Depression and anxiety symptoms in children and adolescents with autism spectrum disorders without intellectual disability
Open accessAbstract
Recent studies have shown that rates of depression and anxiety symptoms are elevated among individuals with autism spectrum disorders (ASDs) of various ages and IQs and that depression/anxiety symptoms are associated with higher IQ and fewer ASD symptoms. In this study which examined correlates of depression and anxiety symptoms in the full school-age range of children and adolescents (age 6-18) with ASDs and IQs ≥ 70 (n=95), we also observed elevated rates of depression/anxiety symptoms, but we did not find higher IQ or fewer ASD symptoms among individuals with ASDs and depression or anxiety symptoms. These findings indicate an increased risk for depression/anxiety symptoms in children and adolescents with ASDs without intellectual disability, regardless of age, IQ, or ASD symptoms.
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Co-occurring psychiatric and medical disorders are common among individuals with ASD.
“Co-occurring psychiatric and medical disorders are common among individuals with ASD, with estimates suggesting that 63–78% of individuals with ASD have at least one co-occurring psychiatric condition (Simonoff et al. 2008; Strang et al. 2012), and approximately 10–77% have at least one co-occurring medical condition (Muskens et al. 2017; Betancur 2011).”
From The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond (2021) · cites this paper as Strang et al. 2012
The Introduction (page unavailable) says psychiatric comorbidities are prevalent and reports secondary psychopathology in as many as 72% of children with ASD. This supports the psychiatric portion attributed to Strang et al., but not the stated 63–78% range for individuals with ASD generally. The medical-condition estimate is cited to other sources, not Strang et al. (LLM, conf=0.86)
Experimental — accuracy not yet measuredEstimates suggest that 63-78% of individuals with ASD have at least one co-occurring psychiatric condition.
“Co-occurring psychiatric and medical disorders are common among individuals with ASD, with estimates suggesting that 63–78% of individuals with ASD have at least one co-occurring psychiatric condition (Simonoff et al. 2008; Strang et al. 2012), and approximately 10–77% have at least one co-occurring medical condition (Muskens et al. 2017; Betancur 2011).”
From The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond (2021) · cites this paper as Strang et al. 2012
The Introduction reports that psychiatric comorbidities are prevalent, citing secondary psychopathology in as many as 72% of children with ASD. It does not give the claimed 63–78% range or establish that range for individuals with ASD of all ages; its own Results concern depression and anxiety symptoms, not the prevalence of any psychiatric condition. (LLM, conf=0.86)
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- Authors
- Strang, J. F., Kenworthy, L., Daniolos, P., Case, L., Wills, M. C., Martin, A., & Wallace, G. L.
- Affiliations
- Children's National (US)
- National Institutes of Health (US)
- Corresponding author
- Strang, John F.
- Venue
- Research in Autism Spectrum Disorders
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 6
- Issue
- 1
- Pages
- 406-412
- ISSN
- 1878-0237 (ISSN-L)
- 1750-9467
- PMC
- PMC3355529
- OpenAlex
- W1991589853
- Cited by
- 314
- References
- 35
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 19 · 2023: 17 · 2022: 17 · 2021: 34 · 2020: 38 · 2019: 24 · 2018: 32 · 2017: 22 · 2016: 22 · 2015: 24 · 2014: 22 · 2013: 22 · 2012: 4
- FWCI
- 7.80
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Research in Autism (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Singer Family Foundation
- Isadore and Bertha Gudelsky Family Foundation
- National Institutes of Health
- Intellectual and Developmental Disabilities Research Center
- National Institute of Mental Health (U54MH066417, ZIAMH002920)
- National Center for Research Resources (M01RR013297)
- NIH Clinical Center
- 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, depressive symptoms, anxiety symptoms, children and adolescents, intellectual disability, IQ, ASD severity, comorbidities, risk factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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