Social anxiety in adult autism spectrum disorder
Open accessAbstract
A link has been suggested between Autism Spectrum Disorder (ASD) and anxiety disorders. The aim of the study was to examine the severity of social anxiety measured by the Liebowitz Social Anxiety Scale Self-Report and prevalence of Social Anxiety Disorder (SAD) in adults with ASD, with SAD and a non-ASD comparison group. Individuals with ASD showed significantly higher scores of social anxiety and social avoidance relative to the comparison group, but significantly lower scores relative to the SAD sample.
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Autism spectrum disorder appears to confer greater risk of developing SAD relative to the general population, but clinically elevated levels of social anxiety are found only in the minority of individuals with autism.
“Although autism spectrum disorder appears to confer greater risk of developing SAD relative to the general population, clinically elevated levels of social anxiety are found only in the minority of individuals with autism, demonstrating that SAD is a problem separable from autism itself, while still sharing some features (18).”
From MDMA-Assisted Therapy as a Means to Alter Affective, Cognitive, Behavioral, and Neurological Systems Underlying Social Dysfunction in Social Anxiety Disorder (2021) · cites this paper as [18]
The Results report that 14 of 50 adults with ASD (28%) met SAD criteria, versus one of 53 in the non-ASD comparison group (Participants, §2.1); the Introduction and Discussion also describe shared social behaviors and differences between ASD and SAD. This supports the minority and separability points, but the comparison group was a convenience sample, not the general population, and the study did not measure risk of developing SAD over time. (LLM, conf=0.82)
Experimental — accuracy not yet measuredSAD is a problem separable from autism itself while still sharing some features.
“demonstrating that SAD is a problem separable from autism itself, while still sharing some features (18).”
MDMA-AT has been most extensively tested in the treatment of PTSD and has shown large effect size differences compared to placebo controls in Phase II and Phase 3 trials.
“MDMA-AT has also been most extensively tested in the treatment of post-traumatic stress disorder (PTSD) and has shown to result in large effect size differences compared to placebo controls in Phase II and Phase 3 trials (18–21).”
From MDMA-Assisted Therapy as a Means to Alter Affective, Cognitive, Behavioral, and Neurological Systems Underlying Social Dysfunction in Social Anxiety Disorder (2021) · cites this paper as [18]
The Participants and Results sections examine social anxiety in adults with autism spectrum disorder, not MDMA-assisted therapy. Searches for MDMA, PTSD, Phase II and Phase 3 trials, and placebo effect sizes found no passage addressing the attributed claim. Page numbers were not available in our copy. (LLM, conf=0.77)
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“Although autism spectrum disorder appears to confer greater risk of developing SAD relative to the general population, clinically elevated levels of social anxiety are found only in the minority of individuals with autism, demonstrating that SAD is a problem separable from autism itself, while still sharing some featu…”
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Connan, A. (2019) · Journal de Thérapie Comportementale et Cognitive · doi:10.1016/j.jtcc.2019.01.002 · Cited by 4 · see citing works
Mack, J. A. (2019) · Scholarship & Creative Works - Digital UNC a service of University Libraries (University of Northern Colorado) · Cited by 4 · see citing works
Zukerman, G., Tikochinsky, S., Yahav, G., & Ben-Itzchak, E. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.116304 · Cited by 4 · see citing works
Autism Spectrum and Social Pragmatic Language Disorders
Livanis, A., Almodóvar, D., & Skolnik, E. (2017) · Springer eBooks · doi:10.1007/978-3-319-57196-6_19 · Cited by 3 · see citing works
Engrailed 2 deficiency and chronic stress alter avoidance and motivation behaviors
Phan, M. L., Liu, T. T., Vollbrecht, M. S., Mansour, M. H., Nikodijevic, I., Jadav, N., Patibanda, N., Dang, J., Shekaran, G., Reisler, R. C., et al. (2021) · Behavioural Brain Research · doi:10.1016/j.bbr.2021.113466 · Cited by 3 · see citing works
Kimura, D. (2019) · The Japanese Journal of Personality · doi:10.2132/personality.28.2.2 · Cited by 3 · see citing works
Behavioral Treatments for Anxiety in Adults With Autism Spectrum Disorder
White, S. W., Conner, C. M., & Maddox, B. B. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-805122-1.00009-0 · Cited by 3 · see citing works
Wu, Q., Oh, S. S., Tadayonnejad, R., Feusner, J. D., Cockburn, J., O’Doherty, J. P., & Charpentier, C. J. (2023) · doi:10.31234/osf.io/mfc7z · Cited by 3 · see citing works
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Centrality of Touch Avoidance in Social Touch Experiences in Autism
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Heterogeneity in Anxiety Disorder and Autism Spectrum Disorder: Difference and Overlap
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Role of safety behaviour in Indian adults who stutter
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Suitability of the DSM -5 social anxiety disorder severity scale for autistic adults
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regard dans les TSA et le Trouble anxieux social
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Complex Cases of Social Anxiety Disorder (SAD)
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Autistic Dreaming: a phenomenological study of dreaming and well-being
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Sosyal Anksiyete ve Otistik Özellikler
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- Authors
- Bejerot, S., Eriksson, J. M., & Mörtberg, E.
- Affiliations
- Karolinska Institutet (SE)
- Stockholm University (SE)
- Corresponding author
- Bejerot, Susanne
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2014-12
- Volume
- 220
- Issue
- 1-2
- Pages
- 705-707
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2054727400
- Cited by
- 111
- References
- 25
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 13 · 2023: 13 · 2022: 11 · 2021: 14 · 2020: 14 · 2019: 8 · 2018: 8 · 2017: 3 · 2016: 9 · 2015: 7 · 2014: 1
- FWCI
- 3.72
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psychiatry Research (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Stockholm County Council (ALF) and Karolinska Institutet, Stockholm, Sweden
- The Swedish Medical Research Council (523-2011-3646)
- 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, social anxiety, social anxiety disorder, social avoidance, anxiety prevalence, autistic adults, comorbidities
- MeSH terms
- Adult, Child, Child Development Disorders, Pervasive, Female, Humans, Male, Phobic Disorders, Sweden, Prevalence, Self Report
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