications for the identification and treatment of anxiety in young people with ASD are discussed.

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Background
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Self-citation
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“Fourteen reviews (16, 33 – 38, 38 – 44) and ten mixed reviews (7, 8 Across mixed-topic reviews, prevalence estimates varied substantially (e.g., anxiety 1.47% – 54% in narrative reviews; 11.1% – 35% in meta-analyses) (8, 20, 22, 47).”
Influential
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“…rates higher in autistic youth (i.e., 1.6 – 84%; Bougeard et al., 2021; Hollocks et al., 2023; Salazar et al., 2015; Simonoff et al., 2008; van Steensel et al., 2011; Vasa et al., 2020; White et al., 2009) than non-autistic youth (i.e., 2.4 – 17.5%; Costello et al., 2003; Polanczyk et…”
Influential
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Syriopoulou–Delli, C. K., Polychronopoulou, S. A., Kolaitis, G. A., & Antoniou, A.-S. G. (2019) · Journal of Educational and Developmental Psychology · doi:10.5539/jedp.v9n2p104 · Cited by 3
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Result
Underlying Mechanisms of Restricted and Repetitive Behaviors Across Typical and Atypical Development
Uljarević, M., Hedley, D., Linkovski, O., & Leekam, S. (2021) · Autism and child psychopathology series · doi:10.1007/978-3-030-66445-9_5 · Cited by 3
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“…sensory sensitivities, increased risk for other mental health concerns, decreased quality of life, and higher levels of parental stress (van Steensel et al., 2011, 2012; White et al., 2009), it is vital to address this co-occurring disorder in schools to ensure better mental health and…”
BackgroundInfluential
Exploring the concurrent use of standardised and idiographic measures to assess cognitive behavioural therapy in a university student with autistic spectrum condition – a single case experimental design
Birdsey, N., & Walz, L. (2021) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x21000167 · Cited by 2

Authors: van Steensel, F. J. A., Bögels, S. M., & Perrin, S.
Affiliations: University of Amsterdam (NL)
King's College London (GB)
ORCID: Bögels, Susan M.
Perrin, Sean
Venue: Clinical Child and Family Psychology Review
Publisher: Springer Science and Business Media LLC
Published: 2011-07-07
Volume: 14
Issue: 3
Pages: 302-317
ISSN: 1096-4037 (ISSN-L)
1573-2827
DOI: 10.1007/s10567-011-0097-0
PMC: PMC3162631
OpenAlex: W2138006810
Cited by: 1,463
References: 104
Citations by year: 2026: 147 · 2025: 105 · 2024: 94 · 2023: 109 · 2022: 134 · 2021: 137 · 2020: 138 · 2019: 112 · 2018: 107 · 2017: 94 · 2016: 83 · 2015: 70 · 2014: 59 · 2013: 52 · 2012: 21
FWCI: 3.53
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
Locations: Clinical Child and Family Psychology Review (publishedVersion, cc-by-nc)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
UvA-DARE (University of Amsterdam) (submittedVersion, other-oa)
Research Portal (King's College London) (submittedVersion)
Lund University Publications (Lund University) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: autism spectrum disorder, anxiety disorders, comorbidities, children and adolescents, specific phobia, obsessive-compulsive disorder, social anxiety disorder, ASD subtypes, IQ
MeSH terms: Adolescent, Anxiety Disorders, Child, Child Development Disorders, Pervasive, Child, Preschool, Humans, Intelligence, Obsessive-Compulsive Disorder, Phobic Disorders, Comorbidity, Prevalence, Databases, Bibliographic

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Anxiety Disorders in Children and Adolescents with Autistic Spectrum Disorders: A Meta-Analysis

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