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Autism Spectrum Disorder: The Impact of Stressful and Traumatic Life Events and Implications for Clinical Practice

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Fuld, Samantha·2018·Clinical Social Work Journal

DOI 10.1007/s10615-018-0649-6PMC PMC6061115

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Abstract

Research findings suggest that behavioral interventions are effective in improving educational outcomes and fostering skill development in people with autism spectrum disorder (ASD). However, high rates of comorbidity between ASD and other psychological disorders, including depression and anxiety, indicate that standard behavioral approaches are not adequately addressing issues related to mental health in this population. Research emerging since the publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is advancing our understanding of the nature of childhood stress and trauma in people with ASD and its subsequent impact on mental health and wellbeing. Mounting evidence for stress and trauma as a risk factor for comorbidity and the worsening of core ASD symptoms may intimate a shift in the way clinical social workers and other clinical practitioners conceptualize and approach work with this population to include trauma-focused assessment strategies and clinical interventions. Future directions for research to better understand the nature of childhood stress and trauma and improve mental health in this population are also discussed.

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Authors: Fuld, S.
Affiliations: New York University (US)
Corresponding author: Fuld, Samantha
ORCID: Fuld, Samantha
Venue: Clinical Social Work Journal
Publisher: Springer Science and Business Media LLC
Published: 2018-01-17
Volume: 46
Issue: 3
Pages: 210-219
ISSN: 0091-1674 (ISSN-L)
1573-3343
DOI: 10.1007/s10615-018-0649-6
PMC: PMC6061115
OpenAlex: W2794297780
Cited by: 113
References: 59
Citations by year: 2026: 8 · 2025: 19 · 2024: 13 · 2023: 17 · 2022: 17 · 2021: 18 · 2020: 13 · 2019: 6 · 2018: 1
FWCI: 5.66
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (tdm)
Locations: Clinical Social Work Journal (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: autism spectrum disorder, childhood stress, childhood trauma, comorbidities, depression, anxiety, mental health, trauma-focused interventions, DSM-5, clinical social work, behavioral interventions

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Autism Spectrum Disorder: The Impact of Stressful and Traumatic Life Events and Implications for Clinical Practice

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