Exploring the nature and function of anxiety in youth with autism spectrum disorders.
Abstract
[Clin Psychol Sci Prac 17: 281–292, 2010] This article considers the nosology and pathogenesis of anxiety disorders in youth with autism. The comparability of anxiety in the autism spectrum disorder (ASD) population in relation to the typically developing population has been suggested by some recent findings, but conceptual and empirical ambiguities remain. It is suggested that anxiety may play at least three roles: (a) a downstream consequence of ASD symptoms (e.g., via stress generation through social rejection); (b) a moderator of ASD symptom severity, such that certain core autism symptoms like social skill deficits and repetitive behaviors may be exacerbated by anxiety; and (c) as a proxy of core ASD symptoms. Suggestions for clarifying the nature and function of anxiety in autism are made.
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Studies of children have shown that overlap between the core clinical characteristics of autism and the symptoms of anxiety can render standardised clinical tools invalid.
“Studies of children have shown that overlap between the core clinical characteristics of autism and the symptoms of anxiety can render standardised clinical tools invalid (Kerns et al., 2015; Wood & Gadow, 2010)”
From Self-guided mindfulness and cognitive behavioural practices reduce anxiety in autistic adults: A pilot 8-month waitlist-controlled trial of widely available online tools. (2020) · cites this paper as Wood & Gadow, 2010
Social anxiety, as opposed to diminished social motivation, contributes to social avoidance behaviors in ASD.
“An alternative, but not mutually exclusive explanation is that social anxiety, as opposed to diminished social motivation, contributes to social avoidance behaviors in ASD [185].”
From Social “wanting” dysfunction in autism: neurobiological underpinnings and treatment implications (2012) · cites this paper as [185]
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“…have shown that overlap between the core clinical characteristics of autism and the symptoms of anxiety can render standardised clinical tools invalid (Kerns et al., 2015; Wood & Gadow, 2010), which may furthermore not be sensitive to autism-specific expressions of anxiety (Kerns et al., 2014).”
BackgroundAutism Spectrum Traits in Children with Anxiety Disorders
van Steensel, F. J. A., Bögels, S. M., & Wood, J. J. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1575-z · Cited by 64 · see citing works
Self-citationDifferential diagnosis and comorbidity: distinguishing autism from other mental health issues
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Clinical characteristics of high-functioning youth with autism spectrum disorder and anxiety
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Schiltz, H. K., Magnus, B. E., McVey, A. J., Haendel, A. D., Dolan, B. K., Stanley, R. E., Willar, K. S., Pleiss, S. S., Carson, A. M., Carlson, M., et al. (2019) · Assessment · doi:10.1177/1073191119851563 · Cited by 59 · see citing works
- Authors
- Wood, J. J., & Gadow, K. D.
- Affiliations
- University of California, Los Angeles (US)
- Stony Brook University (US)
- ORCID
- Wood, Jeffrey J.
- Venue
- Clinical Psychology: Science and Practice
- Published
- 2010-12
- Volume
- 17
- Issue
- 4
- Pages
- 281-292
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W1528335495
- Cited by
- 407
- References
- 72
- Citations by year
- 2026: 8 · 2025: 22 · 2024: 23 · 2023: 25 · 2022: 36 · 2021: 35 · 2020: 29 · 2019: 32 · 2018: 29 · 2017: 32 · 2016: 21 · 2015: 30 · 2014: 32 · 2013: 27 · 2012: 22
- FWCI
- 10.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- autism spectrum disorder, anxiety disorders, youth, disease classification, pathogenesis, social rejection, stress, social skills deficits, repetitive behavior, symptom severity, moderation
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