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The Impact of Anxiety on Decision Making in Individuals with Intellectual and Developmental Disabilities or a Diagnosis on the Autism Spectrum

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Decision Making by Individuals with Intellectual and Developmental Disabilities

Part of the book series: Positive Psychology and Disability Series ((POPD))

Abstract

Many individuals with intellectual and developmental disabilities (IDD) or a diagnosis on the autism spectrum will experience anxiety. Research examining anxiety in these populations has provided understanding of how it presents and how it can be measured more accurately in these individuals. Less is known, however, about the impact that anxiety can have on cognitive tasks or issues. Within neurotypical individuals, anxiety has been shown to impact decision making, both by increasing the likelihood of a “jump-to-conclusion” style of reasoning and also by influencing perceptions of relative risk. The impact of anxiety on the decision making of individuals with IDD or those on the autism spectrum is less well understood. In this chapter we describe the limited research in this area. We then use this to hypothesise about the potential impact it may have across the decision-making process. Given the high prevalence of anxiety (and other mental health challenges) in those with IDD and/or autism, there is a clear need for more work in this area. With this additional knowledge we will be better placed to understand whether anxiety has a positive, negative or neutral effect on decision making in these populations. This knowledge can then be used to support decision making and also reduce any possible negative effects of anxiety on this process.

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References

  • Adams, D., Clark, M., & Keen, D. (2019). Using self-report to explore the relationship between anxiety and quality of life in children on the autism spectrum. Autism Research, 12(10), 1505–1515. https://doi.org/10.1002/aur.2155

    Article  Google Scholar 

  • Adams, D., Clark, M., & Simpson, K. (2020). The relationship between child anxiety and the quality of life of children, and parents of children, on the autism spectrum. Journal of Autism and Developmental Disorders, 50(5), 1756–1769. https://doi.org/10.1007/s10803-019-03932-2

    Article  Google Scholar 

  • Adams, D., & Emerson, L. M. (2020). Family accommodation of anxiety in a community sample of children on the autism spectrum. Journal of Anxiety Disorders, 70, ARTN 102192. https://doi.org/10.1016/j.janxdis.2020.102192

    Article  Google Scholar 

  • Adams, D., MacDonald, L., & Keen, D. (2019). Teacher responses to anxiety-related behaviours in students on the autism spectrum. Research in Developmental Disabilities, 86, 11–19. https://doi.org/10.1016/j.ridd.2018.12.009

    Article  Google Scholar 

  • Allman, J. M., Watson, K. K., Tetreault, N. A., & Hakeem, A. Y. (2005). Intuition and autism: A possible role for Von Economo neurons. Trends in Cognitive Sciences, 9(8), 367–373. https://doi.org/10.1016/j.tics.2005.06.008

    Article  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

  • Armel, K. C., Beaumel, A., & Rangel, A. (2008). Biasing simple choices by manipulating relative visual attention. Judgment and Decision making, 3(5), 396–403.

    Google Scholar 

  • Aue, T., & Okon-Singer, H. (2015). Expectancy biases in fear and anxiety and their link to biases in attention. Clinical Psychology Review, 42, 83–95. https://doi.org/10.1016/j.cpr.2015.08.005

    Article  Google Scholar 

  • Barrett, L. F. (2012). Emotions are real. Emotion, 12(3), 413–429. https://doi.org/10.1037/a0027555

    Article  Google Scholar 

  • Bechara, A., & Damasio, A. R. (2005). The somatic marker hypothesis: A neural theory of economic decision. Games and Economic Behavior, 52(2), 336–372. https://doi.org/10.1016/j.geb.2004.06.010

  • Bechara, A., & Damasio, H. (2002). Decision-making and addiction (Part I): Impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences. Neuropsychologia, 40(10), 1675–1689. https://doi.org/10.1016/S0028-3932(02)00015-5

  • Bechara, A., Damasio, H., Tranel, D., & Damasio, A. R. (1997). Deciding advantageously before knowing the advantageous strategy. Science, 275(5304), 1293–1295. https://doi.org/10.1126/science.275.5304.1293

    Article  Google Scholar 

  • Beck, A. T. (1972). Cognition, anxiety, and psychophysiological disorders. In C. D. Spielberger (Ed.), Anxiety: Current trends in theory and research (pp. 343–357). Academic Press.

    Chapter  Google Scholar 

  • Beck, A. T. (1985). Cognitive therapy. In H. I. Kaplan & B. J. Sadock (Eds.), Comprehensive textbook of psychiatry/IV: Vol. 2 (pp. 1432–1438). Williams and Wilkins.

    Google Scholar 

  • Beck, A. T., & Weishaar, M. (1989). Cognitive therapy. In A. Freeman, K. M. Simon, L. E. Beutler, & H. Arkowitz (Eds.), Comprehensive handbook of cognitive therapy (pp. 21–36). Plenum Press.

    Chapter  Google Scholar 

  • Bensi, L., & Giusberti, F. (2007). Trait anxiety and reasoning under uncertainty. Personality and Individual Differences, 43(4), 827–838. https://doi.org/10.1016/j.paid.2007.02.007

    Article  Google Scholar 

  • Blanck, P., & Martinis, J. G. (2015). “The right to make choices”: The national resource center for supported decision making. Inc, 3(1), 24–33. https://doi.org/10.1352/2326-6988-3.1.24

  • Boulter, C., Freeston, M., South, M., & Rodgers, J. (2014). Intolerance of uncertainty as a framework for understanding anxiety in children and adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44(6), 1391–1402. https://doi.org/10.1007/s10803-013-2001-x

    Article  Google Scholar 

  • Brand, M., Recknor, E. C., Grabenhorst, F., & Bechara, A. (2007). Decisions under ambiguity and decisions under risk: Correlations with executive functions and comparisons of two different gambling tasks with implicit and explicit rules. Journal of Clinical and Experimental Neuropsychology, 29(1), 86–99. https://doi.org/10.1080/13803390500507196

    Article  Google Scholar 

  • Brosnan, M., Chapman, E., & Ashwin, C. (2014). Adolescents with autism spectrum disorder show a circumspect reasoning bias rather than ‘jumping-to-conclusions’. Journal of Autism and Developmental Disorders, 44(3), 513–520. https://doi.org/10.1007/s10803-013-1897-5

    Article  Google Scholar 

  • Buelow, M. T., & Barnhart, W. R. (2017). The influence of math anxiety, math performance, worry, and test anxiety on the Iowa gambling task and balloon analogue risk task. Assessment, 24(1), 127–137. https://doi.org/10.1177/1073191115602554

    Article  Google Scholar 

  • Buelow, M. T., Okdie, B. M., & Blaine, A. L. (2013). Seeing the forest through the trees: Improving decision making on the Iowa gambling task by shifting focus from short- to long-term outcomes. Frontiers in Psychology, 4. https://doi.org/10.3389/fpsyg.2013.00773

  • Butler, G., & Mathews, A. (1983). Cognitive-processes in anxiety neurosis. Bulletin of the British Psychological Society, 36(May), A49.

    Google Scholar 

  • Campbell-Meiklejohn, D. K., Woolrich, M. W., Passingham, R. E., & Rogers, R. D. (2008). Knowing when to stop: The brain mechanisms of chasing losses. Biological Psychiatry, 63(3), 293–300. https://doi.org/10.1016/j.biopsych.2007.05.014

    Article  Google Scholar 

  • Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12(8), 937–947. https://doi.org/10.1586/Ern.12.82

    Article  Google Scholar 

  • Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). The Guilford Press.

    Google Scholar 

  • Costello, E. J., Egger, H. J., Copeland, W., Erklani, A., & Angold, A. (2011). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. In W. K. Silverman & A. P. Field (Eds.), Anxiety disorders in children and adolescents (2nd ed., pp. 56–75). Cambridge University Press.

    Chapter  Google Scholar 

  • Craig, A. D. (2003). Interoception: The sense of the physiological condition of the body. Current Opinion in Neurobiology, 13(4), 500–505. https://doi.org/10.1016/S0959-4388(03)00090-4

    Article  Google Scholar 

  • Da Costa, D., Larouche, J., Dritsa, M., & Brender, W. (2000). Psychosocial correlates of prepartum and postpartum depressed mood. Journal of Affective Disorders, 59(1), 31–40. https://doi.org/10.1016/S0165-0327(99)00128-7

    Article  Google Scholar 

  • Dagnan, D., Jackson, I., & Eastlake, L. (2018). A systematic review of cognitive behavioural therapy for anxiety in adults with intellectual disabilities. Journal of Intellectual Disability Research, 62(11), 974–991. https://doi.org/10.1111/jir.12548

    Article  Google Scholar 

  • Dagnan, D., & Sandhu, S. (1999). Social comparison, self-esteem and depression in people with intellectual disability. Journal of Intellectual Disability Research, 43, 372–379. https://doi.org/10.1046/j.1365-2788.1999.043005372.x

    Article  Google Scholar 

  • Dagnan, D., & Waring, M. (2004). Linking stigma to psychological distress: Testing a social-cognitive model of the experience of people with intellectual disabilities. Clinical Psychology & Psychotherapy, 11(4), 247–254. https://doi.org/10.1002/cpp.413

    Article  Google Scholar 

  • Damasio, A. R. (1994). Descartes’ error: Emotion, rationality and the human brain. Penguin.

    Google Scholar 

  • de Lijster, J. M., Dieleman, G. C., Utens, E. M. W. J., Dierckx, B., Wierenga, M., Verhulst, F. C., & Legerstee, J. S. (2018). Social and academic functioning in adolescents with anxiety disorders: A systematic review. Journal of Affective Disorders, 230, 108–117. https://doi.org/10.1016/j.jad.2018.01.008

    Article  Google Scholar 

  • den Houting, J., Adams, D., Roberts, J., & Keen, D. (2020). Brief report: Investigating the impact of anxious symptomatology in autistic children. International Journal of Disability Development and Education. https://doi.org/10.1080/1034912x.2020.1727420

  • Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168. https://doi.org/10.1146/annurev-psych-113011-143750

    Article  Google Scholar 

  • Dixon, M. L., Thiruchselvam, R., Todd, R., & Christoff, K. (2017). Emotion and the prefrontal cortex: An integrative review. Psychological Bulletin, 143(10), 1033–1081. https://doi.org/10.1037/bul0000096

    Article  Google Scholar 

  • DuBois, D., Ameis, S. H., Lai, M. C., Casanova, M. F., & Desarkar, P. (2016). Interoception in autism spectrum disorder: A review. International Journal of Developmental Neuroscience, 52, 104–111. https://doi.org/10.1016/j.ijdevneu.2016.05.001

    Article  Google Scholar 

  • Ehlers, A., & Breuer, P. (1996). How good are patients with panic disorder at perceiving their heartbeats? Biological Psychology, 42(1-2), 165–182. https://doi.org/10.1016/0301-0511(95)05153-8

    Article  Google Scholar 

  • Einfeld, S. L., Ellis, L. A., & Emerson, E. (2011). Comorbidity of intellectual disability and mental disorder in children and adolescents: A systematic review. Journal of Intellectual & Developmental Disability, 36(2), 137–143. https://doi.org/10.1080/13668250.2011.572548

    Article  Google Scholar 

  • Emerson, E., & Hatton, C. (2007). Mental health of children and adolescents with intellectual disabilities in Britain. British Journal of Psychiatry, 191, 493–499. https://doi.org/10.1192/bjp.bp.107.038729

    Article  Google Scholar 

  • Eysenck, M. W., Derakshan, N., Santos, R., & Calvo, M. G. (2007). Anxiety and cognitive performance: Attentional control theory. Emotion, 7(2), 336–353. https://doi.org/10.1037/1528-3542.7.2.336

    Article  Google Scholar 

  • Flynn, S., Vereenooghe, L., Hastings, R. P., Adams, D., Cooper, S. A., Gore, N., Hatton, C., Hood, K., Jahoda, A., Langdon, P. E., McNamara, R., Oliver, C., Roy, A., Totsika, V., & Waite, J. (2017). Measurement tools for mental health problems and mental well-being in people with severe or profound intellectual disabilities: A systematic review. Clinical Psychology Review, 57, 32–44. https://doi.org/10.1016/j.cpr.2017.08.006

    Article  Google Scholar 

  • Galynker, I. I., Cai, J., Ongseng, F., Finestone, H., Dutta, E., & Serseni, D. (1998). Hypofrontality and negative symptoms in major depressive disorder. Journal of Nuclear Medicine, 39(4), 608–612. https://www.ncbi.nlm.nih.gov/pubmed/9544664

    Google Scholar 

  • Gogolla, N. (2017). The insular cortex. Current Biology, 27(12), R580–R586. https://doi.org/10.1016/j.cub.2017.05.010

    Article  Google Scholar 

  • Gray, K. M., Piccinin, A. M., Hofer, S. M., Mackinnon, A., Bontempo, D. E., Einfeld, S. L., Parmenter, T., & Tonge, B. J. (2011). The longitudinal relationship between behavior and emotional disturbance in young people with intellectual disability and maternal mental health. Research in Developmental Disabilities, 32(3), 1194–1204. https://doi.org/10.1016/j.ridd.2010.12.044

    Article  Google Scholar 

  • Green, H., McGinnity, A., Meltzer, H., Ford, T., & Goodman, R. H. (2005). Mental health of children and young people in Great Britain 2004. Palgrave Macmillan.

    Book  Google Scholar 

  • Green, S. A., Berkovits, L. D., & Baker, B. L. (2015). Symptoms and development of anxiety in children with or without intellectual disability. Journal of Clinical Child and Adolescent Psychology, 44(1), 137–144. https://doi.org/10.1080/15374416.2013.873979

    Article  Google Scholar 

  • Hartley, C. A., & Phelps, E. A. (2012). Anxiety and decision making. Biological Psychiatry, 72(2), 113–118. https://doi.org/10.1016/j.biopsych.2011.12.027

  • Hemmings, C. P., Gravestock, S., Pickard, M., & Bouras, N. (2006). Psychiatric symptoms and problem behaviours in people with intellectual disabilities. Journal of Intellectual Disability Research, 50, 269–276. https://doi.org/10.1111/j.1365-2788.2006.00827.x

    Article  Google Scholar 

  • Hill, E. L. (2004). Executive dysfunction in autism. Trends in Cognitive Sciences, 8(1), 26–32. https://doi.org/10.1016/j.tics.2003.11.003

    Article  Google Scholar 

  • Hodgson, A. R., Freeston, M. H., Honey, E., & Rodgers, J. (2017). Facing the unknown: Intolerance of uncertainty in children with autism spectrum disorder. Journal of Applied Research in Intellectual Disabilities, 30(2), 336–344. https://doi.org/10.1111/jar.12245

    Article  Google Scholar 

  • Hollocks, M. J., Jones, C. R. G., Pickles, A., Baird, G., Happe, F., Charman, T., & Simonoff, E. (2014). The association between social cognition and executive functioning and symptoms of anxiety and depression in adolescents with autism spectrum disorders. Autism Research, 7(2), 216–228. https://doi.org/10.1002/aur.1361

    Article  Google Scholar 

  • Hollocks, M. J., Lerh, J. W., Magiati, I., Meiser-Stedman, R., & Brugha, T. S. (2019). Anxiety and depression in adults with autism spectrum disorder: A systematic review and meta-analysis. Psychological Medicine, 49(4), 559–572. https://doi.org/10.1017/S0033291718002283

    Article  Google Scholar 

  • Hollocks, M. J., Ozsivadjian, A., Matthews, C. E., Howlin, P., & Simonoff, E. (2013). The relationship between attentional bias and anxiety in children and adolescents with autism spectrum disorders. Autism Research, 6(4), 237–247. https://doi.org/10.1002/aur.1285

    Article  Google Scholar 

  • Hollocks, M. J., Pickles, A., Howlin, P., & Simonoff, E. (2016). Dual cognitive and biological correlates of anxiety in autism spectrum disorders. Journal of Autism and Developmental Disorders, 46(10), 3295–3307. https://doi.org/10.1007/s10803-016-2878-2

    Article  Google Scholar 

  • Hosenbocus, S., & Chahal, R. (2012). A review of executive function deficits and pharmacological management in children and adolescents. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 21(3), 223–229. https://www.ncbi.nlm.nih.gov/pubmed/22876270

    Google Scholar 

  • Houtkamp, E. O., van der Molen, M. J., de Voogd, E. L., Salemink, E., & Klein, A. M. (2017). The relation between social anxiety and biased interpretations in adolescents with mild intellectual disabilities. Research in Developmental Disabilities, 67, 94–98. https://doi.org/10.1016/j.ridd.2017.06.003

    Article  Google Scholar 

  • Huber, O., Wider, R., & Huber, O. W. (1997). Active information search and complete information presentation in naturalistic risk decision tasks. Acta Psychologica, 95, 15–29. https://doi.org/10.1016/S0001-6918(96)00028-5

    Article  Google Scholar 

  • Hudson, C. C., Hall, L., & Harkness, K. L. (2019). Prevalence of depressive disorders in individuals with autism spectrum disorder: A meta-analysis. Journal of Abnormal Child Psychology, 47(1), 165–175. https://doi.org/10.1007/s10802-018-0402-1

    Article  Google Scholar 

  • Jenkinson, J. C. (1999). Factors affecting decision making by young adults with intellectual disabilities. American Journal on Mental Retardation, 104(4), 320–329.

    Google Scholar 

  • Kerns, C. M., Kendall, P. C., Berry, L., Souders, M. C., Franklin, M. E., Schultz, R. T., Miller, J., & 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/s10803-014-2141-7

    Article  Google Scholar 

  • Kinnaird, E., Stewart, C., & Tchanturia, K. (2019). Investigating alexithymia in autism: A systematic review and meta-analysis. European Psychiatry, 55, 80–89. https://doi.org/10.1016/j.eurpsy.2018.09.004

    Article  Google Scholar 

  • Kurtek, P. (2016). Role of anxiety as a trait and state in youth with mild intellectual disability: Coping with difficult situations. Journal of Policy and Practice in Intellectual Disabilities, 13(3), 236–245. https://doi.org/10.1111/jppi.12150

    Article  Google Scholar 

  • Ladouceur, R., Talbot, F., & Dugas, M. J. (1997). Behavioral expressions of intolerance of uncertainty in worry – Experimental findings. Behavior Modification, 21(3), 355–371. https://doi.org/10.1177/01454455970213006

    Article  Google Scholar 

  • Lai, M. C., Kassee, C., Besney, R., Bonato, S., Hull, L., Mandy, W., Szatmari, P., & Ameis, S. H. (2019). Prevalence of co-occurring mental health diagnoses in the autism population: A systematic review and meta-analysis. Lancet Psychiatry, 6(10), 819–829. https://doi.org/10.1016/S2215-0366(19)30289-5

    Article  Google Scholar 

  • Lauriola, M., Panno, A., Levin, I. P., & Lejuez, C. W. (2014). Individual differences in risky decision making: A meta-analysis of sensation seeking and impulsivity with the balloon analogue risk task. Journal of Behavioral Decision making, 27(1), 20–36. https://doi.org/10.1002/bdm.1784

  • Lejuez, C. W., Read, J. P., Kahler, C. W., Richards, J. B., Ramsey, S. E., Stuart, G. L., Strong, D. R., & Brown, R. A. (2002). Evaluation of a behavioral measure of risk taking: The Balloon Analogue Risk Task (BART). Journal of Experimental Psychology-Applied, 8(2), 75–84. https://doi.org/10.1037//1076-898x.8.2.75

    Article  Google Scholar 

  • Leon, M. R., & Revelle, W. (1985). Effects of anxiety on analogical reasoning: A test of three theoretical models. Journal of Personality and Social Psychology, 49(5), 1302–1315. https://doi.org/10.1037//0022-3514.49.5.1302

    Article  Google Scholar 

  • Luke, L., Clare, I. C., Ring, H., Redley, M., & Watson, P. (2012). Decision making difficulties experienced by adults with autism spectrum conditions. Autism, 16(6), 612–621. https://doi.org/10.1177/1362361311415876

  • MacLeod, C., Grafton, B., & Notebaert, L. (2019). Anxiety-linked attentional bias: Is it reliable? Annual Review of Clinical Psychology, 15, 529–554. https://doi.org/10.1146/annurev-clinpsy-050718-095505

    Article  Google Scholar 

  • Maiano, C., Coutu, S., Tracey, D., Bouchard, S., Lepage, G., Morin, A. J. S., & Moullec, G. (2018). Prevalence of anxiety and depressive disorders among youth with intellectual disabilities: A systematic review and meta-analysis. Journal of Affective Disorders, 236, 230–242. https://doi.org/10.1016/j.jad.2018.04.029

    Article  Google Scholar 

  • Maisel, M. E., Stephenson, K. G., South, M., Rodgers, J., Freeston, M. H., & Gaigg, S. B. (2016). Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults. Journal of Abnormal Psychology, 125(5), 692–703. https://doi.org/10.1037/abn0000168

    Article  Google Scholar 

  • Maner, J. K., Richey, J. A., Cromer, K., Mallott, M., Lejuez, C. W., Joiner, T. E., & Schmidt, N. B. (2007). Dispositional anxiety and risk-avoidant decision making. Personality and Individual Differences, 42(4), 665–675. https://doi.org/10.1016/j.paid.2006.08.016

  • De Martino, B., Harrison, N. A., Knafo, S., Bird, G., & Dolan, R. J. (2008). Explaining enhanced logical consistency during decision making in autism. Journal of Neuroscience, 28(42), 10746–10750. https://doi.org/10.1523/JNEUROSCI.2895-08.2008

  • Matson, J. L. (1995). The diagnostic assessment for the severely handicapped-revised (DASH-II). Disability Consultants, LLC.

    Google Scholar 

  • Matthews, G., Panganiban, A. R., & Hudlicka, E. (2011). Anxiety and selective attention to threat in tactical Decision making. Personality and Individual Differences, 50(7), 949–954. https://doi.org/10.1016/j.paid.2010.09.005

  • May, T., Cornish, K., & Rinehart, N. J. (2015). Mechanisms of anxiety related attentional biases in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(10), 3339–3350. https://doi.org/10.1007/s10803-015-2500-z

    Article  Google Scholar 

  • Mazefsky, C. A., & Herrington, J. (2014). Autism and anxiety: Etiologic factors and transdiagnostic processes. In I. Davis, E. Thompson, S. W. White, & T. Ollendick (Eds.), Handbook of autism and anxiety (pp. 91–103). Springer.

    Google Scholar 

  • McCarthy, J. B., & Barbot, B. (2016). The need for research on intellectual disabilities and severe psychiatric disorders in children and adolescents. Journal of Mental Disorders and Treatment, 2(112), 2.

    Google Scholar 

  • McGillivray, L., Becerra, R., & Harms, C. (2017). Prevalence and demographic correlates of alexithymia: A comparison between Australian psychiatric and community samples. Journal of Clinical Psychology, 73(1), 76–87. https://doi.org/10.1002/jclp.22314

    Article  Google Scholar 

  • McManus, F., Clark, D. M., & Hackmann, A. (2000). Specificity of cognitive biases in social phobia and their role in recovery. Behavioural and Cognitive Psychotherapy, 28, 201–209. https://doi.org/10.1017/S1352465800003015

    Article  Google Scholar 

  • Micco, J. A., Henin, A., Biederman, J., Rosenbaum, J. F., Petty, C., Rindlaub, L. A., Murphy, M., & Hirshfeld-Becker, D. R. (2009). Executive functioning in offspring at risk for depression and anxiety. Depression and Anxiety, 26(9), 780–790. https://doi.org/10.1002/da.20573

    Article  Google Scholar 

  • Minassian, A., Paulus, M., Lincoln, A., & Perry, W. (2007). Adults with autism show increased sensitivity to outcomes at low error rates during decision making. Journal of Autism and Developmental Disorders, 37(7), 1279–1288. https://doi.org/10.1007/s10803-006-0278-8

  • Mitte, K. (2007). Anxiety and risky decision making: The role of subjective probability and subjective costs of negative events. Personality and Individual Differences, 43(2), 243–253. https://doi.org/10.1016/j.paid.2006.11.028

  • Miu, A. C., Heilman, R. M., & Houser, D. (2008). Anxiety impairs decision making: Psychophysiological evidence from an Iowa gambling task. Biological Psychology, 77(3), 353–358. https://doi.org/10.1016/j.biopsycho.2007.11.010

  • Monk, C., Kovelenko, P., Ellman, L. M., Sloan, R. P., Bagiella, E., Gorman, J. M., & Pine, D. S. (2001). Enhanced stress reactivity in paediatric anxiety disorders: Implications for future cardiovascular health. International Journal of Neuropsychopharmacology, 4(2), 199–206. https://doi.org/10.1017/S146114570100236X

    Article  Google Scholar 

  • Mueller, E. M., Nguyen, J., Ray, W. J., & Borkovec, T. D. (2010). Future-oriented decision making in generalized anxiety disorder is evident across different versions of the Iowa gambling task. Journal of Behavior Therapy and Experimental Psychiatry, 41(2), 165–171. https://doi.org/10.1016/j.jbtep.2009.12.002

  • Mul, C. L., Stagg, S. D., Herbelin, B., & Aspell, J. E. (2018). The feeling of me feeling for you: Interoception, alexithymia and empathy in autism. Journal of Autism and Developmental Disorders, 48(9), 2953–2967. https://doi.org/10.1007/s10803-018-3564-3

    Article  Google Scholar 

  • Ohta, H., Yamagata, B., Tomioka, H., Takahashi, T., Yano, M., Nakagome, K., & Mimura, M. (2008). Hypofrontality in panic disorder and major depressive disorder assessed by multi-channel near-infrared spectroscopy. Depression and Anxiety, 25(12), 1053–1059. https://doi.org/10.1002/da.20463

    Article  Google Scholar 

  • Olatunji, B. O., Cisler, J. M., & Tolin, D. F. (2007). Quality of life in the anxiety disorders: A meta-analytic review. Clinical Psychology Review, 27(5), 572–581. https://doi.org/10.1016/j.cpr.2007.01.015

    Article  Google Scholar 

  • Ottowitz, W. E., Dougherty, D. D., & Savage, C. R. (2002). The neural network basis for abnormalities of attention and executive function in major depressive disorder: Implications for application of the medical disease model to psychiatric disorders. Harvard Review of Psychiatry, 10(2), 86–99. https://doi.org/10.1093/hrp/10.2.86

    Article  Google Scholar 

  • Palser, E. R., Fotopoulou, A., Pellicano, E., & Kilner, J. M. (2018). The link between interoceptive processing and anxiety in children diagnosed with autism spectrum disorder: Extending adult findings into a developmental sample. Biological Psychology, 136, 13–21. https://doi.org/10.1016/j.biopsycho.2018.05.003

    Article  Google Scholar 

  • Pauli, P., Dengler, W., Wiedemann, G., Montoya, P., Flor, H., Birbaumer, N., & Buchkremer, G. (1997). Behavioral and neurophysiological evidence for altered processing of anxiety-related words in panic disorder. Journal of Abnormal Psychology, 106(2), 213–220. https://doi.org/10.1037/0021-843x.106.2.213

    Article  Google Scholar 

  • Pickard, H., Hirsch, C., Simonoff, E., & Happe, F. (2020). Exploring the cognitive, emotional and sensory correlates of social anxiety in autistic and neurotypical adolescents. Journal of Child Psychology and Psychiatry.https://doi.org/10.1111/jcpp.13214

  • Pineles, S. L., & Mineka, S. (2005). Attention biases to internal and external sources of potential threat in social anxiety. Journal of Abnormal Psychology, 11(4), 314–318. https://doi.org/10.1037/0021-843X.114.2.314

    Article  Google Scholar 

  • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345–365. https://doi.org/10.1111/jcpp.12381

    Article  Google Scholar 

  • Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756. https://doi.org/10.1016/S0005-7967(97)00022-3

    Article  Google Scholar 

  • Ray, R. D., & Zald, D. H. (2012). Anatomical insights into the interaction of emotion and cognition in the prefrontal cortex. Neuroscience and Biobehavioral Reviews, 36(1), 479–501. https://doi.org/10.1016/j.neubiorev.2011.08.005

    Article  Google Scholar 

  • Reardon, T. C., Gray, K. M., & Melvin, G. A. (2015). Anxiety disorders in children and adolescents with intellectual disability: Prevalence and assessment. Research in Developmental Disabilities, 36, 175–190. https://doi.org/10.1016/j.ridd.2014.10.007

    Article  Google Scholar 

  • Reimann, M., & Bechara, A. (2010). The somatic marker framework as a neurological theory of decision making: Review, conceptual comparisons, and future neuroeconomics research. Journal of Economic Psychology, 31(5), 767–776. https://doi.org/10.1016/j.joep.2010.03.002

  • Robic, S., Sonié, S., Fonlupt, P., Henaff, M. A., Touil, N., Coricelli, G., … Schmitz, C. (2015). decision making in a changing world: A study in autism spectrum disorders. Journal of Autism and Developmental Disorders, 45(6), 1603–1613. https://doi.org/10.1007/s10803-014-2311-7

  • Rodgers, J., Farquhar, K., Mason, D., Brice, S., Wigham, S., Ingham, B., Freeston, M., & Parr, J. (2020). Development and initial evaluation of the anxiety scale for autism - adults. Autism in Adulthood, 2(1), 24–33. https://doi.org/10.1089/aut.2019.0044

    Article  Google Scholar 

  • Rodgers, J., Glod, M., Connolly, B., & McConachie, H. (2012). The relationship between anxiety and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 42(11), 2404–2409. https://doi.org/10.1007/s10803-012-1531-y

    Article  Google Scholar 

  • Rodgers, J., Wigham, S., McConachie, H., Freeston, M., Honey, E., & Parr, J. R. (2016). Development of the anxiety scale for children with autism spectrum disorder (ASC-ASD). Autism Research, 9(11), 1205–1215. https://doi.org/10.1002/aur.1603

    Article  Google Scholar 

  • Rzepecka, H., McKenzie, K., McClure, L., & Murphy, S. (2011). Sleep, anxiety and challenging behaviour in children with intellectual disability and/or autism spectrum disorder. Research in Developmental Disabilities, 32(6), 2758–2766. https://doi.org/10.1016/j.ridd.2011.05.034

    Article  Google Scholar 

  • Scahill, L., Lecavalier, L., Schultz, R. T., Evans, A. N., Maddox, B., Pritchett, J., Herrington, J., Gillespie, S., Miller, J., Amoss, R. T., Aman, M. G., Bearss, K., Gadow, K., & Edwards, M. C. (2019). Development of the parent-rated anxiety scale for youth with autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 58(9), 887–896. e882. https://doi.org/10.1016/j.jaac.2018.10.016

    Article  Google Scholar 

  • Schwarz, N., & Clore, G. (2007). Feelings and phenomenal experiences. In A. W. Kruglanksi & E. T. Higgins (Eds.), Social psychology: Handbook of basic principles (pp. 385–407). Guildford Press.

    Google Scholar 

  • Shah, P., Catmur, C., & Bird, G. (2016). Emotional decision making in autism spectrum disorder: The roles of interoception and alexithymia. Molecular Autism, 7, ARTN 43. https://doi.org/10.1186/s13229-016-0104-x

  • Simpson, K., Adams, D., Wheeley, E., & Keen, D. (2020). Parent perspectives on the presentation, triggers, impact, and support of anxiety in young children on the autism spectrum. Journal of Child and Family Studies, 29(2), 572–582. https://doi.org/10.1007/s10826-019-01576-5

    Article  Google Scholar 

  • Smiley, E., Cooper, S. A., Finlayson, J., Jackson, A., Allan, L., Mantry, D., McGrother, C., McConnachie, A., & Morrison, J. (2007). Incidence and predictors of mental ill-health in adults with intellectual disabilities: Prospective study. British Journal of Psychiatry, 191, 313–319. https://doi.org/10.1192/bjp.bp.106.031104

    Article  Google Scholar 

  • South, M., Chamberlain, P. D., Wigham, S., Newton, T., Le Couteur, A., McConachie, H., Gray, L., Freeston, M., Parr, J., Kirwan, C. B., & Rodgers, J. (2014). Enhanced decision making and risk avoidance in high-functioning autism spectrum disorder. Neuropsychology, 28(2), 222–228. https://doi.org/10.1037/neu0000016

  • South, M., Dana, J., White, S. E., & Crowley, M. J. (2011). Failure is not an option: Risk-taking is moderated by anxiety and also by cognitive ability in children and adolescents diagnosed with an autism spectrum disorder. Journal of Autism and Developmental Disorders, 41(1), 55–65.

    Article  Google Scholar 

  • Steel, Z., Marnane, C., Iranpour, C., Chey, T., Jackson, J., Patel, V., & Silove, D. (2014). The global prevalence of common mental disorders: A systematic review and meta-analysis 1980-2013. International Journal of Epidemiology, 43(2), 476–493. https://doi.org/10.1093/ije/dyu038

    Article  Google Scholar 

  • ten Brinke, L., Lee, J. J., & Carney, D. R. (2019). Different physiological reactions when observing lies versus truths: Initial evidence and an intervention to enhance accuracy. Journal of Personality and Social Psychology, 117(3), 560–578. https://doi.org/10.1037/pspi0000175

    Article  Google Scholar 

  • Top, D. N., Jr., Stephenson, K. G., Doxey, C. R., Crowley, M. J., Kirwan, C. B., & South, M. (2016). Atypical amygdala response to fear conditioning in autism spectrum disorder. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 1(4), 308–315. https://doi.org/10.1016/j.bpsc.2016.01.008

    Article  Google Scholar 

  • van Steensel, F. J. A., Bogels, 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/s10567-011-0097-0

    Article  Google Scholar 

  • Vasa, R. A., Keefer, A., Reaven, J., South, M., & White, S. W. (2018). Priorities for advancing research on youth with autism spectrum disorder and co-occurring anxiety. Journal of Autism and Developmental Disorders, 48(3), 925–934. https://doi.org/10.1007/s10803-017-3320-0

    Article  Google Scholar 

  • Vella, L., Ring, H. A., Aitken, M. R., Watson, P. C., Presland, A., & Clare, I. C. (2018). Understanding self-reported difficulties in decision making by people with autism spectrum disorders. Autism, 22(5), 549–559. https://doi.org/10.1177/1362361316687988

  • Wallace, G. L., Kenworthy, L., Pugliese, C. E., Popal, H. S., White, E. I., Brodsky, E., & Martin, A. (2016). Real-world executive functions in adults with autism spectrum disorder: Profiles of impairment and associations with adaptive functioning and co-morbid anxiety and depression. Journal of Autism and Developmental Disorders, 46(3), 1071–1083. https://doi.org/10.1007/s10803-015-2655-7

    Article  Google Scholar 

  • Wang, C. A., Baird, T., Huang, J., Coutinho, J. D., Brien, D. C., & Munoz, D. P. (2018). Arousal effects on pupil size, heart rate, and skin conductance in an emotional face task. Frontiers in Neurology, 9, ARTN 1029. https://doi.org/10.3389/fneur.2018.01029

    Article  Google Scholar 

  • White, S. W., Mazefsky, C. A., Dichter, G. S., Chiu, P. H., Richey, J. A., & Endick, T. H. (2014). Social-cognitive, physiological, and neural mechanisms underlying emotion regulation impairments: Understanding anxiety in autism spectrum disorder. International Journal of Developmental Neuroscience, 39, 22–36. https://doi.org/10.1016/j.ijdevneu.2014.05.012

    Article  Google Scholar 

  • Wigham, S., Rodgers, J., South, M., McConachie, H., & Freeston, M. (2015). The interplay between sensory processing abnormalities, intolerance of uncertainty, anxiety and restricted and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(4), 943–952. https://doi.org/10.1007/s10803-014-2248-x

    Article  Google Scholar 

  • Yip, J. A., & Schweitzer, M. E. (2016). Mad and misleading: Incidental anger promotes deception. Organizational Behavior and Human Decision Processes, 137, 207–217. https://doi.org/10.1016/j.obhdp.2016.09.006

    Article  Google Scholar 

  • Zhang, L., Wang, K., Zhu, C., Yu, F., & Chen, X. (2015). Trait anxiety has effect on decision making under ambiguity but not decision making under risk. PLoS One, 10(5), e0127189. https://doi.org/10.1371/journal.pone.0127189

  • Zimmerman, D., Ownsworth, T., O’Donovan, A., Roberts, J., & Gullo, M. J. (2017). Associations between executive functions and mental health outcomes for adults with autism spectrum disorder. Psychiatry Research, 253, 360–363. https://doi.org/10.1016/j.psychres.2017.04.023

    Article  Google Scholar 

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Adams, D., Malone, S. (2021). The Impact of Anxiety on Decision Making in Individuals with Intellectual and Developmental Disabilities or a Diagnosis on the Autism Spectrum. In: Khemka, I., Hickson, L. (eds) Decision Making by Individuals with Intellectual and Developmental Disabilities. Positive Psychology and Disability Series. Springer, Cham. https://doi.org/10.1007/978-3-030-74675-9_8

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