Anxiety, Intolerance of Uncertainty and Restricted and Repetitive Behaviour: Insights Directly from Young People with ASD

Joyce, Caroline; Honey, Emma; Leekam, Susan; Barrett, Sarah; Rodgers, Jacqui

doi:10.1007/s10803-017-3027-2

Cited by 123 publications

(116 citation statements)

References 43 publications

(56 reference statements)

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“…RRBs have been associated with anxiety in ASD and interpreted as forming a “buffer” to alleviate anxiety [Lidstone et al, ]. An interplay has also been observed between RRBs, anxiety and intolerance of uncertainty in ASD [Joyce, Honey, Leekam, Barrett, & Rodgers, ; Wigham, Rodgers, South, McConachie, & Freeston, ]. Arguably those with poor mentalising could be more prone to experience social events as uncertain and unpredictable, leading to elevated anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…Within the potentially complex relationship between social understanding, social motivation and RRBs, difficulties in engaging with and understanding the social world could lead to the development of idiosyncratic and unusually intense interests, and certainly to situations where RRBs “win out” over more conventional and social pursuits. Indeed, young autistic people have described how their RRBs are used as a way to be alone and to avoid people [Joyce et al, ].…”

Section: Discussionmentioning

confidence: 99%

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The association between theory of mind, executive function, and the symptoms of autism spectrum disorder

et al. 2017

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It has been strongly argued that atypical cognitive processes in autism spectrum disorder (ASD) contribute to the expression of behavioural symptoms. Comprehensive investigation of these claims has been limited by small and unrepresentative sample sizes and the absence of wide-ranging task batteries. The current study investigated the cognitive abilities of 100 adolescents with ASD (mean age 5 15 years 6 months), using 10 tasks to measure the domains of theory of mind (ToM) and executive function (EF). We used structural equation modelling as a statistically robust way of exploring the associations between cognition and parent-reported measures of social communication and restricted and repetitive behaviours (RRBs). We found that ToM ability was associated with both social communication symptoms and RRBs. EF was a correlate of ToM but had no direct association with parent-reported symptom expression. Our data suggest that in adolescence ToM ability, but not EF, is directly related to autistic symptom expression. Autism Res 2018, 11: 95-109. V C 2017 International Society for Autism Research, Wiley Periodicals, Inc.Lay Summary: The behaviours that are common to autism spectrum disorder (ASD) have been linked to differences in thinking ability. We assessed autistic adolescents and found that social communication difficulties and the presence of restricted and repetitive behaviours related to difficulties in understanding other peoples' minds (theory of mind). In contrast, these behaviours were not associated with the general thinking abilities involved in planning and executing tasks (executive function).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The association between theory of mind, executive function, and the symptoms of autism spectrum disorder

et al. 2017

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“…For example, insistence on sameness in autism appears to be, in part, a deliberate strategy to manage difficult emotions such as anxiety and anger (Joyce et al, 2017) ; whilst autistic obsessions (i.e., focused interests) are usually enjoyable, drive learning and can underpin the development of a positive identity (Bargiela et al, 2016, Mackay andParry, 2015).…”

Section: Main Text Introductionmentioning

confidence: 99%

Autism spectrum disorders in adult outpatients with obsessive compulsive disorder in the UK

Wikramanayake

Mandy

Shahper

et al. 2017

International Journal of Psychiatry in Clinical Practice

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BackgroundPatients with obsessive compulsive disorder (OCD) frequently show traits of autism spectrum disorders (ASD). This is one of the first studies to explore the clinical impact of the overlap between OCD and ASD as a categorical diagnosis. MethodsA cross-sectional survey in 73 adult outpatients with DSM-IV OCD. Autistic traits were measured using the Autism-Spectrum Quotient (AQ). A clinical estimate ASD diagnosis was made by interview using DSM-IV-TR criteria. OCD patients with and without autistic traits or ASD were compared on demographic and clinical parameters and level of OCD treatmentresistance based on treatment history. ResultsThirty-four (47%) patients scored above the clinical threshold on the AQ (>=26) and 21 (27.8%) met diagnostic criteria for ASD. These diagnoses had not been made before. Patients with autistic traits showed a borderline significant increase in OCD symptomseverity (Yale-Brown Obsessive Compulsive Scale (Y-BOCS); p=.054) and significantly increased impairment of insight (Brown Assessment of Beliefs Scale; p=.01). There was a positive correlation between AQ and Y-BOCS scores (p =.04), but not with OCD treatment resistance. ConclusionThere is a high prevalence of previously undiagnosed ASD in patients with OCD. ASD traits are associated with greater OCD symptom-severity and poor insight.

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“…Respondents are asked to rate the frequency with which their child has engaged in a range of restricted and repetitive interests over the past month. Following the procedures of previously published research (e.g., Joyce, Honey, Leekam, Barret, & Rodgers, ; Lidstone et al., ), a mean total repetitiveness score was calculated for each child by adding the score for each item completed in the questionnaire and dividing by the number of questions completed by the respondent. This produced an average score, indicating the child's level of repetitiveness ranging from 1 to 3, for all items combined.…”

Section: Methodsmentioning

confidence: 99%

Autism Spectrum Disorder symptomatology in children with Mucopolysaccharide Disease Type III

Wolfenden

Wittkowski²,

Jones

et al. 2018

Brit J Learn Disabil

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Accessible Summary We now have a much better understanding of the specific characteristics of the many and often rare conditions that are associated with intellectual disabilities [learning disabilities] We examined a condition called Mucopolysaccharidosis Type III [MPS III] sometimes called Sanfilippo syndrome Many children with MPS III also appear to show signs of autism but an additional diagnosis of autism is time‐consuming and not always available to families We, therefore, measured autistic symptoms in children with MPS III and found that they often had problems in social responsiveness Children with MPS III and their families might therefore routinely benefit from the types of support offered to children with autism Abstract Symptoms of autism spectrum disorder (ASD) are present in children with mucopolysaccharidosis type III (MPS III). Questionnaires measuring the two core domains of ASD (social responsiveness and repetitive behaviour) were completed by N = 17 parents of children with MPS III. Results indicated that scores consistent with ASD were reported by all parents on a measure of social responsiveness but lower scores were reported for repetitive behaviour. The findings provide support for the provision of additional interventions, focusing on social and communication difficulties, for children with MPS III across all phases of their disorder.

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Anxiety, Intolerance of Uncertainty and Restricted and Repetitive Behaviour: Insights Directly from Young People with ASD

Abstract: anxiety. This is the first evidence of young person self-report using both quantitative and qualitative data and indicates a range of reasons why young people may engage in RRB.

Cited by 123 publications

References 43 publications

The association between theory of mind, executive function, and the symptoms of autism spectrum disorder

The association between theory of mind, executive function, and the symptoms of autism spectrum disorder

Autism spectrum disorders in adult outpatients with obsessive compulsive disorder in the UK

Autism Spectrum Disorder symptomatology in children with Mucopolysaccharide Disease Type III

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