Understanding, recognising and treating co-occurring anxiety in autism
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PURPOSE OF REVIEW: Autistic people are at increased risk of anxiety, with around 50% of autistic adults and children experiencing this debilitating mental health condition. The purpose of this review is to consider some contemporary ideas about underlying mechanisms for anxiety in autism, explore issues in the identification and assessment of anxiety and discuss emerging trends in anxiety interventions for autistic people, before identifying some important next steps in the field. RECENT FINDINGS: Emerging evidence suggests that anxiety may present differently in autism compared to the general population and that whilst CBT holds promise, there may be important differences in neurobiological, affective and cognitive responses to stressors for autistic people, which warrant tailored anxiety models, assessments and interventions. SUMMARY: We conclude that research is needed to develop and evaluate theoretical frameworks, assessment methods and interventions for anxiety in autism, particularly for autistic adults and those with co-occurring intellectual disability.
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Many studies implicate excessive worry in autism regarding change, and excessive rigidity about things such as foods, rituals, and clothing.
“Many studies implicate excessive worry in autism regarding change, and excessive rigidity about things such as foods, rituals, and clothing [18, 19, 21-23].”
From Autistic Cognition: Charting Routes to Anxiety (2021) · cites this paper as [23]
The “Mechanisms of Anxiety in ASD” section links intolerance of uncertainty with anxiety and restricted or repetitive behaviours, and reports increased insistence on sameness when autistic children feel anxious. The “How Do We Identify Anxiety in ASD?” section also discusses rigidity and insistence on sameness. Neither passage identifies foods, rituals, or clothing as examples, so the claim’s specific examples are not supported by this paper. Page numbers were not provided. (LLM, conf=0.86)
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Pelton, M., Crawford, H., Bul, K., Robertson, A. E., Adams, J., Beurs, D. P. D., Rodgers, J., Baron‐Cohen, S., & Cassidy, S. (2022) · doi:10.31234/osf.io/3yhf9 · Cited by 1 · see citing works
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School Anxiety Experienced by Autistic Children: A Systematic Review of Contributing Factors
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- Authors
- Rodgers, J., & Ofield, A.
- Affiliations
- Royal Victoria Infirmary (GB)
- Cumbria Northumberland Tyne and Wear NHS Foundation Trust (GB)
- Corresponding author
- Rodgers, Jacqui
- ORCID
- Rodgers, Jacqui
- Venue
- Current Developmental Disorders Reports
- Published
- 2018-01-23
- Volume
- 5
- Issue
- 1
- Pages
- 58-64
- ISSN
- 2196-2987 (ISSN-L)
- PMC
- PMC5818555
- OpenAlex
- W2782674245
- Cited by
- 62
- References
- 51
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 7 · 2023: 8 · 2022: 5 · 2021: 8 · 2020: 11 · 2019: 7 · 2018: 2
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Current Developmental Disorders Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Newcastle University
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, anxiety, autistic adults, anxiety assessment, anxiety intervention, cognitive behavioral therapy, stress response, neurobiology of anxiety, intellectual disability, personalized interventions
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