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 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] / 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 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] / 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 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] / 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

Improving emotion regulation ability in autism: The Emotional Awareness and Skills Enhancement (EASE) program / Caitlin M. CONNER in Autism, 23-5 (July 2019)  

Public ISBD [article]  inAutism > 23-5 (July 2019) . - p.1273-1287 Titre : Improving emotion regulation ability in autism: The Emotional Awareness and Skills Enhancement (EASE) program Type de document : texte imprimé Auteurs : Caitlin M. CONNER, Auteur ; Susan W. WHITE, Auteur ; Kelly B. BECK, Auteur ; Josh GOLT, Auteur ; Isaac C. SMITH, Auteur ; Carla A. MAZEFSKY, Auteur Article en page(s) : p.1273-1287 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  emotion regulation  irritability  mindfulness  transdiagnostic Index. décimale : PER Périodiques Résumé : Emotion regulation impairments are common among individuals with autism spectrum disorder and are believed to often underlie commonly seen problems with aggression, depression, and anxiety. The Emotional Awareness and Skills Enhancement program was developed to reduce emotion regulation impairment and thereby improve behavioral disturbance, via mindfulness. Emotional Awareness and Skills Enhancement consists of a 16-week individual therapy treatment targeting emotion regulation impairments among individuals with autism spectrum disorder. We describe the conceptual framework and development of the program and present data on feasibility and preliminary efficacy from a pilot trial. The Emotional Awareness and Skills Enhancement manual was developed using a participatory action framework, based on emotion regulation research specific to autism spectrum disorder and input from individuals with autism spectrum disorder, therapists, and parents of children with autism spectrum disorder. Emotional Awareness and Skills Enhancement was piloted in a two-site open trial with 20 participants with autism spectrum disorder (12-17 years old, confirmed autism spectrum disorder diagnosis, IQ > 80).Outcome data support program feasibility and acceptability to participants, as well as significant improvement in emotion regulation impairments and related concerns.Findings offer preliminary support for both the feasibility and clinical effectiveness of the Emotional Awareness and Skills Enhancement program. En ligne : http://dx.doi.org/10.1177/1362361318810709 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=401 [article] Improving emotion regulation ability in autism: The Emotional Awareness and Skills Enhancement (EASE) program [texte imprimé] / Caitlin M. CONNER, Auteur ; Susan W. WHITE, Auteur ; Kelly B. BECK, Auteur ; Josh GOLT, Auteur ; Isaac C. SMITH, Auteur ; Carla A. MAZEFSKY, Auteur . - p.1273-1287. Langues : Anglais (eng) in Autism > 23-5 (July 2019) . - p.1273-1287 Mots-clés : autism spectrum disorder  emotion regulation  irritability  mindfulness  transdiagnostic Index. décimale : PER Périodiques Résumé : Emotion regulation impairments are common among individuals with autism spectrum disorder and are believed to often underlie commonly seen problems with aggression, depression, and anxiety. The Emotional Awareness and Skills Enhancement program was developed to reduce emotion regulation impairment and thereby improve behavioral disturbance, via mindfulness. Emotional Awareness and Skills Enhancement consists of a 16-week individual therapy treatment targeting emotion regulation impairments among individuals with autism spectrum disorder. We describe the conceptual framework and development of the program and present data on feasibility and preliminary efficacy from a pilot trial. The Emotional Awareness and Skills Enhancement manual was developed using a participatory action framework, based on emotion regulation research specific to autism spectrum disorder and input from individuals with autism spectrum disorder, therapists, and parents of children with autism spectrum disorder. Emotional Awareness and Skills Enhancement was piloted in a two-site open trial with 20 participants with autism spectrum disorder (12-17 years old, confirmed autism spectrum disorder diagnosis, IQ > 80).Outcome data support program feasibility and acceptability to participants, as well as significant improvement in emotion regulation impairments and related concerns.Findings offer preliminary support for both the feasibility and clinical effectiveness of the Emotional Awareness and Skills Enhancement program. En ligne : http://dx.doi.org/10.1177/1362361318810709 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=401

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 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] / 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)  

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