Journal of Autism and Developmental Disorders

, Volume 43, Issue 4, pp 851–859 | Cite as

Emotional and Behavioural Problems in Children with Autism Spectrum Disorder

  • Morag Maskey
  • Frances Warnell
  • Jeremy R. Parr
  • Ann Le Couteur
  • Helen McConachie
Article

Abstract

The type, frequency and inter-relationships of emotional and behavioural problems in 863 children with autism spectrum disorder (ASD) were investigated using the population-based Database of children with ASD living in the North East of England (Daslne). A high rate of problems was reported, with 53 % of children having 4 or more types of problems frequently. Sleep, toileting and eating problems, hyperactivity, self injury and sensory difficulties were greater in children with lower language level and in special schooling. However, anxiety, tantrums and aggression towards others were frequent regardless of age, ability or schooling. The frequency of co-existing conditions, including such emotional and behavioural problems, in children with ASD has implications for designing appropriate support services for children and families.

Keywords

Language level Emotional and behavioural problems Anxiety Sleep 

Notes

Acknowledgments

We are grateful for funding and other support for the Daslne database to the Northern Rock Foundation and the Children’s Foundation.

References

  1. Ahearn, W., Castine, T., Nault, K., & Green, G. (2001). An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified. Journal of Autism and Developmental Disorders, 31, 505–511.PubMedCrossRefGoogle Scholar
  2. Allik, H., Larsson, J.-O., & Smedje, H. (2006a). Health-related quality of life in parents of school-age children with Asperger syndrome or high-functioning autism. Health Qual Life Outcomes, 4, 1.PubMedCrossRefGoogle Scholar
  3. Allik, H., Larsson, J.-O., & Smedje, H. (2006b). Insomnia in school-age children with Asperger syndrome or high-functioning autism. BMC Psychiatry, 6(1), 18.PubMedCrossRefGoogle Scholar
  4. Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., et al. (2006). Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). The Lancet, 368(9531), 210–215.CrossRefGoogle Scholar
  5. Brereton, A. V., Tonge, B. J., & Einfeld, S. L. (2006). Psychopathology in children and adolescents with autism compared to young people with intellectual disability. Journal of Autism and Developmental Disorders, 36(7), 863–870.PubMedCrossRefGoogle Scholar
  6. Couturier, J., Speechley, K., Steele, M., Norman, R., Stringer, B., & Nicolson, R. (2005). Parental perception of sleep problems in children of normal intelligence with pervasive developmental disorders: Prevalence, severity, and pattern. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 815–822.PubMedCrossRefGoogle Scholar
  7. Davis, T. E., I. I. I., Fodstad, J. C., Jenkins, W. S., Hess, J. A., Moree, B. N., Dempsey, T., et al. (2010). Anxiety and avoidance in infants and toddlers with autism spectrum disorders: Evidence for differing symptom severity and presentation. Research in Autism Spectrum Disorders, 4(2), 305–313.CrossRefGoogle Scholar
  8. de Bruin, E., Ferdinand, R., Meester, S., de Nijs, P., & Verheij, F. (2007). High rates of psychiatric co-morbidity in PDD-NOS. Journal of Autism and Developmental Disorders, 37(5), 877–886.PubMedCrossRefGoogle Scholar
  9. Dominick, K. C., Davis, N. O., Lainhart, J., Tager-Flusberg, H., & Folstein, S. (2007). Atypical behaviors in children with autism and children with a history of language impairment. Research in Developmental Disabilities, 28(2), 145–162.PubMedCrossRefGoogle Scholar
  10. Edelson, M. G. (2006). Are the majority of children with autism mentally retarded?: A systematic evaluation of the data. Focus Autism Other Developmental Disabilities, 21(2), 66–83.CrossRefGoogle Scholar
  11. Gadow, K. D., Devincent, C. J., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-age children with PDD versus clinic and community samples. Autism, 9(4), 392–415.PubMedCrossRefGoogle Scholar
  12. Gillberg, C., & Billstedt, E. (2000). Autism and Asperger syndrome: Coexistence with other clinical disorders. Acta Psychiatrica Scandinavica, 102, 321–330.PubMedCrossRefGoogle Scholar
  13. Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32(5), 423–446.PubMedCrossRefGoogle Scholar
  14. Hurtig, T., Kuusikko, S., Matilla, M.-L., Haapsamo, H., Ebeling, H., Jussila, K., et al. (2009). Multi-informant reports of psychiatric symptoms among high functioning adolescents with Asperger syndrome or autism. Autism, 13(6), 583–598.PubMedCrossRefGoogle Scholar
  15. Joshi, G., Petty, C., Wozniak, J., Henin, A., Fried, R., Galdo, M., et al. (2010). The heavy burden of psychiatric comorbidity in youth with autism spectrum disorders: A large comparative study of a psychiatrically referred population. Journal of Autism and Developmental Disorders, 40, 1361–1370.PubMedCrossRefGoogle Scholar
  16. Kanne, S., Abbacchi, A., & Constantino, J. (2009). Multi-informant ratings of psychiatric symptom severity in children with autism spectrum disorders: The importance of environmental context. Journal of Autism and Developmental Disorders, 39(6), 856–864.PubMedCrossRefGoogle Scholar
  17. Kern, J. K., Trivedi, M. H., Grannemann, B. D., Garver, C. R., Johnson, D. G., Andrews, A. A., et al. (2007). Sensory correlations in autism. Autism, 11(2), 123–134.PubMedCrossRefGoogle Scholar
  18. Krakowiak, P., Goodlin-Jones, B., Hertz-Picciotto, I., Croen, L. A., & Hansen, R. L. (2008). Sleep problems in children with autism spectrum disorders, developmental delays, and typical development: A population-based study. Journal of Sleep Research, 17(2), 197–206.PubMedCrossRefGoogle Scholar
  19. Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(3), 172–183.PubMedCrossRefGoogle Scholar
  20. Lee, H., Marvin, A. R., Watson, T., Piggot, J., Law, J. K., Law, P. A., et al. (2010). Accuracy of phenotyping of autistic children based on internet implemented parent report. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 153B(6), 1119–1126.Google Scholar
  21. Leekam, S., Nieto, C., Libby, S., Wing, L., & Gould, J. (2007). Describing the sensory abnormalities of children and adults with autism. Journal of Autism and Developmental Disorders, 37(5), 894–910.PubMedCrossRefGoogle Scholar
  22. Leyfer, O., Folstein, S., Bacalman, S., Davis, N., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861.PubMedCrossRefGoogle Scholar
  23. MacNeil, B. M., Lopes, V. A., & Minnes, P. M. (2009). Anxiety in children and adolescents with autism spectrum disorders [Review]. Research in Autism Spectrum Disorders, 3(1), 1–21.CrossRefGoogle Scholar
  24. Manning, M. M., Wainwright, L., & Bennet, J. (2010). The double ABCX model of adaptation in racially diverse families with a school-age child with autism. Journal of Autism and Developmental Disorders, 41, 320–331.CrossRefGoogle Scholar
  25. Mattila, M.-L., Hurtig, T., Haapsamo, H., Jussila, K., Kuusikko-Gauffin, S., Kielinen, M., et al. (2010). Comorbid psychiatric disorders associated with Asperger syndrome/high-functioning autism: A community- and clinic-based study. Journal of Autism and Developmental Disorders, 40(9), 1080–1093.PubMedCrossRefGoogle Scholar
  26. McConachie, H., Barry, R., Spencer, A., Parker, L., Le Couteur, A., & Colver, A. (2009). Daslne: The challenge of developing a regional database for autism spectrum disorder. Archives of Disease in Childhood, 94(1), 38–41.PubMedCrossRefGoogle Scholar
  27. National Institute for Clinical Excellence. (2011). CG128 Autism in children and young people: NICE guideline. Retrieved March 14, 2012, from http://guidance.nice.org.uk/CG128/NICEGuidance/pdf/English.
  28. Oliver, B., Dale, P. S., Saudina, K. J., Petrill, S. A., Pike, A., & Plomin, R. (2002). The validity of a parent-based assessment of cognitive abilities in three-year olds. Early Child Development and Care, 172(4), 337–348.CrossRefGoogle Scholar
  29. Oyane, N., & Bjorvatn, B. (2005). Sleep disturbances in adolescents and young adults with autism and Asperger syndrome. Autism, 9, 83–94.PubMedCrossRefGoogle Scholar
  30. Pearson, D. A., Loveland, K. A., Lachar, D., Lane, D. M., Reddoch, S. L., Mansour, R., et al. (2006). A comparison of behavioral and emotional functioning in children and adolescents with autistic disorder and PDD-NOS. Child Neuropsychology, 12(4), 321–333.PubMedCrossRefGoogle Scholar
  31. Pillay, M., Alderson-Day, B., Wright, B., Williams, C., & Urwin, B. (2011). Autism spectrum conditions—enhancing nurture and development (ASCEND): An evaluation of intervention support groups for parents. Clinical Child Psychology and Psychiatry, 16, 5–20.PubMedCrossRefGoogle Scholar
  32. Schreck, K., & Williams, K. (2006). Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Research in Developmental Disabilities, 27, 353–363.PubMedCrossRefGoogle Scholar
  33. Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 921–929.PubMedCrossRefGoogle Scholar
  34. Snow, A. V., & Lecavalier, L. (2010). Comparing autism, PDD-NOS, and other developmental disabilities on parent-reported behaviour problems: Little evidence for ASD subtype validity. Journal of Autism and Developmental Disorders, 41, 302–310.CrossRefGoogle Scholar
  35. Souders, M. C., Mason, T. B. A., Valladares, O., Bucan, M., Levy, S. E., Mandell, D. S., et al. (2009). Sleep behaviours and sleep quality in children with autism spectrum disorders. Sleep, 32(12), 1566–1578.PubMedGoogle Scholar
  36. Tomchek, S. D., & Dunn, W. (2007). Sensory processing in children with and without autism: A comparative study using the short sensory profile [Article; Proceedings Paper]. American Journal of Occupational Therapy, 61(2), 190–200.PubMedCrossRefGoogle Scholar
  37. Tonge, B., Brereton, A., Kiomall, M., Mackinnon, A., King, N., & Rinehart, N. (2006). Effects on parental mental health of an education and skills training program for parents of young children with autism: a randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 561–569.PubMedCrossRefGoogle Scholar
  38. White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229.PubMedCrossRefGoogle Scholar
  39. Witwer, A. N., & Lecavalier, L. (2010). Validity of comorbid psychiatric disorders in youngsters with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 22(4), 367–380.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Morag Maskey
    • 1
  • Frances Warnell
    • 2
  • Jeremy R. Parr
    • 2
  • Ann Le Couteur
    • 1
  • Helen McConachie
    • 1
  1. 1.Institute of Health and SocietyNewcastle University, Sir James Spence InstituteNewcastle upon TyneUK
  2. 2.Institute of NeuroscienceNewcastle UniversityNewcastle upon TyneUK

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