Anxiety and Depression Reduction as Distal Outcomes of a College Transition Readiness Program for Adults with Autism / Nicole N. CAPRIOLA-HALL in Journal of Autism and Developmental Disorders, 51-1 (January 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-1 (January 2021) . - p.298-306 Titre : Anxiety and Depression Reduction as Distal Outcomes of a College Transition Readiness Program for Adults with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Nicole N. CAPRIOLA-HALL, Auteur ; Alexis M. BREWE, Auteur ; Josh GOLT, Auteur ; Susan W. WHITE, Auteur Article en page(s) : p.298-306 Langues : Anglais (eng) Mots-clés : Anxiety  Autism spectrum disorder  Depression  Emerging adults  Intervention Index. décimale : PER Périodiques Résumé : Young adults with autism spectrum disorder (ASD) experience increased rates of anxiety and depression which can impact academic success. The Stepped Transition in Education Program for Students with ASD (STEPS) applies cognitive-behavioral principles to help young adults with ASD improve their adjustment to postsecondary education. We aimed to determine if STEPS had an effect on anxiety and depression. Treatment-seeking adults with ASD (n?=?32; Mage?=?19.74) were randomized to STEPS or transition as usual (TAU; i.e., waitlist control group). STEPS participants evinced significantly greater declines in depressive symptoms from pre-treatment to post-treatment compared to the waitlist. Anxiety symptoms did not significantly change. Results suggest that transition support for young people with ASD may improve mental health. En ligne : http://dx.doi.org/10.1007/s10803-020-04549-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437 [article] Anxiety and Depression Reduction as Distal Outcomes of a College Transition Readiness Program for Adults with Autism [Texte imprimé et/ou numérique] / Nicole N. CAPRIOLA-HALL, Auteur ; Alexis M. BREWE, Auteur ; Josh GOLT, Auteur ; Susan W. WHITE, Auteur . - p.298-306. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-1 (January 2021) . - p.298-306 Mots-clés : Anxiety  Autism spectrum disorder  Depression  Emerging adults  Intervention Index. décimale : PER Périodiques Résumé : Young adults with autism spectrum disorder (ASD) experience increased rates of anxiety and depression which can impact academic success. The Stepped Transition in Education Program for Students with ASD (STEPS) applies cognitive-behavioral principles to help young adults with ASD improve their adjustment to postsecondary education. We aimed to determine if STEPS had an effect on anxiety and depression. Treatment-seeking adults with ASD (n?=?32; Mage?=?19.74) were randomized to STEPS or transition as usual (TAU; i.e., waitlist control group). STEPS participants evinced significantly greater declines in depressive symptoms from pre-treatment to post-treatment compared to the waitlist. Anxiety symptoms did not significantly change. Results suggest that transition support for young people with ASD may improve mental health. En ligne : http://dx.doi.org/10.1007/s10803-020-04549-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437

A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples / Caitlin M. CONNER in Journal of Autism and Developmental Disorders, 50-10 (October 2020)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3545-3560 Titre : A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples Type de document : Texte imprimé et/ou numérique Auteurs : Caitlin M. CONNER, Auteur ; Josh GOLT, Auteur ; Giulia RIGHI, Auteur ; Rebecca SHAFFER, Auteur ; Matthew SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur Article en page(s) : p.3545-3560 Langues : Anglais (eng) Mots-clés : Asd  Autism  Dysphoria  Emotion regulation  Reactivity  Suicidality Index. décimale : PER Périodiques Résumé : Evidence suggests increased rates of suicidality in autism spectrum disorder (ASD), but the research has rarely used comparison samples and the role of emotion dysregulation has not been considered. We compared the prevalence of parent-reported suicidality ideation and considered the role of emotion dysregulation in 330 psychiatric inpatient youth with ASD, 1169 community youth with ASD surveyed online, and 1000 youth representative of the US census. The prevalence of suicidal ideation was three and five times higher in the community and inpatient ASD samples, respectively, compared to the general US sample. In the ASD groups, greater emotion dysregulation was associated with suicidal ideation. Implications include consideration of emotion regulation as a potential mechanism and treatment target for suicidality in ASD. En ligne : http://dx.doi.org/10.1007/s10803-020-04370-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432 [article] A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples [Texte imprimé et/ou numérique] / Caitlin M. CONNER, Auteur ; Josh GOLT, Auteur ; Giulia RIGHI, Auteur ; Rebecca SHAFFER, Auteur ; Matthew SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur . - p.3545-3560. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3545-3560 Mots-clés : Asd  Autism  Dysphoria  Emotion regulation  Reactivity  Suicidality Index. décimale : PER Périodiques Résumé : Evidence suggests increased rates of suicidality in autism spectrum disorder (ASD), but the research has rarely used comparison samples and the role of emotion dysregulation has not been considered. We compared the prevalence of parent-reported suicidality ideation and considered the role of emotion dysregulation in 330 psychiatric inpatient youth with ASD, 1169 community youth with ASD surveyed online, and 1000 youth representative of the US census. The prevalence of suicidal ideation was three and five times higher in the community and inpatient ASD samples, respectively, compared to the general US sample. In the ASD groups, greater emotion dysregulation was associated with suicidal ideation. Implications include consideration of emotion regulation as a potential mechanism and treatment target for suicidality in ASD. En ligne : http://dx.doi.org/10.1007/s10803-020-04370-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432

Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services / Caitlin M. CONNER in Autism Research, 14-1 (January 2021)  

Public ISBD [article]  inAutism Research > 14-1 (January 2021) . - p.169-181 Titre : Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services Type de document : Texte imprimé et/ou numérique Auteurs : Caitlin M. CONNER, Auteur ; Josh GOLT, Auteur ; Rebecca SHAFFER, Auteur ; Giulia RIGHI, Auteur ; Matthew SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur Article en page(s) : p.169-181 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Emerging evidence suggests that emotion regulation (ER) impairment in those with ASD is associated with poor mental health. This study used the Emotion Dysregulation Inventory, a new norm-referenced ER measure with clinical cut-offs, developed and validated in ASD and non-ASD samples, to establish rates of ER impairment and understand its association with psychiatric service use in ASD. Parents of 6–17 year olds in three well-characterized samples (nationally representative US n = 1,000; community ASD n = 1,169; inpatient ASD n = 567) completed a battery of questionnaires about their child. The prevalence of ER impairment was significantly higher in the ASD groups compared to the nationally representative sample and highest in the psychiatric Inpatient ASD group. The community ASD and inpatient ASD samples were four and seven times more likely, respectively, to exceed clinical cutoffs for emotional reactivity than the general US sample. Similarly, history of psychiatric hospitalization, recent emergency services use (police contact, emergency room visits, or in-home crisis evaluations for emotional or behavioral concerns in the past 2?months), and psychotropic medication prescriptions were significantly higher in the ASD groups. ER impairment was significantly associated with all forms of psychiatric service use, after controlling for demographics (age, sex, race), co-occurring intellectual disability, and ADHD symptoms. This is the first large-scale study to document substantially higher rates of ER impairment in youth with ASD compared to the general population. The importance of ER impairment is underscored by its association with higher utilization of inpatient, emergency, and medication services in ASD, after accounting for demographics and ADHD-related symptoms. Lay Summary This study compared problems with emotion regulation in large samples of youth with and without ASD. An ASD community sample had two to four times more youth with clinically elevated regulation impairments compared to youth without ASD. Emotion regulation impairment was also related to using psychiatric hospitalizations, emergency services, and medications in the ASD group. This study suggests that screening for emotion regulation difficulties in ASD is important and treatment may have a wide ranging impact. En ligne : http://dx.doi.org/10.1002/aur.2450 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=441 [article] Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services [Texte imprimé et/ou numérique] / Caitlin M. CONNER, Auteur ; Josh GOLT, Auteur ; Rebecca SHAFFER, Auteur ; Giulia RIGHI, Auteur ; Matthew SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur . - p.169-181. Langues : Anglais (eng) in Autism Research > 14-1 (January 2021) . - p.169-181 Index. décimale : PER Périodiques Résumé : Emerging evidence suggests that emotion regulation (ER) impairment in those with ASD is associated with poor mental health. This study used the Emotion Dysregulation Inventory, a new norm-referenced ER measure with clinical cut-offs, developed and validated in ASD and non-ASD samples, to establish rates of ER impairment and understand its association with psychiatric service use in ASD. Parents of 6–17 year olds in three well-characterized samples (nationally representative US n = 1,000; community ASD n = 1,169; inpatient ASD n = 567) completed a battery of questionnaires about their child. The prevalence of ER impairment was significantly higher in the ASD groups compared to the nationally representative sample and highest in the psychiatric Inpatient ASD group. The community ASD and inpatient ASD samples were four and seven times more likely, respectively, to exceed clinical cutoffs for emotional reactivity than the general US sample. Similarly, history of psychiatric hospitalization, recent emergency services use (police contact, emergency room visits, or in-home crisis evaluations for emotional or behavioral concerns in the past 2?months), and psychotropic medication prescriptions were significantly higher in the ASD groups. ER impairment was significantly associated with all forms of psychiatric service use, after controlling for demographics (age, sex, race), co-occurring intellectual disability, and ADHD symptoms. This is the first large-scale study to document substantially higher rates of ER impairment in youth with ASD compared to the general population. The importance of ER impairment is underscored by its association with higher utilization of inpatient, emergency, and medication services in ASD, after accounting for demographics and ADHD-related symptoms. Lay Summary This study compared problems with emotion regulation in large samples of youth with and without ASD. An ASD community sample had two to four times more youth with clinically elevated regulation impairments compared to youth without ASD. Emotion regulation impairment was also related to using psychiatric hospitalizations, emergency services, and medications in the ASD group. This study suggests that screening for emotion regulation difficulties in ASD is important and treatment may have a wide ranging impact. En ligne : http://dx.doi.org/10.1002/aur.2450 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=441

Neural features of sustained emotional information processing in autism spectrum disorder / Carla A. MAZEFSKY in Autism, 24-4 (May 2020)  

Public ISBD [article]  inAutism > 24-4 (May 2020) . - p.941-953 Titre : Neural features of sustained emotional information processing in autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Carla A. MAZEFSKY, Auteur ; Amanda COLLIER, Auteur ; Josh GOLT, Auteur ; Greg J. SIEGLE, Auteur Article en page(s) : p.941-953 Langues : Anglais (eng) Mots-clés : adolescents  autism spectrum disorder  brain function  emotion regulation  psychiatric comorbidity Index. décimale : PER Périodiques Résumé : Many individuals with autism spectrum disorder struggle with emotions that are intense and interfering, which is referred to as emotion dysregulation. Prior research has established that individuals with autism may be more likely than individuals who are not autistic to have repetitive thoughts. It is possible that persistent thoughts about negative or distressing stimuli may contribute to emotion dysregulation in autism spectrum disorder. This study aimed to identify areas of the brain with evidence of persistent processing of negative information via functional magnetic resonance neuroimaging. We used a task that alternated between emotional processing of personally relevant negative words, neutral words, and a non-emotional task. Criteria were developed to define heightened and persistent emotional processing, and analyses were conducted to identify all brain regions satisfying these criteria. Participants included 25 adolescents with autism spectrum disorder and 23 typically developing adolescents who were similar to the autism spectrum disorder group in IQ, age, and gender ratios. Brain regions identified as having greater and continued processing following negative stimuli in the autism spectrum disorder group as compared with the typically developing group included the salience network and the prefrontal dorsolateral cortex. These areas have been previously implicated in emotion dysregulation outside of autism spectrum disorder. Collectively, brain activity in the identified regions was associated with parent-reported emotion dysregulation in the autism spectrum disorder group. These results help to identify a potential process in the brain associated with emotion dysregulation in autism spectrum disorder. This information may be useful for the development of treatments to decrease emotion dysregulation in autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361320903137 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425 [article] Neural features of sustained emotional information processing in autism spectrum disorder [Texte imprimé et/ou numérique] / Carla A. MAZEFSKY, Auteur ; Amanda COLLIER, Auteur ; Josh GOLT, Auteur ; Greg J. SIEGLE, Auteur . - p.941-953. Langues : Anglais (eng) in Autism > 24-4 (May 2020) . - p.941-953 Mots-clés : adolescents  autism spectrum disorder  brain function  emotion regulation  psychiatric comorbidity Index. décimale : PER Périodiques Résumé : Many individuals with autism spectrum disorder struggle with emotions that are intense and interfering, which is referred to as emotion dysregulation. Prior research has established that individuals with autism may be more likely than individuals who are not autistic to have repetitive thoughts. It is possible that persistent thoughts about negative or distressing stimuli may contribute to emotion dysregulation in autism spectrum disorder. This study aimed to identify areas of the brain with evidence of persistent processing of negative information via functional magnetic resonance neuroimaging. We used a task that alternated between emotional processing of personally relevant negative words, neutral words, and a non-emotional task. Criteria were developed to define heightened and persistent emotional processing, and analyses were conducted to identify all brain regions satisfying these criteria. Participants included 25 adolescents with autism spectrum disorder and 23 typically developing adolescents who were similar to the autism spectrum disorder group in IQ, age, and gender ratios. Brain regions identified as having greater and continued processing following negative stimuli in the autism spectrum disorder group as compared with the typically developing group included the salience network and the prefrontal dorsolateral cortex. These areas have been previously implicated in emotion dysregulation outside of autism spectrum disorder. Collectively, brain activity in the identified regions was associated with parent-reported emotion dysregulation in the autism spectrum disorder group. These results help to identify a potential process in the brain associated with emotion dysregulation in autism spectrum disorder. This information may be useful for the development of treatments to decrease emotion dysregulation in autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361320903137 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425

Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder / Jessie B. NORTHRUP in Autism, 24-4 (May 2020)  

Public ISBD [article]  inAutism > 24-4 (May 2020) . - p.968-982 Titre : Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Jessie B. NORTHRUP, Auteur ; Matthew GOODWIN, Auteur ; Joshua MONTRENES, Auteur ; Jessica VEZZOLI, Auteur ; Josh GOLT, Auteur ; Christine B. PEURA, Auteur ; Matthew SIEGEL, Auteur ; Carla MAZEFSKY, Auteur Article en page(s) : p.968-982 Langues : Anglais (eng) Mots-clés : Autism Inpatient Collection  adaptive behavior  autism spectrum disorders  emotional reactivity  inpatient  verbal ability Index. décimale : PER Périodiques Résumé : Large emotional reactions (e.g. outbursts, tantrums) can be common and distressing in the lives of individuals with autism spectrum disorder and their families. Most previous research that has examined these types of emotional responses have used questionnaire data or focused only on young children. In addition, very little research has included individuals across a large range of intellectual and functional abilities or individuals with more severe emotional and/or behavioral difficulties. This study examined emotional reactions to frustrating tasks in 6-21-year-olds with autism spectrum disorder who were psychiatrically hospitalized due to emotional and/or behavioral difficulties. We describe change in the amount, intensity, duration, and range of emotional reactions that the participants displayed from a neutral activity to the frustrating tasks and then to a neutral recovery period. We also examined associations between characteristics of the participants and these emotional reactions. We found that younger children displayed more negative emotions across the neutral and frustrating tasks; however, age did not relate to how big their reactions to frustration were. Furthermore, we found that individuals with fewer adaptive skills (i.e. age-appropriate life skills) and minimally verbal individuals had bigger reactions and recovered less following the frustration tasks. The results highlight the importance of examining emotional reactions in individuals with lower verbal and adaptive abilities and for interventions to consider the connection between verbal and adaptive skills and emotional reactions. En ligne : http://dx.doi.org/10.1177/1362361320908108 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425 [article] Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder [Texte imprimé et/ou numérique] / Jessie B. NORTHRUP, Auteur ; Matthew GOODWIN, Auteur ; Joshua MONTRENES, Auteur ; Jessica VEZZOLI, Auteur ; Josh GOLT, Auteur ; Christine B. PEURA, Auteur ; Matthew SIEGEL, Auteur ; Carla MAZEFSKY, Auteur . - p.968-982. Langues : Anglais (eng) in Autism > 24-4 (May 2020) . - p.968-982 Mots-clés : Autism Inpatient Collection  adaptive behavior  autism spectrum disorders  emotional reactivity  inpatient  verbal ability Index. décimale : PER Périodiques Résumé : Large emotional reactions (e.g. outbursts, tantrums) can be common and distressing in the lives of individuals with autism spectrum disorder and their families. Most previous research that has examined these types of emotional responses have used questionnaire data or focused only on young children. In addition, very little research has included individuals across a large range of intellectual and functional abilities or individuals with more severe emotional and/or behavioral difficulties. This study examined emotional reactions to frustrating tasks in 6-21-year-olds with autism spectrum disorder who were psychiatrically hospitalized due to emotional and/or behavioral difficulties. We describe change in the amount, intensity, duration, and range of emotional reactions that the participants displayed from a neutral activity to the frustrating tasks and then to a neutral recovery period. We also examined associations between characteristics of the participants and these emotional reactions. We found that younger children displayed more negative emotions across the neutral and frustrating tasks; however, age did not relate to how big their reactions to frustration were. Furthermore, we found that individuals with fewer adaptive skills (i.e. age-appropriate life skills) and minimally verbal individuals had bigger reactions and recovered less following the frustration tasks. The results highlight the importance of examining emotional reactions in individuals with lower verbal and adaptive abilities and for interventions to consider the connection between verbal and adaptive skills and emotional reactions. En ligne : http://dx.doi.org/10.1177/1362361320908108 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425

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