Brief Report: The Association of Autistic Traits and Behavioural Patterns in Adolescents Receiving Special Educational Assistance

Paul, Abigail; McKechanie, Andrew; Johnstone, Eve C.; Owens, David C.; Stanfield, Andrew C.

doi:10.1007/s10803-015-2445-2

Cited by 7 publications

(4 citation statements)

References 27 publications

(22 reference statements)

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“…Different health-related risky behaviors were related to their general situation, quality of life, intelligence level or core symptoms. These results were consistent with the results of previous studies[ 8 , 29 - 32 ].…”

Section: Discussionsupporting

confidence: 94%

Health-related risky behaviors and their risk factors in adolescents with high-functioning autism

Sun¹,

Xu²,

Ma³

et al. 2021

WJCC

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BACKGROUND Health-related risky behaviors generally refer to behaviors that have a negative impact on health and quality of life. Health-related risky behaviors in adolescents with high-functioning autism (HFA) have not been well understood so far. Adolescents with HFA may have more health-related risky behaviors than neurotypical adolescents. AIM To investigate health-related risky behaviors and their risk factors with HFA. METHODS This is an observational study. Our study enrolled 110 adolescents aged 12-19-years-old meeting Diagnostic and Statistical Manual of Mental Disorders 4 th edition criteria for HFA. They were recruited from Peking University Sixth Hospital. There were also 110 age, sex and nationality matched controls enrolled who came from a public school in Beijing, China. Both groups completed the Adolescents Health-related Risky Behavior Inventory. Nonparametric tests were carried out for comparison of the Adolescents Health-related Risky Behavior Inventory scores between the two groups. Expression recognition, the Inventory of Subjective Life Quality for Child and Adolescent, Chinese Wechsler Intelligence Scale for Children, Wechsler Intelligence Scale for Adult-Chinese Revised, Theory of Mind test and Autism Spectrum Screening Questionnaire were assessed in the autism group to explore factors associated with health-related risky behaviors. Multivariate regression analysis was conducted to explore the risk factors of health-related risky behaviors in the HFA group. RESULTS The results showed that the total score of the Adolescents Health-related Risky Behavior Inventory and scores of “aggression and violence,” “suicide and self-injury,” “health compromising behavior” and “unprotected sex” subscales in the HFA group were significantly higher than those in the control group (Z range -4.197 to -2.213, P < 0.05). Among the associated factors, poor emotional experience (B = -0.268, P < 0.001), depression (B = -0.321, P < 0.001), low score of intelligence (B = -0.032, P = 0.042), low score of Theory of Mind test (B = -1.321, P = 0.003) and poor adaptation to school life (B = -0.152, P = 0.006) were risk factors. These risky behaviors may promote the occurrence of health-related risky behaviors in adolescents with HFA. CONCLUSION This study showed that adolescents with HFA were more likely to be involved in health-related risky behaviors. Different health-related risky behaviors have different reasons.

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Section: Discussionsupporting

confidence: 94%

Health-related risky behaviors and their risk factors in adolescents with high-functioning autism

Sun¹,

Xu²,

Ma³

et al. 2021

WJCC

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“…We are the first to study reciprocal associations between autistic-like features and FSS during adolescence using a longitudinal design. The stable association that we found between autistic-like features and FSS is an extension of previous cross-sectional studies that showed elevated FSS in autistic adolescents compared to non-autistic peers (Paul et al, 2015;Schroeder et al, 2011). It is also in line with the finding that school-aged children with more severe autistic-like features exhibit higher levels of FSS compared to those with autistic-like features of a lower severity (Kim et al, 2020).…”

Section: Discussionsupporting

confidence: 88%

“…In preschoolers, a relation between ASD and somatic symptoms was found that remained significant after removing the items concerning gastrointestinal complaints (Fulceri et al, 2016). Other studies reported a significantly higher aggregate of somatic symptoms in autistic children compared to non-autistic peers (Bos et al, 2018;Paul et al, 2015). Another study found higher levels of autistic-like features in a clinical sample of children and adolescents with chronic pain, compared to the general population (Lipsker et al, 2018).…”

Section: Introductionmentioning

confidence: 94%

Longitudinal relations between autistic-like features and functional somatic symptoms in adolescence

Hogendoorn

Hartman

Burke

et al. 2023

Autism

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Autistic-like features and functional somatic symptoms (FSS) frequently co-occur. It remains unknown how autistic-like features and FSS affect each other and develop throughout adolescence. This study examined reciprocal relations between autistic-like features and FSS in adolescence. Participants were 2772 adolescents (52.5% male) from the Tracking Adolescents’ Individual Lives Survey population and clinical cohort. Data from four waves were included, covering the ages between 11 and 19 years. Autistic-like features were measured using the Children’s Social Behavior Questionnaire. FSS were assessed using the Youth Self Report and Adult Self Report, respectively. Using the random intercept cross-lagged panel model, a stable positive, moderately strong between-persons association was found between autistic-like features and FSS. No within-persons reciprocal effects from wave to wave were observed. Secondary analyses revealed a consistent relation with FSS for three different domains of autistic-like features (social and communication behaviors, repetitive behaviors, and self-regulatory behaviors), and highly similar interrelations in a subsample of adolescents with a clinical autism spectrum disorder diagnosis. In conclusion, the co-occurrence between autistic-like features and FSS is stable throughout adolescence. Clinicians working with adolescents with autistic-like features should be alert to the presence FSS, and vice versa. Lay abstract Adolescents with autistic-like features frequently experience unexplained somatic symptoms too, and vice versa. We followed 2772 adolescents for 8 years, starting at 11 and ending at 19 years of age. At four different moments during this time, we asked these adolescents how often they suffered from unexplained somatic symptoms, such as stomachache and dizziness. We asked their parents to what extent the adolescents showed autistic-like features at those four moments too. Then, we assessed whether the relation between autistic-like features and unexplained somatic symptoms stayed the same between 11 and 19 years old. We also looked at whether there was a reciprocal influence. So far, most studies only looked into the relation between autistic-like features and unexplained somatic symptoms at a specific moment in time. It is important to study how this relation develops over time in adolescence, so we can improve treatment for burdening co-occurring symptoms. In our sample, adolescents who experienced many autistic symptoms also experienced many unexplained somatic symptoms. This relation stayed the same over time. There was no reciprocal influence, so higher autistic-like features did not contribute to higher unexplained somatic symptoms, or the other way around. The findings of this work tell us that in adolescents with autistic-like features it is important to be alert to the presence of unexplained somatic symptoms, and vice versa.

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“…The Child Behaviour Checklist [29] is a parent/carer-completed scale and reports the activities, behaviours and functioning of the young person as previously described in more detail in Paul et al [30]. The caregiver scores each item 0 if it is “not true”, 1 if it “sometimes or somewhat true” and 2 if it is “very true or often true” of the child.…”

Section: Methodsmentioning

confidence: 99%

Links between Autism Spectrum Disorder Diagnostic Status and Family Quality of Life

et al. 2017

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Quality of life is often relatively lowered in families of children with additional needs, and this may be particularly the case where additional needs are accompanied by an autism spectrum disorder (ASD). Here we explore the effects of diagnostic status specifically, comparing families with children with an ASD diagnosis with others who a) have additional needs but no signs of ASD; and b) have additional needs and signs of ASD but no diagnosis. Mothers (n = 76) of children with additional needs completed standardised questionnaires about quality of life, stress, service provision, child behaviour and presence and severity of ASD traits. In addition, a group of mothers of typically developing young people (n = 17) completed standardised questionnaires on individual and family quality of life and on the behaviour of their son or daughter. Mothers of typically developing young people had significantly higher individual and family quality of life scores than each of the three other groups. Increased severity of ASD was associated with increased maternal stress, which in turn was associated with decreased family and maternal quality of life. The group reporting the lowest quality of life and the highest stress were the mothers of individuals with signs of ASD but no diagnosis. This pattern did not seem to be explained by lack of access to services, or rates of intellectual disability or challenging behaviour in this sub-group. The finding that poor quality of life and high stress was most apparent in the sub-group of mothers with children who had signs of ASD but did not have a diagnosis of ASD suggests that an interesting topic for further investigation is whether receipt of a diagnosis itself can positively influence quality of life and levels of maternal stress.

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Brief Report: The Association of Autistic Traits and Behavioural Patterns in Adolescents Receiving Special Educational Assistance

Abstract: Those with PDD or autism display significantly higher levels of withdrawal, somatic complaints, anxiety/depression, social, thought and attention problems, and aggressive behaviour.

Cited by 7 publications

References 27 publications

Health-related risky behaviors and their risk factors in adolescents with high-functioning autism

Health-related risky behaviors and their risk factors in adolescents with high-functioning autism

Longitudinal relations between autistic-like features and functional somatic symptoms in adolescence

Links between Autism Spectrum Disorder Diagnostic Status and Family Quality of Life

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