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Autism Spectrum Disorder and Anxiety in Children

  • Laura Nabors
Chapter
Part of the Springer Series on Child and Family Studies book series (SSCFS)

Abstract

Anxiety may be common for children with ASD and can present in typical and atypical ways. Atypical presentations may be sensitivity to unusual sensory stimuli or changes in routine. Anxiety may be represented in increased stereotypies for children and adolescents with ASD. If anxiety is related to self-injury, then interventions to reduce anxiety and stop self-injurious behavior should occur simultaneously. Reducing the power of triggers, such as changes in routine or uncertainty in social situations, through visual cue cards and warnings, may help reduce anxiety. Cognitive-behavioral therapy interventions have been effective as a treatment approach. Social skills training also has been successful in reducing anxiety. A significant amount of the research has occurred with high functioning youth, and more research with children and adolescents with lower cognitive functioning is needed.

Keywords

Autism Spectrum Disorder Stereotypies Atypical fears Sensory oversensitivity Visual schedules Scripts Secret Agent Society Program BIACA Program Social skills 

References

  1. American Psychiatric Association (DSM). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRefGoogle Scholar
  2. Beaumont, R. (2010). Secret Agent Society: Solving the mystery of social encounters—facilitator kits. Milton, Australia: The Social Skills Training Institute.Google Scholar
  3. Beaumont, R., Rotolone, C., & Sofronoff, K. (2015). The Secret Agent Society Social Skills Program for children with high-functioning Autism Spectrum Disorders: A comparison of two school variants. Psychology in the Schools, 52(4), 390–402.  https://doi.org/10.1002/pits.21831CrossRefGoogle Scholar
  4. Beaumont, R., & Sofronoff, K. (2008). A multi-component social skills intervention for children with Asperger syndrome: The junior detective training program. Journal of Child Psychology and Psychiatry, 49(7), 743–753.  https://doi.org/10.1111/j.1469-7610.2008.01920.xCrossRefPubMedGoogle Scholar
  5. Black, K. R., Stevenson, R. A., Segers, M., Ncube, B. L., Sun, S. Z., Phillip-Muller, A., … Ferber, S. (2017). Linking anxiety and insistence on sameness in autistic children: The role of sensory hypersensitivity. Journal of Autism and Development Disorders, 47(8), 2459–2470.  https://doi.org/10.1007/s10803-017-3161-xCrossRefGoogle Scholar
  6. Caron, C., & Rutter, M. (1991). Comorbidity in child psychopathology: Concepts, issues, and research strategies. Journal of Child Psychology and Psychiatry & Allied Disciplines, 32(7), 1063–1080.  https://doi.org/10.1111/j1469-7610.1991.tb00350xCrossRefGoogle Scholar
  7. Cho, S., Noor, N. H. B. M., & Sonoyama, S. (2017). A review of activity schedules for individuals with Autism Spectrum Disorder. Journal of Special Education Research, 5(2), 65–76.  https://doi.org/10.6033/specialeducation.5.65CrossRefGoogle Scholar
  8. Cunningham, A. B., & Schreibman, L. (2008). Stereotypy in autism: The importance of function. Research in Autism Spectrum Disorders, 2(3), 469–479.  https://doi.org/10.1016/j.rasd.2007.09.006CrossRefPubMedPubMedCentralGoogle Scholar
  9. Gotham, K., Bishop, S. L., Hus, V., Huerta, M., Lund, S., Buja, A., … Lord, C. (2013). Exploring the relationship between anxiety and insistence on sameness in autism spectrum disorders. Autism Research, 6(1), 33–41.  https://doi.org/10.1002/aur.1263CrossRefPubMedGoogle Scholar
  10. Gresham, F. M., Watson, T. S., & Skinner, C. H. (2001). Functional behavioral assessment: Principles, procedures, and future directions. School Psychology Review, 30(2), 156–172.Google Scholar
  11. Hodgdon, L. A. (1999). Solving behavior problems in Autism: Improving communication with visual strategies. Troy, MI: Quirk Roberts Publishing.Google Scholar
  12. Kennedy, C. H. (2005). Single-case designs for educational research. Boston: Pearson.Google Scholar
  13. Kerns, C. M., & Kendall, P. C. (2012). The presentation and classification of anxiety in autism spectrum disorder. Clinical Psychology Science and Practice, 19(4), 323–347.  https://doi.org/10.1111/cpsp.12009CrossRefGoogle Scholar
  14. Kerns, C. M., Kendall, P. C., Berry, L., Souders, M. C., Franklin, M. E., Schultz, R. T., … Herrington, J. (2014). Traditional and atypical presentations of anxiety in youth with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(11), 2851–2861.  https://doi.org/10.1007/s10803-014-2141-7CrossRefPubMedPubMedCentralGoogle Scholar
  15. Knight, V., Sartini, E., & Spriggs, A. D. (2015). Evaluating visual activity schedules as evidence-based practice for individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 45, 157–178.  https://doi.org/10.1007/s10803-014-2201-zCrossRefPubMedGoogle Scholar
  16. Kulage, K. M., Smaldone, A. M., & Cohn, E. G. (2014). How will DSM-5 affect autism diagnosis? A systematic literature review and meta-analysis. Journal of Autism and Developmental Disorders, 44(8), 1918–1932.  https://doi.org/10.1007/s10803-014-2065-2CrossRefPubMedGoogle Scholar
  17. Lane, S. J., Reynolds, S., & Dumenci, L. (2012). Sensory oversensitivity and anxiety in typically developing children and children with Autism and Attention Deficit Hyperactivity Disorder: Cause or coexistence? American Journal of Occupational Therapy, 66, 595–603.  https://doi.org/10.5014/ajot.2012.004523CrossRefPubMedGoogle Scholar
  18. McClannahan, L. E., & Krantz, P. J. (2010). Activity schedules for children with autism: Teaching independent behavior. Bethesda, MD: Woodbine House.Google Scholar
  19. Mesibov, G. B., Browder, D. M., & Kirkland, C. (2002). Using individualized schedules as a component of positive behavioral support for students with developmental disabilities. Journal of Positive Behavior Interventions, 4, 73–79.  https://doi.org/10.1177/109830070200400202CrossRefGoogle Scholar
  20. Mesibov, G. B., & Shea, V. (2010). The TEACCH Program in the era of evidence-based practice. Journal of Autism and Developmental Disorders, 40, 570–579.  https://doi.org/10.1007/s10803-009-0901-6CrossRefPubMedGoogle Scholar
  21. Odom, S. L., Brown, W. H., Frey, T., Karasu, N., Smith-Canter, L. L., & Strain, P. S. (2003). Evidence-based practices for young children with autism: Contributions for single-subject design research. Focus on Autism and Other Developmental Disabilities, 18(3), 166–175.CrossRefGoogle Scholar
  22. Ozsivadjian, A., Knott, F., & Magiati, I. (2012). Parent and child perspectives on the nature of anxiety in children and young people with autism spectrum disorders: A focus group study. Autism, 16(2), 107–121.  https://doi.org/10.1177/1362361311431703CrossRefPubMedGoogle Scholar
  23. Pierce, J. M., Spriggs, A. D., Gast, D. L., & Luscre, D. (2013). Effects of visual activity schedules on independent classroom transitions for students with autism. International Journal of Disability, Development and Education, 60(3), 253–269.  https://doi.org/10.1080/1034912X.2013.812191CrossRefGoogle Scholar
  24. Rumney, H., & Macmahon, K. (2017). Do social skills interventions positively influence mood in children and young people with autism? A systematic review. Mental Health & Prevention, 5, 12–20.  https://doi.org/10.1016/j.mhp.2016.12.001CrossRefGoogle Scholar
  25. Sauvé, J. S., O’Haire, C., Hall, H., Lane, C., & Hudson, B. O. (2018). Adapting a social skills intervention for children with Autism within an urban specialty community clinic. Evidence-Based Practice in Child and Adolescent Mental Health, 3(4), 219–235.  https://doi.org/10.1080/23794925.2018.1483214CrossRefGoogle Scholar
  26. Sofronoff, K., Silva, J., & Beaumont, R. (2017). The Secret Agent Society Social-Emotional Skills Program for children with high-functioning Autism Spectrum Disorder: A parent-directed trial. Focus on Autism and Other Developmental Disabilities, 32(1), 55–70.  https://doi.org/10.1177/1088357615583467CrossRefGoogle Scholar
  27. Sukhodolsky, D. G., Bloch, M. H., Panza, K. E., & Reichow, B. (2013). Cognitive behavioral therapy for anxiety in children with high-functioning Autism: A meta-analysis. Pediatrics, 132, e1341–e1350.  https://doi.org/10.1542/pens.2013-1193CrossRefPubMedPubMedCentralGoogle Scholar
  28. van Steensel, F., & Heeman, E. J. (2017). Anxiety levels in children with Autism Spectrum Disorder: A meta-analysis. Journal of Child and Family Studies, 26(7), 1753–1767.  https://doi.org/10.1007/s10826-017-0687-7CrossRefPubMedPubMedCentralGoogle Scholar
  29. van Steensel, F. J., Bögels, S. M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child and Family Psychology Review, 14(3), 302–317.  https://doi.org/10.1007/s10567-011-0097-0CrossRefPubMedPubMedCentralGoogle Scholar
  30. Vasa, R. A., & Masurek, M. O. (2015). An update on anxiety in youth with autism spectrum disorders. Current Opinions in Psychiatry, 28(2), 83–90.  https://doi.org/10.1097/YCO.0000000000000133CrossRefGoogle Scholar
  31. Volkmar, F., Siegel, M., Woodbury-Smith, M., King, B., McCracken, J., & State, M. (2014). Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 53(2), 237–257.  https://doi.org/10.1016/j.jaac.2013.10.013CrossRefGoogle Scholar
  32. Waters, M. B., Lerman, D. C., & Hovanetz, A. N. (2009). Separate and combined effects of visual schedules and extinction plus differential reinforcement on problem behavior occasioned by transitions. Journal of Applied Behavior Analysis, 42(2), 309–313.  https://doi.org/10.1091/jaba.2009.42-309CrossRefPubMedPubMedCentralGoogle Scholar
  33. White, S. W., Lerner, M. D., McLeod, B. D., Wood, J. J., Ginsburg, G. S., Kerns, C., … Compton, S. (2015). Anxiety in youth with and without autism spectrum disorder: Examination of factorial equivalence. Behavior Therapy, 46(1), 40–53.  https://doi.org/10.1016/j.beth.2014.05.005CrossRefPubMedGoogle Scholar
  34. Wood, J. J., Drahota, A., Sze, K., Har, K., Chou, A., & Langer, D. A. (2009). Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: A randomized controlled trial. Journal of Child Psychology and Psychiatry, 50(3), 224–234.  https://doi.org/10.1111/j.1469-7610.2008.01948.xCrossRefPubMedGoogle Scholar
  35. Wood, J. J., Drahota, A., Sze, K., Van Dyke, M., Decker, K., Fujii, C., … Spiker, M. (2009). Brief Report: Effects of cognitive behavior therapy on parent reported Autism symptoms in school-age children with high-functioning autism. Journal of Autism and Developmental Disorders, 39, 1608–1612.  https://doi.org/10.1007/s10803-009-0791-7CrossRefPubMedPubMedCentralGoogle Scholar
  36. Wood, J. J., Ehrenreich-May, J., Alessandri, M., Fujii, C., Renno, P., Laugeson, E., … Storch, E. (2015). Cognitive behavioral therapy for early adolescents with Autism Spectrum Disorders and clinical anxiety: A randomized, controlled trial. Behavior Therapy, 46, 7–19.  https://doi.org/10.1016/j.beth.2014.01.002CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Laura Nabors
    • 1
  1. 1.School of Human ServicesUniversity of CincinnatiCincinnatiUSA

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