The DOI matches its Crossref record; 37 of the 38 references it cites were found in a registry or an index.
Behavioral Implications of the Covid-19 Process for Autism Spectrum Disorder, and Individuals' Comprehension of and Reactions to the Pandemic Conditions
Open accessAbstract
During disasters and pandemics, vulnerable populations such as patients with mental conditions are known to be overly influenced. Yet, not much is known about how the individuals with autism spectrum disorder (ASD), one of the most common neurodevelopmental conditions globally with a prevalence of 1%, are affected from health-related disasters, especially the current Covid-19 pandemic. Therefore, we conducted an investigation of how individuals with ASD responded to Covid-19 in terms of comprehension and adherence to implemented measures; changes in their behavioral problems; and how their caregivers' anxiety levels relate with these behavioral changes. Our sample consisted of 87 individuals with ASD (15 girls; ages ranged from 3-29, with an average of 13.96 ± 6.1). The majority of our sample had problems understanding what Covid-19 is and the measures it requires. They also had challenges in implementing social distance and hygiene-related regulations of the pandemic. The majority stopped receiving special education during this period. We observed a Covid-19-related clinical presentation that resembled PTSD in individuals with ASD in terms of increased stereotypies, aggression, hypersensitivity, behavioral problems, and sleep and appetite alterations. All subscales of Aberrant Behavior Checklist (ABC) differed significantly between before and after the pandemic conditions. The number of hours the children slept significantly decreased from before to during Covid-19. The anxiety levels of caregivers were high and correlated with the current behavioral problem levels of their children, but not with the level of their behavioral problems before the pandemic. The difference in ABC total score and specifically the lethargy/social withdrawal subscale score predicted parents' anxiety score. Our results suggest that the Covid-19 period inflicts specific challenges to individuals with ASD and their caregivers, underlining the need for targeted, distance special education interventions and other support services for this population.
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“Their reports are in line with findings showing that the COVID-19 pandemic increased the level of distress and depression in autistic individuals and decreased their quality of life (Mutluer et al., 2020; Patel et al., 2021).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Mutluer et al., 2020
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Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., Kurzius-Spencer, M., Zahorodny, W., Robinson, C., Rosenberg, et al. (2018) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6706a1 · Cited by 6,078
Psychometric evaluation of the pittsburgh sleep quality index
Carpenter, J. S., & Andrykowski, M. A. (1998) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00298-5 · Cited by 1,618
Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., Wu, L., Sun, Z., Zhou, Y., Wang, Y., et al. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112921 · Cited by 1,548
(1985) · PubMed · Cited by 1,427
Posttraumatic stress disorder in parents and youth after health-related disasters
Sprang, G., & Silman, M. (2013) · Disaster Medicine and Public Health Preparedness · doi:10.1017/dmp.2013.22 · Cited by 1,114
Xie, X., Xue, Q., Zhou, Y., Zhu, K., Liu, Q., Zhang, J., & Song, R. (2020) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2020.1619 · Cited by 1,001
Mental health considerations for children quarantined because of COVID-19
Liu, J. J., Bao, Y., Huang, X., Shi, J., & Lu, L. (2020) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(20)30096-1 · Cited by 868
Identifying the lost generation of adults with autism spectrum conditions
Lai, M.-C., & Baron-Cohen, S. (2015) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00277-1 · Cited by 756 · cited 1×
“Most patients also have comorbid intellectual disability and other psychiatric conditions such as ADHD, anxiety disorders, disruptive/impulse-control/conduct disorders, depressive disorders, and obsessive-compulsive disorder (11).”
BackgroundAsbury, K., Fox, L., Deniz, E., Code, A., & Toseeb, U. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04577-2 · Cited by 559
Psychosocial and Behavioral Impact of COVID-19 in Autism Spectrum Disorder: An Online Parent Survey
Colizzi, M., Sironi, E., Antonini, F., Ciceri, M. L., Bovo, C., & Zoccante, L. (2020) · Brain Sciences · doi:10.3390/brainsci10060341 · Cited by 550
Flagged first, then by citations
1 of the 38 references couldn’t be matched to a known paper.
Research works printed but not linked: 4
- 2013, Diagnostic and Statistical Manual of Mental Disorders (DSM-5®)
- Agargün, 1996, The validity and reliability of the Pittsburgh sleep quality index, Turk Psikiyatri Derg., 7, 107
- Beck, 1993, Beck Anxiety Inventory Manual
- Ulusoy, 1998, The beck anxiety inventory: psychometric properties, J Cogn Psychother., 12, 163
Cited by
Sorted by citations
Items 201–256 of 256
Jacobson, T. L. (2022) · Advances in higher education and professional development book series · doi:10.4018/978-1-6684-5103-8.ch011
Vedmurthy, P., Murray, C., Chen, B. C., Asiedu, A., Baranano, K. W., Bay, M. J., Belcher, H. M. E., Burton, V. J., Conlon, C. J., Fine, A. S., et al. (2022) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2022.934558
المعمري, س. ن., العلوية, س., & السعيدي, ف. (2022) · مجلة الطفولة · doi:10.21608/jchild.2022.142310.1041
Özaslan, A., Özbudak, P., Cengiz, Ş. N. K., Geniş, B., & İşeri, E. (2022) · Genel Tıp Dergisi · doi:10.54005/geneltip.1137570
Rodziny dzieci z niepełnosprawnością w czasie pandemii COVID-19
Parchomiuk, M., & Szabała, B. (2022) · Roczniki Pedagogiczne · doi:10.18290/rped22144.12
Frost, K., Lerpiniere, J., McCrory, S., & Rees, K. (2021) · Educational Psychology in Scotland · doi:10.53841/bpsepis.2021.21.1.67
Ramaswamy, S., Lackey, A. D., & Barbanel, D. (2023) · Advances in educational technologies and instructional design book series · doi:10.4018/978-1-6684-5503-6.ch006
Shahini, N., Salimi, Z., Kiani, D., Raftari, A., & Ziaee, M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1075780
Egan, C., McLaughlin, N., McGarrell, M., Gurrin, C. G., Devlin, S., & Smyth, S. (2023) · Journal of Developmental and Physical Disabilities · doi:10.1007/s10882-023-09904-w · Cited by 1
Rahman, S., Nanjundiah, V., & Venkatesh, C. (2022) · International Journal of Clinical and Medical Education Research · doi:10.33140/ijcmer.01.06.04
Mariano, D. R. H., Barbosa, A. F. D. S. R., & Teixeira, B. S. P. (2023) · Health Residencies Journal - HRJ · doi:10.51723/hrj.v3i18.740
Sleep Problems During the COVID-19 Pandemic in Children and Adolescents
Chowdhury, S. R., Gautam, K., & Gulati, S. (2023) · Progress in Sleep Research · doi:10.1007/978-981-99-0240-8_4
Santos, A. C. F. D. S., Xavier, I. A. D. L. N., de Queiroga, B. A. M., Rosal, A. G. C., Lima, R. A. S. C., & Montenegro, A. C. D. A. (2023) · Revista CEFAC · doi:10.1590/1982-0216/202325110422s · Cited by 2
Stojanović, A., & Stanković, M. (2022) · Acta Medica Medianae · doi:10.5633/amm.2022.0401
Riccio, M. P. (2022) · Journal of Clinical Images and Medical Case Reports · doi:10.52768/2766-7820/2209
Ali, N., Mondal, D. K., Neogi, R., & Ishore, K. (2023) · Nepal Journal of Neuroscience · doi:10.3126/njn.v20i1.47834
Algahtani, F., & Alzahrani, S. (2023) · Revista on line de Política e Gestão Educacional · doi:10.22633/rpge.v27i00.18340
Lockdowns Turn-on the Touch-me-not Sensation in Children with Autism Spectrum Disorder
Wilson, J., Christopher, S., & Srikanth, P. (2021) · Journal of Integrated Health Sciences · doi:10.4103/jihs.jihs_31_21
Alanazi, A. S. (2023) · Journal of Higher Education Theory and Practice · doi:10.33423/jhetp.v23i13.6322
Prokop‐Dorner, A., Ożegalska-Łukasik, N., & Świątkiewicz‐Mośny, M. (2023) · Przegląd Socjologii Jakościowej · doi:10.18778/1733-8069.19.3.06
Skura, M., Lorens‐Rosa, W., & Steinhagen, A. (2023) · Forum Pedagogiczne · doi:10.21697/fp.2023.1.18
Liu, H., Sun, W., Chen, Q., Chen, B., & Bi, H.-Y. (2023) · PubMed Central · doi:10.7499/j.issn.1008-8830.2302153
Investigating the iSocial intervention for students with autism spectrum disorder in a home setting
Buranova, N. (2023) · MOspace Institutional Repository (University of Missouri) · doi:10.32469/10355/97045
Youth Mental Well-being in Malaysia: Lessons from COVID-19
Abdullah, H. B. (2023) · Regional Seminar on Community Issues (SSIK) · doi:10.4108/eai.20-9-2023.2340970
Long COVID and autism spectrum disorders – a narrative review
Zalewska, A. (2023) · Kwartalnik Naukowy Fides et Ratio · doi:10.34766/fetr.v56i4.1242
Silva, M. P., de Souza, R. G. D. M., de Oliveira, K. F., Cardoso, A. A., & Magalhães, L. D. C. (2024) · Cadernos Brasileiros de Terapia Ocupacional · doi:10.1590/2526-8910.ctoao275935902
Bahraini Teachers’ Perceptions on the Challenges of Remote Teaching for Autistic Children
Daghustani, W. H., & MacKenzie, A. (2024) · Research in Social Sciences and Technology · doi:10.46303/ressat.2024.27
Impact of COVID-19 on behavior in autism spectrum disorder
Antolini, G., & Colizzi, M. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-95650-5.00005-7
Chang, Y.-L., He, B., DeMaranville, J., Wongpakaran, N., Wedding, D., & Wongpakaran, T. (2024) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe14070126
Estevão, A. R., Mazza, V. D. A., Ruthes, V. B. T. N. M., Roberto, F. L., Guisso, A. C. B., & Moreno, M. E. B. (2024) · Cogitare Enfermagem · doi:10.1590/ce.v29i0.93349
Estevão, A. R., Mazza, V. D. A., Ruthes, V. B. T. N. M., Roberto, F. L., Guisso, A. C. B., & Moreno, M. E. B. (2024) · Cogitare Enfermagem · doi:10.1590/ce.v29i0.96249
Mpaka, D. M., Lukusa, L., Muchanga, S. M. J., Vogels, A., Omba, A. N., Mutonji, A. B., Kavira, D. L., Nzuzi, J. M., Nzuzi, T. M. M., Mampunza, S. M.-M., et al. (2024) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-024-06621-x · Cited by 1
Ye, F., Hou, X., Chen, J., Qin, H., Xu, X., Liu, D., Liu, J., Sun, Q., Liu, H., Hu, F., et al. (2024) · Psychology Research and Behavior Management · doi:10.2147/prbm.s470038
Kovačić, Z., Cvijetić, M., & Nikolić, G. R. (2024) · Zbornik radova Filozofskog fakulteta u Pristini · doi:10.5937/zrffp54-51251
Agostini, J. M. G., & Freitas, L. C. (2024) · Paidéia (Ribeirão Preto) · doi:10.1590/1982-4327e3439
Fernandes, D. L., Abirachid, R. C., & Misquiatti, A. R. N. (2025) · Educação (UFSM) · doi:10.5902/1984644484519
Cho, Y. J., Kim, E. J., Kim, Y. S., Kim, H. H., Kim, J., Shin, B., Martino, A. D., & LEVENTHAL, B. L. (2025) · JAACAP Open · doi:10.1016/j.jaacop.2025.04.004
Abdullah, I., Muassomah, M., Wahyuni, E. N., Jasmine, A. N., Chotimah, C., & Medina, K. N. (2025) · Child Care in Practice · doi:10.1080/13575279.2025.2496501
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Fitzgerald, R. T., Eck, L., Pazol, K., Wiggins, L. D., Durkin, M. S., & Nadler, C. B. (2025) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000001398
Raman, V. (2025) · Journal of Indian Association for Child and Adolescent Mental Health · doi:10.1177/09731342251358970
Amate, J. J. S., de la Rosa, A. L., & Tadeu, P. J. A. (2025) · Brain Sciences · doi:10.3390/brainsci15080848
Ward, O. F., ten Hoopen, L. W., Bocanegra, B. R., Truijens, F. L., Greaves‐Lord, K., Visser, K., Ester, W. A., Bastiaansen, D., van Rijen, E. H. M., & Dekker, L. P. (2025) · Advances in Autism · doi:10.1108/aia-06-2025-0060
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Garg, P., RenukaJyothi, S., Singh, R., Sahu, S., Bankwar, V., & Rathour, A. (2025) · Multidisciplinary Reviews · doi:10.31893/multirev.2025ss0220
Lee, V., Vashi, N., Roudbarani, F., Modica, P. T., Pouyandeh, A., Sellitto, T., Ibrahim, A., Ameis, S. H., Elkader, A. K., Gray, K., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26727721
Thorell, L. B., Fuermaier, A. B. M., Christiansen, H., Steinmayr, R., Baeyens, D., de la Peña, A. G., Groom, M. J., Idrees, I., der Oord, S. V., van den Hoofdakker, B. J., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26553788
Vibert, B., Segura, P., Gallagher, L., Georgiades, S., Pervanidou, P., Thurm, A., Alexander, L. M., Anagnostou, E. A., Aoki, Y. Y., Birken, C. S., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26568676
Investigating experiences of parents of autistic children during COVID-19 online schooling
Buranova, N., Sohl, K., McGreevy, M., & Stormont, M. A. (2026) · Preventing School Failure Alternative Education for Children and Youth · doi:10.1080/1045988x.2025.2609618
Valencia‐Agudo, F., Villalta, L., Urbiola-Merina, E., Garriz-Luis, A., López-Moreno, L., Rivas-Rodríguez, M., Parellada, M., & Romero-González, M. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07268-6
Johnson, D., Finegold, K. E., Page, D., & Wade, M. (2026) · Springer eBooks · doi:10.1007/978-3-032-03292-8_16
Alshaban, F. A. W., Ghazal, I., Al‐Faraj, F., Aqel, S., Al-Harahsheh, S. T., Lotfy, M., Al‐Shammari, H., Thompson, I. R., Nasir, A., & Tolefat, M. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1813238
Shnitzer‐Meirovich, S., Aviad, S., & Gur, A. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07407-z
Muhlbauer, J. E., Ribeiro, A. P., Andrade, J. B. D. S., de Faro, L. F. T., Moreira‐de‐Oliveira, M. E., Hühne, V., da Silva, C. F., de Menezes, G. B., & Fontenelle, L. F. (2026) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23081001
Baser, A., Severyn, M., Russell, G., Ford, T. J., Newlove‐Delgado, T., Cross, L., & Burn, A. (2026) · Emotional and Behavioural Difficulties · doi:10.1080/13632752.2026.2696179
Kay, M. A., Çelik, O. T., Karaca, M. A., & Bağcı, Ö. A. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1849866 · Cited by 1
Metadata
- Authors
- Mutluer, T., Doenyas, C., & Aslan Genc, H.
- Affiliations
- Koç University (TR)
- Corresponding author
- Doenyas, Ceymi
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2020-11-16
- Volume
- 11
- Pages
- 561882-561882
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC7701051
- OpenAlex
- W3100449868
- Cited by
- 256
- References
- 38
- Citations by year
- 2026: 8 · 2025: 14 · 2024: 47 · 2023: 52 · 2022: 79 · 2021: 55
- FWCI
- 18.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Collections portal (Koç University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, COVID-19 pandemic, behavioral problems, caregiver anxiety, social distancing adherence, hygiene practices, post-traumatic stress disorder, stereotypy, aggression, sleep disorders, Aberrant Behavior Checklist
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