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Sex Differences in Internalizing Problems During Adolescence in Autism Spectrum Disorder
Abstract
We hypothesized that the double hit conferred by sex and diagnosis increases the risk for internalizing disorders in adolescent females with autism spectrum disorder (ASD). In a sample of 32 adolescents with ASD and 32 controls, we examined the effects of sex, diagnostic factors, and developmental stages on depression and anxiety. A 3-way interaction revealed that females with ASD exhibited greater depressive symptoms than males with ASD and female controls particularly during early adolescence; therefore, females with ASD might have a unique combination of genetic, hormonal, and psychosocial vulnerabilities that heighten their risk for depression during early adolescence. Additionally, the ASD group reported high levels of separation anxiety and panic in late adolescence, possibly indicating atypical development of independence.
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“In autistic populations, sex and gender differences in ER, intolerance of uncertainty, anxiety, and depression and their relationships have been documented (Jenkinson et al., 2020; Oswald et al., 2016; Wieckowski et al., 2020).”
From The relationship between distress tolerance and behavioral activation on anxiety and depression symptomatology in autistic youth: Leveraging self and caregiver perspectives (2024) · cites this paper as Oswald et al., 2016
In the citing paper
“Though autistic people assigned female at birth may be more likely to experience internalizing disorders than people assigned male at birth (Cai et al., 2017; Jenkinson et al., 2020; Oswald et al., 2016; Wieckowski et al., 2020)”
From The relationship between distress tolerance and behavioral activation on anxiety and depression symptomatology in autistic youth: Leveraging self and caregiver perspectives (2024) · cites this paper as Oswald et al., 2016
Citations
Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765
Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., Kurzius-Spencer, M., Zahorodny, W., Robinson, C., Rosenberg, et al. (2018) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6706a1 · Cited by 6,078
Multiple Comparisons Using Rank Sums
Dunn, O. J. (1964) · Technometrics · doi:10.1080/00401706.1964.10490181 · Cited by 5,168
Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e318179964f · Cited by 3,399
Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.107.1.128 · Cited by 2,333
The emergence of gender differences in depression during adolescence.
Nolen–Hoeksema, S., & Girgus, J. S. (1994) · Psychological Bulletin · doi:10.1037/0033-2909.115.3.424 · Cited by 2,315
The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity
MARCH, J. S., PARKER, J. D. A., SULLIVAN, K., STALLINGS, P., & CONNERS, C. K. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199704000-00019 · Cited by 2,236
Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00130-8 · Cited by 1,966
Asperger’s syndrome: a clinical account
Wing, L. (1981) · Psychological Medicine · doi:10.1017/s0033291700053332 · Cited by 1,913
Adult outcome for children with autism
Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00215.x · Cited by 1,813
Anxiety in children and adolescents with autism spectrum disorders
White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.01.003 · Cited by 1,427 · cited 4×
“Consistent with Hypothesis 1, we found that parent-report and adolescent selfreport indicated that the ASD group had greater symptoms of depression and Total Anxiety than the TYP group, replicating prior research (Gadow et al. 2012; Ghaziuddin et al. 2002; Kim et al. 2000; Szatmari et al. 1989; White et al. 2009).”
BackgroundResultInfluentialPuberty and depression: the roles of age, pubertal status and pubertal timing.
ANGOLD, A., COSTELLO, E. J., & WORTHMAN, C. M. (1998) · Psychological Medicine · doi:10.1017/s003329179700593x · Cited by 989
Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., Shea, M. T., & Keller, M. B. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.6.1179 · Cited by 963
Cohen, P., Cohen, J., Kasen, S., Velez, C. N., Hartmark, C., Johnson, J., Rojas, M., Brook, J., & Streuning, E. L. (1993) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1993.tb01094.x · Cited by 957
The Prevalence of Anxiety and Mood Problems among Children with Autism and Asperger Syndrome
Kim, J. A., Szatmári, P., Bryson, S. E., Streiner, D. L., & Wilson, F. (2000) · Autism · doi:10.1177/1362361300004002002 · Cited by 937
Sex differences in stress responses: social rejection versus achievement stress
Stroud, L. R., Salovey, P., & Epel, E. S. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01333-1 · Cited by 797
Prevalence of and Risk Factors for Depressive Symptoms Among Young Adolescents
Saluja, G., Iachan, R., Scheidt, P. C., Overpeck, M. D., Sun, W., & Giedd, J. N. (2004) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.158.8.760 · Cited by 701
(2011) · Cited by 675
Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2008.01948.x · Cited by 666
Pubertal changes in hormone levels and depression in girls
ANGOLD, A., COSTELLO, E. J., ERKANLI, A., & WORTHMAN, C. M. (1999) · Psychological Medicine · doi:10.1017/s0033291799008946 · Cited by 592
Depression in Persons with Autism: Implications for Research and Clinical Care
Ghaziuddin, M., Ghaziuddin, N., & Greden, J. (2002) · Journal of Autism and Developmental Disorders · doi:10.1023/a:1016330802348 · Cited by 579
Anxiety in High-Functioning Children with Autism
Gillott, A., Furniss, F., & Walter, A. (2001) · Autism · doi:10.1177/1362361301005003005 · Cited by 562
Sukhodolsky, D. G., Scahill, L. D., Gadow, K. D., Arnold, L. E., Aman, M. G., McDougle, C. J., McCracken, J. T., Tierney, E., White, S. W., Lecavalier, L., et al. (2007) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-007-9165-9 · Cited by 553
Involvement or isolation? The social networks of children with autism in regular classrooms
Chamberlain, B., Kasari, C., & Rotheram-Fuller, E. (2007) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0164-4 · Cited by 550
The Autism-Spectrum Quotient (AQ)—Adolescent Version
Baron-Cohen, S., Hoekstra, R. A., Knickmeyer, R., & Wheelwright, S. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0073-6 · Cited by 546
Robinson, M. S., & Alloy, L. (2003) · Cognitive Therapy and Research · doi:10.1023/a:1023914416469 · Cited by 532
Alloy, L. B., Abramson, L. Y., Hogan, M. E., Whitehouse, W. G., Rose, D. T., Robinson, M. S., Kim, R. S., & Lapkin, J. B. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.3.403 · Cited by 528
Social Skill Deficits and Anxiety in High-Functioning Adolescents With Autism Spectrum Disorders
Bellini, S. (2004) · Focus on Autism and Other Developmental Disabilities · doi:10.1177/10883576040190020201 · Cited by 524
Assessment of depression in adolescents using the Center for Epidemiologic Studies Depression Scale.
Roberts, R. E., Andrews, J. A., Lewinsohn, P. M., & Hops, H. (1990) · Psychological Assessment: A Journal of Consulting and Clinical Psychology · doi:10.1037/1040-3590.2.2.122 · Cited by 521
Brereton, A. V., Tonge, B. J., & Einfeld, S. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0125-y · Cited by 507
Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents
Essau, C. A., soc, R., Conradt, J., Petermann, F., & Phil (2000) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(99)00039-0 · Cited by 504
Ladd, G. W. (2006) · Child Development · doi:10.1111/j.1467-8624.2006.00905.x · Cited by 494 · cited 2×
“2002), might contribute additively (Ladd 2006) to the risk for depression specifically during early adolescence for females with ASD.”
BackgroundA Longitudinal Analysis of Selected Risk Factors for Childhood Psychopathology
Vélez, C. N., Johnson, J., & Cohen, P. R. (1989) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198911000-00009 · Cited by 494
Sex and depression in the National Comorbidity Survey. II: cohort effects
Kessler, R. C., McGonagle, K. A., Nelson, C. B., Hughes, M., Swartz, M., & Blazer, D. G. (1994) · Journal of Affective Disorders · doi:10.1016/0165-0327(94)90147-3 · Cited by 486
Social Anxiety in High-functioning Children and Adolescents with Autism and Asperger Syndrome
Kuusikko, S., Pollock, R. A., Jussila, K. K., Carter, A. S., Mattila, M., Ebeling, H. E., Pauls, D. L., & Moilanen, I. K. (2008) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-008-0555-9 · Cited by 423
Pedersen, S., Vitaro, F., Barker, E. D., & Borge, A. I. H. (2007) · Child Development · doi:10.1111/j.1467-8624.2007.01051.x · Cited by 413
Test-Retest Reliability of the Multidimensional Anxiety Scale for Children
March, J. S., Sullivan, K., & Parker, J. D. A. (1999) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(99)00009-2 · Cited by 404
Depression and gender: An international review.
Culbertson, F. M. (1997) · American Psychologist · doi:10.1037/0003-066x.52.1.25 · Cited by 372
Effects of age and pubertal status on depression in a large clinical sample
Angold, A., & Rutter, M. (1992) · Development and Psychopathology · doi:10.1017/s0954579400005538 · Cited by 347
Autism Symptoms and Internalizing Psychopathology in Girls and Boys with Autism Spectrum Disorders
Solomon, M., Miller, M., Taylor, S. L., Hinshaw, S. P., & Carter, C. S. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1215-z · Cited by 326
Self-citationStrang, J. F., Kenworthy, L., Daniolos, P., Case, L., Wills, M. C., Martin, A., & Wallace, G. L. (2012) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2011.06.015 · Cited by 314
Mayes, S. D., Calhoun, S. L., Murray, M. J., Ahuja, M., & Smith, L. (2010) · Research in Autism · doi:10.1016/j.rasd.2010.06.012 · Cited by 309
The Presentation of Anxiety in Children with Pervasive Developmental Disorders
Weisbrot, D. M., Gadow, K. D., DeVincent, C. J., & Pomeroy, J. C. (2005) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2005.15.477 · Cited by 283
The developmental course of anxiety symptoms during adolescence: the TRAILS study
van Oort, F. V. A., Greaves‐Lord, K., Verhulst, F. C., Ormel, J., & Huizink, A. C. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2009.02092.x · Cited by 274
A follow-up study of high-functioning autistic children
Szatmari, P., Bartolucci, G., Bremner, R., Bond, S., & Rich, S. (1989) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02211842 · Cited by 257
Psychiatric problems in individuals with autism, their parents and siblings
Lainhart, J. E. (1999) · International Review of Psychiatry · doi:10.1080/09540269974177 · Cited by 255
Friendship and Internalizing Symptoms Among Children and Adolescents with ASD
Mazurek, M. O., & Kanne, S. M. (2010) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-010-1014-y · Cited by 246
The epidemiology of anxiety disorders: The epidemiologic catchment area (ECA) experience
Regier, D. A., Narrow, W. E., & Rae, D. S. (1990) · Journal of Psychiatric Research · doi:10.1016/0022-3956(90)90031-k · Cited by 238
Vickerstaff, S., Heriot, S., Wong, M. L., Lopes, A., & Dossetor, D. R. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0292-x · Cited by 229
Wood, J. J., Ehrenreich-May, J., Alessandri, M., Fujii, C., Renno, P., Laugeson, E., Piacentini, J. C., De Nadai, A. S., Arnold, E., Lewin, A. B., et al. (2015) · Behavior Therapy · doi:10.1016/j.beth.2014.01.002 · Cited by 229
Ebesutani, C. K., Bernstein, A., Nakamura, B. J., Chorpita, B. F., & Weisz, J. R. (2009) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-009-9363-8 · Cited by 222
Johnson, S. A., Filliter, J., & Murphy, R. R. (2009) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-009-0809-1 · Cited by 218
Newman, L. A., Wagner, M. M., Knokey, A.-M., Marder, C., Nagle, K. M., Shaver, D. M., & Wei, X. (2011) · doi:10.13140/rg.2.2.20600.57600 · Cited by 192
APProximate Behavior of the Distribution of Winsorized t (Trimming/Winsorization 2)
Dixon, W. J., & Tukey, J. W. (1968) · Technometrics · doi:10.1080/00401706.1968.10490537 · Cited by 177
Stratis, E. A., & Lecavalier, L. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2258-8 · Cited by 170
Psychiatric Symptoms and Psychosocial Difficulties in Young Adults with Autistic Traits
Kanne, S. M., Christ, S. E., & Reiersen, A. M. (2009) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-008-0688-x · Cited by 163
Russell, A. J., Jassi, A., Fullana, M. A., Mack, H., Johnston, K., Heyman, I., Murphy, D. G., & Mataix-Cols, D. (2013) · Depression and Anxiety · doi:10.1002/da.22053 · Cited by 160
Gotham, K., Bishop, S. L., Brunwasser, S., & Lord, C. (2014) · Autism Research · doi:10.1002/aur.1377 · Cited by 149
Storch, E. A., Lewin, A. B., Collier, A. B., Arnold, E. B., Nadai, A. S. D., Dane, B. F., Nadeau, J. M., Mutch, P. J., & Murphy, T. K. (2014) · Depression and Anxiety · doi:10.1002/da.22332 · Cited by 147
Lerner, M. D., Calhoun, C. D., Mikami, A. Y., & Reyes, A. D. L. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1525-9 · Cited by 135
Ghaziuddin, M., & Greden, J. F. (1998) · Journal of Autism and Developmental Disorders · doi:10.1023/a:1026036514719 · Cited by 134
Crane, L., Goddard, L., & Pring, L. (2011) · Autism · doi:10.1177/1362361311418690 · Cited by 121
Approximate Behavior of the Distribution of Winsorized t (Trimming/Winsorization 2)
Dixon, W. J., & Tukey, J. W. (1968) · Technometrics · doi:10.2307/1266226 · Cited by 120
Ozsivadjian, A., Hibberd, C., & Hollocks, M. J. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1937-1 · Cited by 110
Angst, J., & Dobler-Mikola, A. (1985) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf00380990 · Cited by 110
McGillivray, J. A., & Evert, H. T. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2087-9 · Cited by 105
Wehmeyer, M. L., Shogren, K. A., Zager, D., Smith, T. E. C., & Simpson, R. L. (2010) · Education and Training in Autism and Developmental Disabilities · doi:10.1177/215416471004500403 · Cited by 104
Asperger Syndrome Diagnostic Scale
Dumont, R., Willis, J. O., Viezel, K., & Zibulsky, J. (2014) · Encyclopedia of Special Education · doi:10.1002/9781118660584.ese0195 · Cited by 88
Depression Symptoms in Boys with Autism Spectrum Disorder and Comparison Samples
Gadow, K. D., Guttmann-Steinmetz, S., Rieffe, C. J., & DeVincent, C. J. (2011) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1367-x · Cited by 74
Bitsika, V., Sharpley, C. F., Sweeney, J. A., & McFarlane, J. R. (2014) · Physiology & Behavior · doi:10.1016/j.physbeh.2013.12.011 · Cited by 72
Sterling, L., Renno, P., Storch, E. A., Ehrenreich-May, J., Lewin, A. B., Arnold, E., Lin, E., & Wood, J. (2015) · Autism · doi:10.1177/1362361313510066 · Cited by 64
Adolescents With High-Functioning Autism: An Investigation of Comorbid Anxiety and Depression
Hammond, R. K., & Hoffman, J. M. (2014) · Journal of Mental Health Research in Intellectual Disabilities · doi:10.1080/19315864.2013.843223 · Cited by 33
McMahon, C. M., & Solomon, M. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2494-6 · Cited by 30
Self-citation
Research works printed but not linked: 1
- Kaufman, A. S., & Kaufman, N. L. (1990). Kaufman brief intelligence test manual. Circle Pines, MN: American Guidance Service.
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Metadata
- Authors
- Oswald, T. M., Winter-Messiers, M. A., Gibson, B., Schmidt, A. M., Herr, C. M., & Solomon, M.
- Affiliations
- University of Oregon (US)
- Pacific University Oregon (US)
- University of California Davis Medical Center (US)
- Corresponding author
- Oswald, Tasha M.
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2015-10-05
- Volume
- 46
- Issue
- 2
- Pages
- 624-636
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W1874090168
- Cited by
- 104
- References
- 75
- Citations by year
- 2026: 12 · 2025: 9 · 2024: 14 · 2023: 15 · 2022: 7 · 2021: 15 · 2020: 14 · 2019: 5 · 2018: 4 · 2017: 7 · 2016: 2
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- 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, sex differences, internalizing problems, depression, anxiety, adolescents, early adolescence, separation anxiety, panic, developmental stages
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Anxiety, Depression, Female, Humans, Male, Sex Factors, Adolescent Development, Sexual Development
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