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Auteur Lucy A. LIVINGSTON |
Documents disponibles écrits par cet auteur (8)



Anthropomorphic tendencies in autism: A conceptual replication and extension of White and Remington (2019) and preliminary development of a novel anthropomorphism measure / Rachel A. CLUTTERBUCK in Autism, 26-4 (May 2022)
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Titre : Anthropomorphic tendencies in autism: A conceptual replication and extension of White and Remington (2019) and preliminary development of a novel anthropomorphism measure Type de document : Texte imprimé et/ou numérique Auteurs : Rachel A. CLUTTERBUCK, Auteur ; Punit SHAH, Auteur ; Hok Sze LEUNG, Auteur ; Mitchell J. CALLAN, Auteur ; Natalia GJERSOE, Auteur ; Lucy A. LIVINGSTON, Auteur Article en page(s) : p.940-950 Langues : Anglais (eng) Mots-clés : Adult Autism Spectrum Disorder Autistic Disorder Emotions Humans Reproducibility of Results anthropomorphism autism personification social cognition theory of mind conflicts of interest with respect to the research, authorship and/or publication of this article. Index. décimale : PER Périodiques Résumé : Anthropomorphism is the tendency to attribute human-like qualities (e.g. thoughts and feelings) to non-human entities (e.g. objects and weather systems). Research by White and Remington (2019) suggested that anthropomorphism is more common in autistic compared to neurotypical adults, which is interesting given that autistic individuals sometimes misunderstand the thoughts and feelings of other people. In this article, we re-examined the link between autism and anthropomorphism in a large sample of adults with varying degrees of autistic traits, with several important methodological advances on previous research. Across two studies, we found that individuals with more autistic traits reported greater anthropomorphic tendencies. As part of these analyses, we had to develop a new, refined measure of anthropomorphism, which showed better reliability and validity than the original measure. This measure will be useful in future autism-related research. Overall, advancing White and Remington's study, these findings help us to better understand individual differences in socially relevant processes, including those that may be enhanced in autism (e.g. anthropomorphism). En ligne : https://dx.doi.org/10.1177/13623613211039387 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473
in Autism > 26-4 (May 2022) . - p.940-950[article] Anthropomorphic tendencies in autism: A conceptual replication and extension of White and Remington (2019) and preliminary development of a novel anthropomorphism measure [Texte imprimé et/ou numérique] / Rachel A. CLUTTERBUCK, Auteur ; Punit SHAH, Auteur ; Hok Sze LEUNG, Auteur ; Mitchell J. CALLAN, Auteur ; Natalia GJERSOE, Auteur ; Lucy A. LIVINGSTON, Auteur . - p.940-950.
Langues : Anglais (eng)
in Autism > 26-4 (May 2022) . - p.940-950
Mots-clés : Adult Autism Spectrum Disorder Autistic Disorder Emotions Humans Reproducibility of Results anthropomorphism autism personification social cognition theory of mind conflicts of interest with respect to the research, authorship and/or publication of this article. Index. décimale : PER Périodiques Résumé : Anthropomorphism is the tendency to attribute human-like qualities (e.g. thoughts and feelings) to non-human entities (e.g. objects and weather systems). Research by White and Remington (2019) suggested that anthropomorphism is more common in autistic compared to neurotypical adults, which is interesting given that autistic individuals sometimes misunderstand the thoughts and feelings of other people. In this article, we re-examined the link between autism and anthropomorphism in a large sample of adults with varying degrees of autistic traits, with several important methodological advances on previous research. Across two studies, we found that individuals with more autistic traits reported greater anthropomorphic tendencies. As part of these analyses, we had to develop a new, refined measure of anthropomorphism, which showed better reliability and validity than the original measure. This measure will be useful in future autism-related research. Overall, advancing White and Remington's study, these findings help us to better understand individual differences in socially relevant processes, including those that may be enhanced in autism (e.g. anthropomorphism). En ligne : https://dx.doi.org/10.1177/13623613211039387 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473 Autonomic dysfunction in autism: The roles of anxiety, depression, and stress / Emily C. TAYLOR in Autism, 25-3 (April 2021)
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Titre : Autonomic dysfunction in autism: The roles of anxiety, depression, and stress Type de document : Texte imprimé et/ou numérique Auteurs : Emily C. TAYLOR, Auteur ; Lucy A. LIVINGSTON, Auteur ; Mitchell J. CALLAN, Auteur ; Chris ASHWIN, Auteur ; Punit SHAH, Auteur Article en page(s) : p.744-752 Langues : Anglais (eng) Mots-clés : anxiety autism spectrum disorder autonomic nervous system heart rate variability Index. décimale : PER Périodiques Résumé : The autonomic nervous system (ANS) is responsible for the functioning of the heart, bladder, pupils and several other bodily functions. Therefore, when the ANS functions abnormally, individuals can experience a number of physical symptoms, including dizziness, abnormal sweating and digestive difficulties. Currently, it is unclear if autistic adults experience ANS dysfunction. Therefore, in this study, we investigated whether autistic adults report more ANS-related physical symptoms, indicating greater ANS dysfunction, and whether this may be related to autism, or rather anxiety, depression, or stress. The findings suggest that ANS dysfunction, where found in autism, is due to co-occurring stress and anxiety. We therefore propose that treating stress and anxiety may be an effective way to ameliorate ANS-related health problems in autistic adults. En ligne : http://dx.doi.org/10.1177/1362361320985658 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444
in Autism > 25-3 (April 2021) . - p.744-752[article] Autonomic dysfunction in autism: The roles of anxiety, depression, and stress [Texte imprimé et/ou numérique] / Emily C. TAYLOR, Auteur ; Lucy A. LIVINGSTON, Auteur ; Mitchell J. CALLAN, Auteur ; Chris ASHWIN, Auteur ; Punit SHAH, Auteur . - p.744-752.
Langues : Anglais (eng)
in Autism > 25-3 (April 2021) . - p.744-752
Mots-clés : anxiety autism spectrum disorder autonomic nervous system heart rate variability Index. décimale : PER Périodiques Résumé : The autonomic nervous system (ANS) is responsible for the functioning of the heart, bladder, pupils and several other bodily functions. Therefore, when the ANS functions abnormally, individuals can experience a number of physical symptoms, including dizziness, abnormal sweating and digestive difficulties. Currently, it is unclear if autistic adults experience ANS dysfunction. Therefore, in this study, we investigated whether autistic adults report more ANS-related physical symptoms, indicating greater ANS dysfunction, and whether this may be related to autism, or rather anxiety, depression, or stress. The findings suggest that ANS dysfunction, where found in autism, is due to co-occurring stress and anxiety. We therefore propose that treating stress and anxiety may be an effective way to ameliorate ANS-related health problems in autistic adults. En ligne : http://dx.doi.org/10.1177/1362361320985658 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 Exploring autistic adults' psychosocial experiences affecting beginnings, continuity and change in camouflaging over time: A qualitative study in Singapore / Beatrice Rui Yi LOO in Autism, 28-3 (March 2024)
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Titre : Exploring autistic adults' psychosocial experiences affecting beginnings, continuity and change in camouflaging over time: A qualitative study in Singapore Type de document : Texte imprimé et/ou numérique Auteurs : Beatrice Rui Yi LOO, Auteur ; Truman Jing Yang TEO, Auteur ; Melanie Jiamin LIANG, Auteur ; Dawn-Joy LEONG, Auteur ; Diana Weiting TAN, Auteur ; Sici ZHUANG, Auteur ; Laura HULL, Auteur ; Lucy A. LIVINGSTON, Auteur ; Will MANDY, Auteur ; Francesca HAPPE, Auteur ; Iliana MAGIATI, Auteur Article en page(s) : p.627-643 Langues : Anglais (eng) Mots-clés : adults autism camouflaging masking mental health well-being Index. décimale : PER Périodiques Résumé : Camouflaging (or otherwise referred to as masking or passing) involves hiding one?s autistic-related characteristics and differences to get by in social situations in predominantly non-autistic societies. Very little is known to date about the course of camouflaging motivations and strategies over time or the psychosocial factors that may influence autistic people?s camouflaging choices and trajectories. In an exploratory qualitative study within an Asian sociocultural context, we interviewed 11 Singaporean autistic adults (9 males, 2 females, aged 22-45?years) about their camouflaging experiences to better understand (1) their camouflaging motivations and strategies over time, and (2) related psychosocial influences. Organised across four phases (pre-camouflaging, beginnings, continuity and change over time), 17 themes relating to camouflaging motivations and 8 themes relating to strategies were identified. The earliest camouflaging motivations were predominantly relational, linked to a negative self-identity that had been shaped by adverse social experiences. Camouflaging strategies became increasingly complex and integrated into one?s sense of self over time. Our findings highlight the role of psychosocial pressures precipitating camouflaging and emphasise the need for individual and societal changes, including moving towards enhanced acceptance and inclusion to reduce psychosocial pressures on autistic people to camouflage. Lay Abstract Over their lifetimes, many autistic people learn to camouflage (hide or mask) their autism-related differences to forge relationships, find work and live independently in largely non-autistic societies. Autistic adults have described camouflaging as a 'lifetime of conditioning . . . to act normal' involving 'years of effort', suggesting that camouflaging develops over an autistic person?s lifetime and may start early on, in childhood or adolescence. Yet, we know very little about why and how autistic people start to camouflage, or why and how their camouflaging behaviours continue or change over time. We interviewed 11 Singaporean autistic adults (9 male, 2 female, 22-45?years old) who shared their camouflaging experiences. We found that autistic adults' earliest motivations to camouflage were largely related to the desire to fit in and connect with others. They also camouflaged to avoid difficult social experiences (such as being teased or bullied). Autistic adults shared that their camouflaging behaviours became more complex and that, for some, camouflaging became a part of their self-identity over time. Our findings suggest that society should not pathologise autistic differences, but instead accept and include autistic people, to reduce the pressure on autistic people to hide who they truly are. En ligne : https://dx.doi.org/10.1177/13623613231180075 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=523
in Autism > 28-3 (March 2024) . - p.627-643[article] Exploring autistic adults' psychosocial experiences affecting beginnings, continuity and change in camouflaging over time: A qualitative study in Singapore [Texte imprimé et/ou numérique] / Beatrice Rui Yi LOO, Auteur ; Truman Jing Yang TEO, Auteur ; Melanie Jiamin LIANG, Auteur ; Dawn-Joy LEONG, Auteur ; Diana Weiting TAN, Auteur ; Sici ZHUANG, Auteur ; Laura HULL, Auteur ; Lucy A. LIVINGSTON, Auteur ; Will MANDY, Auteur ; Francesca HAPPE, Auteur ; Iliana MAGIATI, Auteur . - p.627-643.
Langues : Anglais (eng)
in Autism > 28-3 (March 2024) . - p.627-643
Mots-clés : adults autism camouflaging masking mental health well-being Index. décimale : PER Périodiques Résumé : Camouflaging (or otherwise referred to as masking or passing) involves hiding one?s autistic-related characteristics and differences to get by in social situations in predominantly non-autistic societies. Very little is known to date about the course of camouflaging motivations and strategies over time or the psychosocial factors that may influence autistic people?s camouflaging choices and trajectories. In an exploratory qualitative study within an Asian sociocultural context, we interviewed 11 Singaporean autistic adults (9 males, 2 females, aged 22-45?years) about their camouflaging experiences to better understand (1) their camouflaging motivations and strategies over time, and (2) related psychosocial influences. Organised across four phases (pre-camouflaging, beginnings, continuity and change over time), 17 themes relating to camouflaging motivations and 8 themes relating to strategies were identified. The earliest camouflaging motivations were predominantly relational, linked to a negative self-identity that had been shaped by adverse social experiences. Camouflaging strategies became increasingly complex and integrated into one?s sense of self over time. Our findings highlight the role of psychosocial pressures precipitating camouflaging and emphasise the need for individual and societal changes, including moving towards enhanced acceptance and inclusion to reduce psychosocial pressures on autistic people to camouflage. Lay Abstract Over their lifetimes, many autistic people learn to camouflage (hide or mask) their autism-related differences to forge relationships, find work and live independently in largely non-autistic societies. Autistic adults have described camouflaging as a 'lifetime of conditioning . . . to act normal' involving 'years of effort', suggesting that camouflaging develops over an autistic person?s lifetime and may start early on, in childhood or adolescence. Yet, we know very little about why and how autistic people start to camouflage, or why and how their camouflaging behaviours continue or change over time. We interviewed 11 Singaporean autistic adults (9 male, 2 female, 22-45?years old) who shared their camouflaging experiences. We found that autistic adults' earliest motivations to camouflage were largely related to the desire to fit in and connect with others. They also camouflaged to avoid difficult social experiences (such as being teased or bullied). Autistic adults shared that their camouflaging behaviours became more complex and that, for some, camouflaging became a part of their self-identity over time. Our findings suggest that society should not pathologise autistic differences, but instead accept and include autistic people, to reduce the pressure on autistic people to hide who they truly are. En ligne : https://dx.doi.org/10.1177/13623613231180075 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=523 Measuring self and informant perspectives of Restricted and Repetitive Behaviours (RRBs): psychometric evaluation of the Repetitive Behaviours Questionnaire-3 (RBQ-3) in adult clinical practice and research settgs / Catherine R. G. JONES in Molecular Autism, 15 (2024)
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Titre : Measuring self and informant perspectives of Restricted and Repetitive Behaviours (RRBs): psychometric evaluation of the Repetitive Behaviours Questionnaire-3 (RBQ-3) in adult clinical practice and research settgs Type de document : Texte imprimé et/ou numérique Auteurs : Catherine R. G. JONES, Auteur ; Lucy A. LIVINGSTON, Auteur ; Christine FRETWELL, Auteur ; Mirko ULJAREVI?, Auteur ; Sarah J. CARRINGTON, Auteur ; Punit SHAH, Auteur ; Susan R. LEEKAM, Auteur Article en page(s) : 24p. Langues : Anglais (eng) Mots-clés : Humans Adult Male Psychometrics Female Surveys and Questionnaires Self Report Middle Aged Young Adult Reproducibility of Results Autistic Disorder/diagnosis/psychology Adolescent Autism Spectrum Disorder/diagnosis/psychology Autism Clinical service Disco Rbq-3 Restricted and repetitive behaviours Self-report questionnaire Validity was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Index. décimale : PER Périodiques Résumé : BACKGROUND: Brief questionnaires that comprehensively capture key restricted and repetitive behaviours (RRBs) across different informants have potential to support autism diagnostic services. We tested the psychometric properties of the 20-item Repetitive Behaviours Questionnaire-3 (RBQ-3), a questionnaire that includes self-report and informant-report versions enabling use across the lifespan. METHOD: In Study 1, adults referred to a specialised adult autism diagnostic service (N = 110) completed the RBQ-3 self-report version, and a relative or long-term friend completed the RBQ-3 informant-report version. Clinicians completed the abbreviated version of the Diagnostic Interview for Social and Communication Disorders (DISCO-Abbreviated) with the same adults as part of the diagnostic process. For half of the assessments, clinicians were blind to the RBQ-3 ratings. We tested internal consistency, cross-informant reliability and convergent validity of the RBQ-3. In Study 2, a follow-up online study with autistic (N = 151) and non-autistic (N = 151) adults, we further tested internal consistency of the RBQ-3 self-report version. We also tested group differences and response patterns in this sample. RESULTS: Study 1 showed good to excellent internal consistency for both self- and informant-report versions of the RBQ-3 (total score, ? = 0.90, ? = 0.90, subscales, ? = 0.76-0.89, ? = 0.77-0.88). Study 1 also showed cross-informant reliability as the RBQ-3 self-report scores significantly correlated with RBQ-3 informant-report scores for the total score (r(s) = 0.71) and subscales (r(s)= 0.69-0.72). Convergent validity was found for both self and informant versions of the RBQ-3, which significantly correlated with DISCO-Abbreviated RRB domain scores (r(s) = 0.45-0.54). Moreover, the RBQ-3 scores showed significantly weaker association with DISCO -Abbreviated scores for the Social Communication domain, demonstrating divergent validity. Importantly, these patterns of validity were found even when clinicians were blind to RBQ-3 items. In Study 2, for both autistic and non-autistic groups, internal consistency was found for the total score (? = 0.82-0.89, ? = 0.81-0.81) and for subscales (? = 0.68-0.85, ? = 0.69-0.85). A group difference was found between groups. LIMITATIONS: Due to the characteristics and scope of the specialist autism diagnostic service, further testing is needed to include representative samples of age (including children) and intellectual ability, and those with a non-autistic diagnostic outcome. CONCLUSIONS: The RBQ-3 is a questionnaire of RRBs that can be used across the lifespan. The current study tested its psychometric properties with autistic adults without intellectual disability and supported its utility for both clinical diagnostic and research settings. En ligne : https://dx.doi.org/10.1186/s13229-024-00603-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=538
in Molecular Autism > 15 (2024) . - 24p.[article] Measuring self and informant perspectives of Restricted and Repetitive Behaviours (RRBs): psychometric evaluation of the Repetitive Behaviours Questionnaire-3 (RBQ-3) in adult clinical practice and research settgs [Texte imprimé et/ou numérique] / Catherine R. G. JONES, Auteur ; Lucy A. LIVINGSTON, Auteur ; Christine FRETWELL, Auteur ; Mirko ULJAREVI?, Auteur ; Sarah J. CARRINGTON, Auteur ; Punit SHAH, Auteur ; Susan R. LEEKAM, Auteur . - 24p.
Langues : Anglais (eng)
in Molecular Autism > 15 (2024) . - 24p.
Mots-clés : Humans Adult Male Psychometrics Female Surveys and Questionnaires Self Report Middle Aged Young Adult Reproducibility of Results Autistic Disorder/diagnosis/psychology Adolescent Autism Spectrum Disorder/diagnosis/psychology Autism Clinical service Disco Rbq-3 Restricted and repetitive behaviours Self-report questionnaire Validity was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Index. décimale : PER Périodiques Résumé : BACKGROUND: Brief questionnaires that comprehensively capture key restricted and repetitive behaviours (RRBs) across different informants have potential to support autism diagnostic services. We tested the psychometric properties of the 20-item Repetitive Behaviours Questionnaire-3 (RBQ-3), a questionnaire that includes self-report and informant-report versions enabling use across the lifespan. METHOD: In Study 1, adults referred to a specialised adult autism diagnostic service (N = 110) completed the RBQ-3 self-report version, and a relative or long-term friend completed the RBQ-3 informant-report version. Clinicians completed the abbreviated version of the Diagnostic Interview for Social and Communication Disorders (DISCO-Abbreviated) with the same adults as part of the diagnostic process. For half of the assessments, clinicians were blind to the RBQ-3 ratings. We tested internal consistency, cross-informant reliability and convergent validity of the RBQ-3. In Study 2, a follow-up online study with autistic (N = 151) and non-autistic (N = 151) adults, we further tested internal consistency of the RBQ-3 self-report version. We also tested group differences and response patterns in this sample. RESULTS: Study 1 showed good to excellent internal consistency for both self- and informant-report versions of the RBQ-3 (total score, ? = 0.90, ? = 0.90, subscales, ? = 0.76-0.89, ? = 0.77-0.88). Study 1 also showed cross-informant reliability as the RBQ-3 self-report scores significantly correlated with RBQ-3 informant-report scores for the total score (r(s) = 0.71) and subscales (r(s)= 0.69-0.72). Convergent validity was found for both self and informant versions of the RBQ-3, which significantly correlated with DISCO-Abbreviated RRB domain scores (r(s) = 0.45-0.54). Moreover, the RBQ-3 scores showed significantly weaker association with DISCO -Abbreviated scores for the Social Communication domain, demonstrating divergent validity. Importantly, these patterns of validity were found even when clinicians were blind to RBQ-3 items. In Study 2, for both autistic and non-autistic groups, internal consistency was found for the total score (? = 0.82-0.89, ? = 0.81-0.81) and for subscales (? = 0.68-0.85, ? = 0.69-0.85). A group difference was found between groups. LIMITATIONS: Due to the characteristics and scope of the specialist autism diagnostic service, further testing is needed to include representative samples of age (including children) and intellectual ability, and those with a non-autistic diagnostic outcome. CONCLUSIONS: The RBQ-3 is a questionnaire of RRBs that can be used across the lifespan. The current study tested its psychometric properties with autistic adults without intellectual disability and supported its utility for both clinical diagnostic and research settings. En ligne : https://dx.doi.org/10.1186/s13229-024-00603-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=538 Practitioner Review: Attention-deficit hyperactivity disorder and autism spectrum disorder - the importance of depression / Anita THAPAR in Journal of Child Psychology and Psychiatry, 64-1 (January 2023)
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Titre : Practitioner Review: Attention-deficit hyperactivity disorder and autism spectrum disorder - the importance of depression Type de document : Texte imprimé et/ou numérique Auteurs : Anita THAPAR, Auteur ; Lucy A. LIVINGSTON, Auteur ; Olga EYRE, Auteur ; Lucy RIGLIN, Auteur Article en page(s) : p.4-15 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Young people with neurodevelopmental disorders, such as attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), show high rates of mental health problems, of which depression is one of the most common. Given that depression in ASD and ADHD is linked with a range of poor outcomes, knowledge of how clinicians should assess, identify and treat depression in the context of these neurodevelopmental disorders is much needed. Here, we give an overview of the latest research on depression in young people with ADHD and ASD, including possible mechanisms underlying the link between ADHD/ASD and depression, as well as the presentation, assessment and treatment of depression in these neurodevelopmental disorders. We discuss the implications for clinicians and make recommendations for critical future research in this area. En ligne : https://doi.org/10.1111/jcpp.13678 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490
in Journal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.4-15[article] Practitioner Review: Attention-deficit hyperactivity disorder and autism spectrum disorder - the importance of depression [Texte imprimé et/ou numérique] / Anita THAPAR, Auteur ; Lucy A. LIVINGSTON, Auteur ; Olga EYRE, Auteur ; Lucy RIGLIN, Auteur . - p.4-15.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.4-15
Index. décimale : PER Périodiques Résumé : Young people with neurodevelopmental disorders, such as attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), show high rates of mental health problems, of which depression is one of the most common. Given that depression in ASD and ADHD is linked with a range of poor outcomes, knowledge of how clinicians should assess, identify and treat depression in the context of these neurodevelopmental disorders is much needed. Here, we give an overview of the latest research on depression in young people with ADHD and ASD, including possible mechanisms underlying the link between ADHD/ASD and depression, as well as the presentation, assessment and treatment of depression in these neurodevelopmental disorders. We discuss the implications for clinicians and make recommendations for critical future research in this area. En ligne : https://doi.org/10.1111/jcpp.13678 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490 Publisher Correction: Measuring self and informant perspectives of restricted and repetitive behaviours (RRBs): psychometric evaluation of the repetitive Behaviours Questionnaire-3 (RBQ-3) in adult clinical practice and research settings / Catherine R. G. JONES in Molecular Autism, 15 (2024)
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PermalinkRe-examining the association between the age of learning one is autistic and adult outcomes / Punit SHAH ; David MASON ; Lucy A. LIVINGSTON in Autism, 28-2 (February 2024)
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PermalinkUnderstanding the Contributions of Trait Autism and Anxiety to Extreme Demand Avoidance in the Adult General Population / Rhianna WHITE in Journal of Autism and Developmental Disorders, 53-7 (July 2023)
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