Elevated Autism Spectrum Disorder Traits in Young Children with OCD

Stewart, Elyse; Cancilliere, Mary Kathryn; Freeman, Jennifer B.; Wellen, Brianna; Garcia, Abbe; Sapyta, Jeffrey; Franklin, Martin E.

doi:10.1007/s10578-016-0629-4

Cited by 21 publications

(22 citation statements)

References 34 publications

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“…Although prior studies have found that youth with OCD and TD exhibit deficits in social reciprocity (Griffiths et al, 2017; Guler et al, 2015; McGuire et al, 2013; Stewart et al, 2016), our data suggest that these groups exhibit less impairment in social reciprocity domains when compared to neurodevelopmental groups for which social deficits are a hallmark feature (i.e., ASD). Mean group comparisons in our sample suggested that OCD and TD group demonstrated significantly less impairment than ASD and SMD groups in social cognition and social communication, as well as less impairment than the ASD group in social awareness.…”

Section: Discussioncontrasting

confidence: 93%

“…Very few studies have examined social reciprocity in youth with other neurodevelopmental disorders. In regard to obsessive-compulsive disorder (OCD) and tic disorder (TD), studies have only examined the affected group (Griffiths et al, 2017; McGuire et al, 2013; Stewart et al, 2016) or compared the affected sample to healthy controls (Guler et al, 2015). Across investigations, findings support the hypothesis that youth with OCD and TD experience elevations in social impairment relative to measurement norms and case controls.…”

Section: Introductionmentioning

confidence: 99%

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Are the components of social reciprocity transdiagnostic across pediatric neurodevelopmental disorders? Evidence for common and disorder-specific social impairments

Sturm

Rozenman

Chang

et al. 2018

Psychiatry Research

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Deficits in social communication are a core feature of autism spectrum disorder (ASD), yet significant social problems have been observed in youth with many neurodevelopmental disorders. In this preliminary investigation, we aimed to explore whether domains of social reciprocity (i.e., social communication, social cognition, social awareness, social motivation, and restricted and repetitive behaviors) represent transdiagnostic traits. These domains were compared across youth ages 7-17 with obsessive-compulsive disorder (OCD; N = 32), tic disorders (TD; N = 20), severe mood dysregulation (N = 33) and autism spectrum disorder (N = 35). While the ASD group was rated by parents as exhibiting the greatest social reciprocity deficits across domains, a high proportion of youth with severe mood dysregulation also exhibited pronounced deficits in social communication, cognition, and awareness. The ASD and severe mood dysregulation groups demonstrated comparable scores on the social awareness domain. In contrast, social motivation and restricted and repetitive behaviors did not appear to be transdiagnostic domains in severe mood dysregulation, OCD, or TD groups. The present work provides preliminary support that social awareness, and to a lesser extent social communication and cognition, may represent features of social reciprocity that are transdiagnostic across ASD and severe mood dysregulation.

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Section: Discussioncontrasting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Are the components of social reciprocity transdiagnostic across pediatric neurodevelopmental disorders? Evidence for common and disorder-specific social impairments

Sturm

Rozenman

Chang

et al. 2018

Psychiatry Research

View full text Add to dashboard Cite

show abstract

“…Supplementary measures such as the Social Communication Questionnaire (SCQ) may also be useful in screening for ASD in TS-affected children. 45 In addition, even in the absence of ASD, the SRS may be a very useful tool for identifying children with TS who have such social communication deficits, potentially putting them at increased risk for negative sequelae among their peers.…”

Section: Discussionmentioning

confidence: 99%

Autism Spectrum Symptoms in a Tourette’s Disorder Sample

Darrow

Grados

Sandor

et al. 2017

Journal of the American Academy of Child & Adolescent Psych

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Objective Tourette syndrome (TS) and autism spectrum disorder (ASD) share clinical features and possibly an overlapping etiology. This study: 1) examined ASD symptom rates in participants with TS and 2) characterized the relationships between ASD symptom patterns and TS, obsessive-compulsive disorder (OCD), and attention-deficit/hyperactivity disorder (ADHD). Method Participants with TS (n = 535) and their family members (n =234) recruited for genetic studies reported TS, OCD, and ADHD symptoms and completed the Social Responsiveness Scale Second Edition (SRS), which was used to characterize ASD symptoms. Results SRS scores in participants with TS were similar to those observed in other clinical samples but lower than in ASD samples (mean SRS total raw score = 51; SD=32.4). More children with TS met cut-off criteria for ASD (22.8%) than adults with TS (8.7%). The elevated rate in children was primarily due to high scores on the SRS Repetitive and Restricted Behaviors (RRB) subscale. Total SRS scores were correlated with TS (r=0.27), OCD (r=0.37), and ADHD (r=0.44) and were higher among individuals with OCD symptom-based phenotypes than for those with tics alone. Conclusion Higher observed rates of ASD among children affected by TS may in part be due to difficulty in discriminating complex tics and OCD symptoms from ASD symptoms. Careful examination of ASD-specific symptom patterns (social communication vs. repetitive behaviors) is essential. Independent of ASD, the SRS may be a useful tool for identifying patients with TS with impairments in social communication, potentially putting them at risk for bullying and other negative sequelae.

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“…A few previous studies have addressed the intersection of anxiety and the SRS. Stewart et al [] have shown elevated parent‐report SRS scores for young children in treatment for OCD. In a study of familial transmission of autism traits and anxiety, Duvekot, van der Ende, Constantino, Verhulst, and Greaves‐Lord [] found that mothers' self‐report SRS‐2 scores predicted severity of child anxiety.…”

Section: Introductionmentioning

confidence: 99%

Symptom overlap on the srs‐2 adult self‐report between adults with asd and adults with high anxiety

et al. 2017

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Many people diagnosed with autism spectrum disorder (ASD) also experience significant symptoms of anxiety, while many people with anxiety disorders likewise experience social difficulties. These concerns can be difficult to tease apart in general clinical settings. The Social Responsiveness Scale (SRS) is one of the most frequently used measures of dimensional ASD symptoms. In order to investigate the overlap of autism and anxiety on the SRS, we compared three groups of adults (an ASD group, n = 40; a high anxious group, n = 56; and a typical comparison group, n = 29) using the new Adult Self Report version of the SRS-2nd Edition (SRS-2-ASR) alongside a battery of anxiety questionnaires. Based on previous research with children from the parent-report SRS (first edition), we hypothesized that the SRS-2-ASR would have difficulty discriminating between the ASD and high anxious groups. Results showed that both these clinical groups scored significantly higher on the SRS than a typical control group. Discriminant validity was poor, including sensitivity of 0.65 when including all participants and 0.48 when only the two clinical groups were included. In particular, the Social Motivation subscale of the SRS-ASR failed to distinguish between ASD and anxiety groups. As recommended in the SRS-2 manual, we highlight the need for caution when using the SRS-2-ASR to support diagnostic decision making, especially in clinical settings involving anxiety, ADHD, or other concerns that can affect reciprocal social communication and/or behavioral flexibility. Autism Res 2017. © 2017 International Society for Autism Research, Wiley Periodicals, Inc. Autism Res 2017, 10: 1215-1220. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.

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Elevated Autism Spectrum Disorder Traits in Young Children with OCD

Cited by 21 publications

References 34 publications

Are the components of social reciprocity transdiagnostic across pediatric neurodevelopmental disorders? Evidence for common and disorder-specific social impairments

Are the components of social reciprocity transdiagnostic across pediatric neurodevelopmental disorders? Evidence for common and disorder-specific social impairments

Autism Spectrum Symptoms in a Tourette’s Disorder Sample

Symptom overlap on the srs‐2 adult self‐report between adults with asd and adults with high anxiety

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