Child Psychiatry & Human Development

, Volume 43, Issue 5, pp 734–746

The Role of Co-Occurring Disruptive Behavior in the Clinical Presentation of Children and Adolescents with Anxiety in the Context of Autism Spectrum Disorders

Authors

    • Department of Pediatrics, Rothman Center for NeuropsychiatryUniversity of South Florida
    • Department of Psychiatry and NeuroscienceUniversity of South Florida
  • Elysse B. Arnold
    • Department of Pediatrics, Rothman Center for NeuropsychiatryUniversity of South Florida
  • Anna M. Jones
    • Department of Pediatrics, Rothman Center for NeuropsychiatryUniversity of South Florida
  • Chelsea M. Ale
    • Department of Pediatrics, Rothman Center for NeuropsychiatryUniversity of South Florida
  • Jeffrey J. Wood
    • Department of Educational PsychologyUniversity of California, Los Angeles
  • Jill Ehrenreich-May
    • Department of PsychologyUniversity of Miami
  • Adam B. Lewin
    • Department of Pediatrics, Rothman Center for NeuropsychiatryUniversity of South Florida
    • Department of Psychiatry and NeuroscienceUniversity of South Florida
  • P. Jane Mutch
    • Department of Pediatrics, Rothman Center for NeuropsychiatryUniversity of South Florida
  • Tanya K. Murphy
    • Department of Pediatrics, Rothman Center for NeuropsychiatryUniversity of South Florida
    • Department of Psychiatry and NeuroscienceUniversity of South Florida
Original Article

DOI: 10.1007/s10578-012-0294-1

Cite this article as:
Storch, E.A., Arnold, E.B., Jones, A.M. et al. Child Psychiatry Hum Dev (2012) 43: 734. doi:10.1007/s10578-012-0294-1

Abstract

This study explored the impact of disruptive behavior disorder (DBD) comorbidity on theoretically relevant correlates among 87 children and adolescents with autism spectrum disorders (ASD) and clinically significant anxiety. Relative to youth with ASD and anxiety alone, participants with ASD, anxiety, and DBD: (a) presented with significantly more severe anxiety symptoms per clinician-, parent-, and self-report; (b) were more likely to be prescribed antipsychotic medication but were no more likely to receive additional psychosocial and educational interventions; and (c) experienced significantly greater functional impairment and family interference. These results suggest that co-occurring DBD in the context of ASD and anxiety confers greater risk for heightened symptom severity and functional impairment, and may be linked with increased prescription of antipsychotic medication.

Keywords

AutismAnxietyAsperger’s SyndromeComorbidityChildrenOppositional defiant disorderTreatmentAssessment

Copyright information

© Springer Science+Business Media, LLC 2012