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Characterization of Depression in Children With Autism Spectrum Disorders
Open accessAbstract
Depressive syndromes represent a disabling comorbidity for many children with autism spectrum disorders (ASD); however, the ascertainment of depression can be complicated by phenotypic overlap between the 2 conditions, by ways in which autistic symptomatology can mask cardinal features of depression and by atypical manifestations of depression in children with ASD. These issues have contributed to wide variation in the estimation of prevalence rates of depression in individuals with ASD and invoke the need for new approaches to the specific detection of depression and other neuropsychiatric comorbidities that aggregate in children affected by ASD. The authors review the scientific literature relevant to the occurrence of depression in ASD and consider important parameters of risk, including psychosocial factors such as insight into affectation status, as well as biological factors such as the aggregation of depressive syndromes in certain families affected by autism, which has suggested possible overlap in genetic influences underlying the 2 conditions. Variability in the manifestations of depression across environmental contexts provides important clues to intervention and underscores the potential importance of involving multiple informants in ascertaining depression in children and adolescents with ASD. A practical strategy for evaluating the presence of depression in youth with ASD is synthesized from the available data and discussed.
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“A co-occurring diagnosis may be further complicated by the ways in which the symptoms and features overlap (e.g., social withdrawal) and by the atypical manifestation of depression symptoms in ASD [115].”
From Pharmacological treatment in autism: a proposal for guidelines on common co-occurring psychiatric symptoms (2025) · cites this paper as [115]
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“Further, ER problems may manifest differently in ASD.15,38,59”
From Emotion Regulation (2014) · cites this paper as [59]
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Metadata
- Authors
- Magnuson, K. M., & Constantino, J. N.
- Affiliations
- Washington University in St. Louis (US)
- Corresponding author
- Magnuson, Katherine M.
- ORCID
- Constantino, John N.
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 2011-05
- Volume
- 32
- Issue
- 4
- Pages
- 332-340
- ISSN
- 0196-206X (ISSN-L)
- PMC
- PMC3154372
- OpenAlex
- W2079422843
- Cited by
- 193
- References
- 74
- Citations by year
- 2026: 5 · 2025: 19 · 2024: 15 · 2023: 23 · 2022: 16 · 2021: 15 · 2020: 12 · 2019: 13 · 2018: 12 · 2017: 12 · 2016: 12 · 2015: 9 · 2014: 11 · 2013: 11 · 2012: 7
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Developmental & Behavioral Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD42541, R01HD042541)
- 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
- depression, autism spectrum disorder, comorbidities, children and adolescents, diagnostic assessment, phenotypic overlap, atypical depression, familial aggregation, genetic overlap, multiple informants, depression prevalence, neuropsychiatric comorbidity
- MeSH terms
- Child, Child Development Disorders, Pervasive, Depressive Disorder, Humans, Comorbidity
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