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Dysfunctional Attitudes and Perfectionism and Their Relationship to Anxious and Depressive Symptoms in Boys with Autism Spectrum Disorders

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Abstract

In spite of increasing interest in cognitive behaviour therapy for emotional disorders in children with autism spectrum disorders (ASD), little research has explored the relevance of the cognitive model in this population. This study explores dysfunctional attitudes and perfectionism in boys with ASD and the relationship with anxious and depressive symptoms. Compared to a typically developing group (n = 42), boys with ASD (n = 41) endorsed more dysfunctional attitudes and reported higher emotional symptoms. The relationship between emotional and cognitive variables was weak in both groups, although in the ASD group dysfunctional attitudes were significantly associated with reported obsessive–compulsive symptoms. Reasons for elevated dysfunctional attitudes in the ASD group are discussed and the roles of cognitive inflexibility and social impairments are explored.

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References

  • Anderson, S., & Morris, J. (2006). Cognitive behaviour therapy for people with Asperger syndrome. Behavioural and Cognitive Psychotherapy, 34, 293–303.

    Article  Google Scholar 

  • Antony, M. M., & Swinson, R. P. (1998). When perfect isn’t good enough: strategies for coping with perfectionism. Oakland, CA: New Harbinger Publications.

    Google Scholar 

  • Attwood, T. (1998). Asperger’s syndrome: A guide for parents and professionals. London: Jessica Kingsley.

    Google Scholar 

  • Barnhill, G. P., & Myles, B. S. (2001). Attributional style and depression in adolescents with Asperger syndrome. Journal of Positive Behavior Interventions, 3, 175–182.

    Article  Google Scholar 

  • Baron-Cohen, S. (1988). Social and pragmatic deficits in autism: Cognitive or affective? Journal of Autism and Developmental Disorders, 18, 379–402.

    Article  PubMed  Google Scholar 

  • Beck, A. T. (1967). Depression: clinical, experimental and theoretical aspects. New York: Harper and Row.

    Google Scholar 

  • Bellini, S. (2004). Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19, 78–86.

    Article  Google Scholar 

  • Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: Diagnostic validity. British Journal of Psychiatry, 175, 444–451.

    Article  PubMed  Google Scholar 

  • Blatt, S. J., Zuroff, D. C., Bondi, C. M., Sanislow, C. A., & Pilkonis, P. A. (1998). When and how perfectionism impedes the brief treatment of depression: Further analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 66, 423–428.

    Article  PubMed  Google Scholar 

  • Bolton, D. (2004). Cognitive behaviour therapy for children and adolescents: some theoretical and developmental issues. In P. J. Graham (Ed.), Cognitive-behaviour therapy for children and families (2nd ed.). Cambridge: Cambridge University Press.

    Google Scholar 

  • Bolton, P., Macdonald, H., Pickles, A., Rios, P., Goode, S., Crowson, M., et al. (1994). A case-control family history study of autism. Journal of Child Psychology and Psychiatry, 35, 877–900.

    Article  PubMed  Google Scholar 

  • 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, 863–870.

    Article  PubMed  Google Scholar 

  • Chalfant, A. M., Rapee, R., & Carroll, L. (2007). Treating anxiety disorders in children with high functioning autism spectrum disorders: A controlled trial. Journal of Autism and Developmental Disorders, 37, 1842–1857.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.

    Article  PubMed  Google Scholar 

  • D’Alessandro, D. U., & Burton, K. D. (2006). Development and validation of the Dysfunctional Attitudes Scale for children: Tests of Beck’s cognitive diathesis-stress theory of depression, of its causal mediation component, and of developmental effects. Cognitive Therapy and Research, 30, 335–353.

    Article  Google Scholar 

  • Farrugia, S., & Hudson, J. (2006). Anxiety in adolescents with Asperger syndrome: negative thoughts, behavioral problems, and life interference. Focus on Autism and Other Developmental Disabities, 21, 25–35.

    Article  Google Scholar 

  • Flett, G. L., Hewitt, P. L., Boucher, D. J., Davidson, L. A., & Munro, Y. (2000). The Child-Adolescent Perfectionism Scale: development, validation, and association with adjustment. Manuscript submitted for publication.

  • Gaus, V. L. (2007). Cognitive-behavioral therapy for adult Asperger syndrome. New York: The Guildford Press.

    Google Scholar 

  • Ghaziuddin, M., Ghaziuddin, N., & Greden, J. (2002). Depression in persons with autism: Implications for research and clinical care. Journal of Autism and Developmental Disorders, 32, 299–306.

    Article  PubMed  Google Scholar 

  • Gillott, A., Furniss, F., & Walter, A. (2001). Anxiety in high-functioning children with autism. Autism, 4, 117–132.

    Google Scholar 

  • Green, J., Gilchrist, A., Burton, D., & Cox, A. (2000). Social and psychiatric functioning in adolescents with Asperger syndrome compared with conduct disorder. Journal of Autism and Developmental Disorders, 30, 279–293.

    Article  PubMed  Google Scholar 

  • Heaton, R. K. (1981). Wisconsin Card Sorting Test manual. Odessa, FL: Psychological Assessment Resources, Inc.

    Google Scholar 

  • Hedley, D., & Young, R. (2006). Social comparison processes and depressive symptoms in children and adolescents with Asperger syndrome. Autism, 10, 139–153.

    Article  PubMed  Google Scholar 

  • Hewitt, P. L., Caelian, C. F., Flett, G. L., Sherry, S. B., Collins, L., & Flynn, C. A. (2002). Perfectionism in children: Associations with depression, anxiety, and anger. Personality and Individual Differences, 32, 1049–1061.

    Article  Google Scholar 

  • Hill, E. L. (2004). Executive dysfunction in autism. Trends in Cognitive Sciences, 8, 26–32.

    Article  PubMed  Google Scholar 

  • Hochberg, Y. (1988). A sharper Bonferroni procedure for multiple tests of significance. Biometrika, 75, 800–803.

    Article  Google Scholar 

  • Howlin, P. (1998). Practitioner review: Psychological and educational treatments for autism. Journal of Child Psychology and Psychiatry, 39, 307–322.

    Article  PubMed  Google Scholar 

  • Howlin, P., Baron-Cohen, S., & Hadwin, J. (1999). Teaching children with autism how to mind read: A practical guide for teachers and parents. Chichester: Wiley.

    Google Scholar 

  • James, A., Soler, A., & Weatherall, R. (2005). Cognitive behavioural therapy for anxiety disorders in children and adolescents. The Cochrane Database of Systematic Reviews, 4, CD004690.

    PubMed  Google Scholar 

  • Kessler, R. C., Foster, C. L., Saunders, W. B., & Stang, P. E. (1995). Social consequences of psychiatric disorders, I: Educational attainment. American Journal of Psychiatry, 152, 1026–1032.

    PubMed  Google Scholar 

  • Kongs, S. K., Thompson, L. L., Iverson, G. L., & Heaton, R. K. (2000). Wisconsin Card Sorting Test-64 card version (WCST-64). Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Kovacs, M. K. (1992). Children’s depression inventory-short form. New York: Multi-Health Systems Inc.

    Google Scholar 

  • Lewinsohn, P. M., Joiner, T. E., & Rohde, P. (2001). Evaluation of cognitive diathesis stress models in predicting major depressive disorder in adolescents. Journal of Abnormal Psychology, 110, 203–215.

    Article  PubMed  Google Scholar 

  • Marton, P., & Kutcher, S. (1995). The prevalence of cognitive distortion in depressed adolescents. Journal of Psychiatry & Neuroscience, 20, 33–38.

    Google Scholar 

  • Meyer, J. A., Mundy, P., Van Hecke, A. V., & Durocher, J. S. (2006). Social attribution processes and comorbid psychiatric symptoms in children with Asperger syndrome. Autism, 10, 383–402.

    Article  PubMed  Google Scholar 

  • National Institute for Health and Clinical Excellence. (2005). Depression in children and young people. http://guidance.nice.org.uk/CG28/niceguidance/pdf/English.

  • Nauta, M., Scholing, A., Rapee, R., Abbott, M., & Spence, S. (2004). Development of a parent report measure of children’s anxiety: Psychometric properties and comparison with child report in a clinic and normal sample. Behaviour Research and Therapy, 42, 813–839.

    Article  PubMed  Google Scholar 

  • Obsessive Compulsive Cognitions Working Group. (1997). Cognitive assessment of obsessive compulsive disorder. Behaviour Research and Therapy, 35, 667–681.

    Article  Google Scholar 

  • Ooi, Y. P., Lam, C. M., Sung, M., Tan, W. T. S., Goh, T. J., Fung, D. S. S., et al. (2008). Effects of cognitive-behavioural therapy on anxiety for children with high-functioning autistic spectrum disorders. Singapore Medical Journal, 49, 215–220.

    PubMed  Google Scholar 

  • Ozonoff, S. (1995). Reliability and validity of the Wisconsin Card Sorting Test in studies of autism. Neuropsychology, 9, 491–500.

    Article  Google Scholar 

  • Psychological Corporation. (1999). Wechsler abbreviated scale of intelligence. San Antonio, TX: Harcourt Assessment.

    Google Scholar 

  • Reaven, J. A., Blakeley-Smith, A., Nichols, S., Dasari, M., Flanigan, E., & Hepburn, S. (2009). Cognitive-behavioral group treatment for anxiety symptoms in children with high-functioning autism spectrum disorders: A pilot study. Focus on Autism and Other Developmental Disabilities, 24, 27–37.

    Article  Google Scholar 

  • Rutter, M., Bailey, A., & Lord, C. (2003). SCQ: Social Communication Questionnaire. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Sanders, J. L. (2009). Qualitative or quantitative differences between Asperger’s disorder and autism? Historical considerations. Journal of Autism and Developmental Disorders, 39, 1560–1567.

    Article  PubMed  Google Scholar 

  • Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive-behavioural analysis. Behaviour Research and Therapy, 40, 773–791.

    Article  PubMed  Google Scholar 

  • Shafran, R., & Mansell, W. (2001). Perfectionism and psychopathology: A review of research and treatment. Clinical Psychology Review, 21, 879–906.

    Article  PubMed  Google Scholar 

  • Sofronoff, K., Attwood, T., & Hinton, S. (2005). A randomized controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. Journal of Child Psychology and Psychiatry and Allied Disciplines, 46, 1152–1160.

    Article  Google Scholar 

  • Spence, S. H. (1997). Structure of anxiety symptoms among children: A confirmatory factor-analytic study. Journal of Abnormal Psychology, 106, 280–297.

    Article  PubMed  Google Scholar 

  • Tantam, D. (2003). The challenge of adolescents and adults with Asperger syndrome. Child and Adolescent Psychiatric Clinics of North America, 12, 143–163.

    Article  PubMed  Google Scholar 

  • Van Ameringen, M., Mancini, C., & Farvolden, P. (2003). The impact of anxiety disorders on educational achievement. Journal of Anxiety Disorders, 17, 561–571.

    Article  PubMed  Google Scholar 

  • Vogel, P. A., Stiles, T. C., & Nordahl, H. M. (2000). Cognitive personality styles in OCD outpatients compared to depressed outpatients and health controls. Behavioural and Cognitive Psychotherapy, 28, 247–258.

    Article  Google Scholar 

  • Weissman, A. N., & Beck, A. T. (1978). Development and validation of the Dysfunctional Attitude Scale: A preliminary investigation. Paper presented at the Annual Meeting of the American Educational Research Association, Toronto, Canada.

  • White, S. W., Ollendick, T., Scahill, L., Oswald, D., & Albano, A. M. (2009). Preliminary efficacy of a cognitive-behavioral treatment program for anxious youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1652–1662.

    Article  Google Scholar 

  • Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, 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.

    Article  PubMed  Google Scholar 

  • Young, D., & Freyslinger, M. (1995). Scaffolded instruction and the remediation of Wisconsin Card Sorting Test deficits in chronic schizophrenia. Schizophrenia Research, 16, 199–207.

    Article  PubMed  Google Scholar 

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Correspondence to Rebecca Greenaway.

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The work reported here was completed by the first author in partial fulfilment of the requirements for the award of Doctorate in Clinical Psychology.

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Greenaway, R., Howlin, P. Dysfunctional Attitudes and Perfectionism and Their Relationship to Anxious and Depressive Symptoms in Boys with Autism Spectrum Disorders. J Autism Dev Disord 40, 1179–1187 (2010). https://doi.org/10.1007/s10803-010-0977-z

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