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An Investigation of Dissociative Symptoms and Related Factors in Autistic Adolescents

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Abstract

Despite exposure to trauma and adverse life events being frequently reported in Autism Spectrum Disorder (ASD), few studies have examined the relationship between these factors and dissociative symptoms in the autistic population. The aim of the study is to investigate symptoms of dissociation in autistic adolescents, and to explore factors that could be associated with dissociative symptoms in ASD. This cross-sectional study involved 59 autistic adolescents between 12 and 18 years old, with the mean age of 14.3 ± 1.8. Dissociation, autism characteristics, childhood traumas, peer bullying, and Post-Traumatic Stress Disorder (PTSD) symptoms were assessed using the Adolescent Dissociative Experiences Scale (ADES), the Childhood Autism Rating Scale (CARS), the Childhood Trauma Questionnaire (CTQ), the Nine-Item Child-Adolescent Bullying Screen (CABS-9), and the Child Posttraumatic Stress Reaction Index (CPTS-RI), respectively. Results from the ADES revealed that 12.5% of the participants scored above the threshold for dissociative disorders. In the linear regression model constructed to evaluate factors associated with dissociative symptoms, an increase in dissociative symptoms was statistically significantly associated with an increase in the total CTQ score (p = 0.002) and age (p = 0.006). The findings of the study indicate that dissociative symptoms may occur in autistic adolescents. It is suggested that dissociative symptoms observed in autistic adolescents may particularly be associated with childhood traumas and increasing age. Further research into dissociative symptoms in ASD is warranted, requiring larger sample sizes, specialized measurement scales, and structured interviews.

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All authors are responsible for reported research and have participated in the concept and design, analysis and interpretation of data, drafting or revising, and have approved this manuscript as submitted. The authors transfer all copyright ownership of the manuscript entitled ‘An Investigation of Dissociative Symptoms and Related Factors in Autistic Adolescents.’ to the Journal of Autism and Developmental Disorders. The authors warrant that the article is original, is not for consideration by another journal, has not been previously published, and has been prepared according to the manuscript rules. The authors warrant that they have no conflict of interests in general or in connection with the submitted article and no financial relationships with any pharmaceutical company.

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Correspondence to Melodi Dincel.

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The authors declare no competing interests.

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This study was approved by the Clinical Research Ethics Committee of Istanbul University's Medical Faculty.

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Verbal assent and written informed consent were obtained from both the participants and their legal guardians.

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Dincel, M., Karayagmurlu, A. An Investigation of Dissociative Symptoms and Related Factors in Autistic Adolescents. J Autism Dev Disord (2024). https://doi.org/10.1007/s10803-024-06374-7

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  • DOI: https://doi.org/10.1007/s10803-024-06374-7

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