Exploration of the DSM-5’s Autism Spectrum Disorder Severity Level Specifier and Prediction of Autism Severity

Ellison, Kim; Bundy, Myra Beth; Gore, Jon; Wygant, Dustin B.

doi:10.1080/09362835.2019.1579721

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…The BASC-3 preschool and child versions have been found to have both strong internal consistency (Preschool Cronbach’s α = 0.83–0.93; Child Cronbach’s α = 0.86–0.96 across composites and scales) and test–retest reliability (Preschool r = 0.87–0.92; Child r = 0.85–0.89 across composites and scales) (Reynolds & Kamphaus, 2015 ). The BASC has been widely used in autism research, including in autistic toddlers and children with a developmental language delay and learning disability (Bradstreet et al, 2017 ; Ellison et al, 2019 ; Gardner et al, 2018 ; Lindsey et al, 2020 ; Mahan & Matson, 2011 ). Further, the depression subscale has a reduced reliance on verbal communication, with only one item out of eleven relying on a verbal response (“Says, ‘Nobody likes me’”).…”

Section: Methodsmentioning

confidence: 99%

The Predictive Relationship Between Sensory Reactivity and Depressive Symptoms in Young Autistic Children with Few to No Words

Rossow

MacLennan

Tavassoli

2022

J Autism Dev Disord

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Depression and sensory reactivity are both common in autism. However, there is little understanding of the predictive relationship between these factors, or the nature of this relationship in autistic children who speak few to no words. This study set out to explore the longitudinal relationship between sensory reactivity and depressive symptoms in 33 young autistic children who speak few to no words. We found positive correlations between depressive symptoms and hyper-reactivity and sensory seeking at both timepoints, and across timepoints. We further found a bidirectional predictive relationship between depressive symptoms and sensory seeking. These results implicate sensory seeking in the development of depressive symptoms in young autistic children who use few to no words. Our findings have important implications for preventative mental health interventions, especially for those with a developmental language delay.

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Section: Methodsmentioning

confidence: 99%

The Predictive Relationship Between Sensory Reactivity and Depressive Symptoms in Young Autistic Children with Few to No Words

Rossow

MacLennan

Tavassoli

2022

J Autism Dev Disord

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“…The BASC‐3 PRS‐P has been found to have both strong internal consistency (Cronbach's α = 0.83–0.93 across composites and scales) and test–retest reliability ( r = 0.87–0.92 across composites and scales) (Reynolds & Kamphaus, 2015). It is noted that the BASC has been widely used in autism research (Bradstreet et al, 2017; Ellison et al, 2019; Gardner et al, 2018; Lindsey et al, 2020; Mahan & Matson, 2011; Volker et al, 2010).…”

Section: Methodsmentioning

confidence: 99%

The relationship between sensory reactivity differences and mental health symptoms in preschool‐age autistic children

2021

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There is growing evidence for an association between sensory reactivity and mental health in autism. This study set out to explore the relationship between sensory reactivity and mental health in preschool‐aged autistic children. In total 54 preschool‐aged children with an Autism Spectrum Condition took part. Sensory and mental health symptoms were obtained from the Sensory Processing Scale Inventory, Sensory Assessment of Neurodevelopmental Differences and the Behavioral Assessment System for Children–3. Correlational analyses showed a relationship between sensory reactivity and mental health symptoms in autistic preschool‐aged children. Results also indicate divergence in sensory‐mental health profiles between autistic preschool‐aged children who are verbal and those who use few to no words. For the first time this study has revealed a relationship between sensory hyper‐reactivity, as well as sensory seeking, and mental health symptoms outside of anxiety in autism. Of note, this relationship between sensory hyper‐reactivity and internalizing symptoms appears to be driven by those with few to no words. This has implications for both research and clinical interventions, in particular for our understanding of the factors underlying mental health symptoms in different autistic phenotypes, as well as the possible role of functional communication in mitigating the development of mental health symptoms. Lay Summary The present study found that in autistic preschoolers, externalizing mental health symptoms, such as hyperactivity, are related to sensory seeking (seeking out or being fascinated with sensory stimuli), and internalizing mental health symptoms, such as depression, are related to sensory hyper‐reactivity (sensitivity to sensory stimuli). Our results also show that whilst the relationships between externalizing symptoms and sensory seeking is seen across participants, the relationship between internalizing symptoms and sensory hyper‐reactivity was only seen in autistic preschoolers who used few to no words. This has important implications for the assessment of sensory differences as part of more rigorous mental health assessments, especially in autistic people who use few to no words.

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“…The severity levels for each item are reported separately, meaning that an overall severity score should not be calculated. The CRSASSC scale has demonstrated appropriate interobserver reliability (Ellison et al, 2019). However, little research is currently available regarding the utility of the severity scale, although the associated rating scores seem likely to exhibit some degree of validity.…”

Section: Crsasscmentioning

confidence: 99%

“…The scores tend to be correlated with one standardized measure of the severity of ASD as well as with other clinical features of the disorder, particularly cognitive and behavioral functioning (Mazurek et al, 2019). Yet, the DSM-V's severity scale arguably does not exhibit sufficient validity to justify its use as the sole means of assessing the severity of ASD/ classifying children with ASD according to the severity of their symptoms (Ellison et al, 2019).…”

Section: Crsasscmentioning

confidence: 99%

Caregivers’ Assessment of the Sensory Processing Patterns Exhibited by Children with Autism in the Gulf Region

Carrington

Watters

2023

J Autism Dev Disord

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This study explored the nature, prevalence, and developmental profiles of sensory processing disorders among children with autism spectrum disorder (ASD). The participants comprised 119 children with ASD and 30 typically developing children and their parents. The Child Sensory Profile-2 was used to assess the children’s sensory processing characteristics. The children with ASD exhibited elevated sensory processing difficulties. Deficits were observed in all the sensory modalities among the children with ASD, except the visual processing modality. Age-related improvements were observed in most sensory processing domains, although non-significant differences were noted in three domains. These findings should enhance understanding of the sensory challenges faced by children with ASD and contribute to the development of individually tailored, targeted, and age-specific therapeutic interventions.

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Exploration of the DSM-5’s Autism Spectrum Disorder Severity Level Specifier and Prediction of Autism Severity

Cited by 5 publications

References 14 publications

The Predictive Relationship Between Sensory Reactivity and Depressive Symptoms in Young Autistic Children with Few to No Words

The Predictive Relationship Between Sensory Reactivity and Depressive Symptoms in Young Autistic Children with Few to No Words

The relationship between sensory reactivity differences and mental health symptoms in preschool‐age autistic children

Caregivers’ Assessment of the Sensory Processing Patterns Exhibited by Children with Autism in the Gulf Region

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