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Journal of Autism and Developmental Disorders

Gepubliceerd in:

27-04-2017 | S.I. : Anxiety in Autism Spectrum Disorders

Continuity and Change in, and Child Predictors of, Caregiver Reported Anxiety Symptoms in Young People with Autism Spectrum Disorder: A Follow-Up Study

Auteurs: Elizabeth J. Teh, Diana Mei-En Chan, Germaine Ke Jia Tan, Iliana Magiati

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2017

Abstract

Little is known about continuity, change and predictors of anxiety in ASD. This follow-up study investigated changes in caregiver-reported anxiety in 54 non-referred youth with ASD after 10–19 months. Earlier child predictors of later anxiety were also examined. Anxiety scores were generally stable. Time 1 ASD repetitive behavior symptoms, but not social/communication symptoms, predicted Time 2 total anxiety scores, over and above child age, gender and adaptive functioning scores, but this predictive relationship was fully mitigated by Time 1 anxiety scores when these were included as a covariate in the regression model. Exploring bi-directionality between autism and anxiety symptomatology, Time 1 anxiety scores did not predict Time 2 ASD symptoms. Preliminary clinical implications and possible future directions are discussed.

vorige artikel Psychometric Properties of the Spence Children’s Anxiety Scale: Parent Report in Children with Autism Spectrum Disorder

volgende artikel Long-Term Effects of CBT on Social Impairment in Adolescents with ASD

Special education in Singapore is provided to children with physical disabilities, those with a formal, clinical diagnosis of intellectual disability (IQ and/or adaptive skills standard scores ⩽70), those with a professional diagnosis of ASD and those with sensory impairments. Singapore has a total of 20 special education schools approved by the Ministry of Education. Of these, four cater to children and youths with cerebral palsy or visual/ hearing impairments, and the remaining 16 educate children with intellectual disabilities, ASD and/or multiple disabilities.

Participants were diagnosed before the DSM-5 was published in 2013. Hence, this study included children who had clinical diagnoses of autism, ASD, Asperger Syndrome or Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS), using the DSM-IV-TR or ICD-10 criteria. Under current DSM-5 criteria, most of the participants would most likely be described as meeting criteria for an ASD.

These are staffed by qualified multi-disciplinary teams employing evidence-based approaches to diagnosing ASD using DSM-IV or ICD-10 criteria (Academy of Medicine Singapore-Ministry of Health (AMS-MOH) Clinical Practice Guidelines Workgroup on Autism Spectrum Disorders, 2010; Moh & Magiati, 2012).

One item from Magiati et al.’s (2016) DBC repetitive speech/behavior subscale (‘Speaks in whispers, high pitched voice or other unusual tone or rhythm’) was included in the DBC social/communication subdomain in this study, as this item was more closely related to the communication impairments described by the DSM-5 criteria (APA, 2013).

Following Nauta et al. (2004), we also applied the Spearman–Brown formula to correct for differences due to scale length, but there was little difference between the corrected and uncorrected coefficient alphas; hence, only the uncorrected alpha coefficients are reported here.

The ‘fear of physical injury’ subscale was not internally reliable in our sample at both time-points. However, this subscale also has the lowest internal consistency in other samples of typically developing children (Nauta et al. 2004).

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Titel: Continuity and Change in, and Child Predictors of, Caregiver Reported Anxiety Symptoms in Young People with Autism Spectrum Disorder: A Follow-Up Study
Auteurs: Elizabeth J. Teh
Diana Mei-En Chan
Germaine Ke Jia Tan
Iliana Magiati
Publicatiedatum: 27-04-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 12/2017
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-017-3136-y

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Continuity and Change in, and Child Predictors of, Caregiver Reported Anxiety Symptoms in Young People with Autism Spectrum Disorder: A Follow-Up Study

Abstract

Andere artikelen Uitgave 12/2017

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The Effectiveness of Aquatic Group Therapy for Improving Water Safety and Social Interactions in Children with Autism Spectrum Disorder: A Pilot Program

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The Stability of Self-Reported Anxiety in Youth with Autism Versus ADHD or Typical Development

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