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Parent Perspectives on the Presentation, Triggers, Impact, and Support of Anxiety in Young Children on the Autism Spectrum

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Abstract

Objectives

A high proportion of children with autism experience elevated anxiety, which is evident from an early age. Although parents provide a significant role in recognising the early signs and triggers of their child’s anxiety and in prompting help-seeking, there are few studies using qualitative methods to document parent perspectives around their child’s anxiety. The aim of this study is to explore parent perspectives of their child’s anxiety across home and school.

Methods

Semi-structured interviews were conducted with parents of 10 young children (5–8 years) with autism to explore their understanding of their child’s presentation and triggers of anxiety across different settings (home and school) as well as the strategies and supports used to manage the anxiety in the home and school setting. Thematic analysis of the data

Results

Parents reported signs of anxiety were evident in their child from a young age but recognising these signs and distinguishing anxiety from other behaviours was difficult. Triggers identified related to sensory experiences, academic expectations, social demands, and uncertainty, all of which were discussed in relation to the school context. Parents shared how supporting their child with autism is multifaceted and is related to understanding the individual child’s anxiety.

Conclusions

These findings highlight the heterogeneity of anxiety presentation in children with autism and the challenge in differentiating anxiety from other behaviours both in home and school settings.

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Acknowledgements

We are grateful to all the parents and families for taking part in this research and for the schools and social media groups for facilitating the data collection.

Author Contributions

K.S.: designed and executed the study, collected the data, assisted with the data analyses, and wrote the paper. D.A.: collaborated with the design and writing of the study. E.W.: analysed the data and wrote part of the results. D.K.: collaborated with the design and writing of the study.

Funding

The authors acknowledge the funding and support of the Queensland Department of Education, Education Horizon Research Grant Scheme. The views expressed are those of the author(s) and not necessarily those of the Department of Education. The funder was not involved in the design, analysis, or data interpretation of this individual study but provided core funding for research projects within the centre.

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Correspondence to Kate Simpson.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with ethical standards of the National Statement on Ethical Conduct in Human Research. This study was approved by the Griffith University Human Research Ethics Committee.

Informed Consent

Informed consent was obtained from all participants.

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Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Simpson, K., Adams, D., Wheeley, E. et al. Parent Perspectives on the Presentation, Triggers, Impact, and Support of Anxiety in Young Children on the Autism Spectrum. J Child Fam Stud 29, 572–582 (2020). https://doi.org/10.1007/s10826-019-01576-5

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  • DOI: https://doi.org/10.1007/s10826-019-01576-5

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