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Traditional and Atypical Presentations of Anxiety in Youth with Autism Spectrum Disorder

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Kerns, Connor Morrow, Kendall, Philip C., Berry, Leandra, Souders, Margaret C., Franklin, Martin E., Schultz, Robert T., Miller, Judith, Herrington, John·2014·Journal of Autism and Developmental Disorders

DOI 10.1007/s10803-014-2141-7PMC PMC5441227

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Abstract

We assessed anxiety consistent (i.e., "traditional") and inconsistent (i.e., "atypical") with diagnostic and statistical manual (DSM) definitions in autism spectrum disorder (ASD). Differential relationships between traditional anxiety, atypical anxiety, child characteristics, anxiety predictors and ASD-symptomology were explored. Fifty-nine participants (7-17 years, M(age) = 10.48 years; IQ > 60) with ASD and parents completed semi-structured interviews, self- and parent-reports. Seventeen percent of youth presented with traditional anxiety, 15 % with atypical anxiety, and 31 % with both. Language ability, anxious cognitions and hypersensitivity predicted traditional anxiety, whereas traditional anxiety and ASD symptoms predicted atypical anxiety. Findings suggest youth with ASD express anxiety in ways similar and dissimilar to DSM definitions. Similarities support the presence of comorbid anxiety disorders in ASD. Whether dissimilarities are unique to ASD requires further examination.

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“While some autistic individuals manifest anxiety in ways typical of other anxious people, there are also unexpected expressions of anxiety in autism that may go overlooked, such as different underlying drives toward compulsive behavior or social avoidance than typically seen in anxiety (9).”
Background

Authors: Kerns, C. M., Kendall, P. C., Berry, L., Souders, M. C., Franklin, M. E., Schultz, R. T., Miller, J., & Herrington, J.
Affiliations: Children's Hospital of Philadelphia (US)
Temple University (US)
University of Pennsylvania (US)
Corresponding author: Kerns, Connor Morrow
ORCID: Kerns, Connor Morrow
Kendall, Philip C.
Berry, Leandra
Souders, Margaret C.
Franklin, Martin E.
Schultz, Robert T.
Miller, Judith
Herrington, John
Venue: Journal of Autism and Developmental Disorders
Publisher: Springer Science and Business Media LLC
Published: 2014-06-06
Volume: 44
Issue: 11
Pages: 2851-2861
ISSN: 0162-3257 (ISSN-L)
1573-3432
DOI: 10.1007/s10803-014-2141-7
PMC: PMC5441227
OpenAlex: W2073231072
Cited by: 405
References: 55
Citations by year: 2026: 24 · 2025: 40 · 2024: 36 · 2023: 33 · 2022: 42 · 2021: 49 · 2020: 40 · 2019: 40 · 2018: 34 · 2017: 36 · 2016: 19 · 2015: 9 · 2014: 3
FWCI: 12.45
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Autism and Developmental Disorders (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH086438, RC1MH088791, R01MH059087, MH063747, R01MH063747, MH086438, RC1 MH08879, U01MH063747)
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, DSM diagnostic criteria, comorbid anxiety disorders, sensory hypersensitivity, language skills, youth
MeSH terms: Adolescent, Anxiety, Anxiety Disorders, Child, Child Development Disorders, Pervasive, Cognition, Female, Humans, Male, Parents, Diagnostic and Statistical Manual of Mental Disorders, Symptom Assessment

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Traditional and Atypical Presentations of Anxiety in Youth with Autism Spectrum Disorder

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