Characterizing associations between emotion dysregulation, anxiety, and repetitive behaviors in autistic youth with intellectual disability / Emily SPACKMAN ; Ru Ying CAI ; Antonio Y. HARDAN ; Mirko ULJAREVI? in Autism Research, 17-9 (September 2024)  

Public ISBD [article]  inAutism Research > 17-9 (September 2024) . - p.1810-1817 Titre : Characterizing associations between emotion dysregulation, anxiety, and repetitive behaviors in autistic youth with intellectual disability Type de document : Texte imprimé et/ou numérique Auteurs : Emily SPACKMAN, Auteur ; Ru Ying CAI, Auteur ; Antonio Y. HARDAN, Auteur ; Mirko ULJAREVI?, Auteur Article en page(s) : p.1810-1817 Langues : Anglais (eng) Mots-clés : anxiety  autism Spectrum disorder  emotion dysregulation  intellectual disability  restricted and repetitive behaviors Index. décimale : PER Périodiques Résumé : Abstract There is a paucity of research that explores associations between emotion dysregulation and the expression and severity of core and co-occurring characteristics of autism spectrum disorder (ASD), especially in autistic youth with co-occurring intellectual disability (ID). This study explored the interplay between developmental characteristics and emotion dysregulation, anxiety, and specific subtypes of RRBs that are elevated in autistic youth with co-occurring ID. Generalized additive models demonstrated that age, sex, language level, dysregulation, and anxiety showed unique patterns of association with subtypes of RRBs in a sample of 150 autistic youth with co-occurring ID who are non-speaking or minimally verbal. More specifically, higher anxiety levels were significantly associated with elevations in repetitive sensory motor behaviors (RSMB), self-injurious behaviors (SIB), insistence on sameness (IS), and unusual interests (UI). While emotion dysregulation was a significant predictor of UI, it demonstrated positive, albeit not significant, associations with the intensity of SIB and RSMB. Language level was a significant predictor of RSMB, such that the intensity of RSMB was higher for individuals who were non-speaking relative to those who spoke in single words. These findings provide preliminary insights into patterns of associations between emotion dysregulation, anxiety, and specific subdomains of RRBs in autistic youth with ID. En ligne : https://doi.org/10.1002/aur.3207 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=535 [article] Characterizing associations between emotion dysregulation, anxiety, and repetitive behaviors in autistic youth with intellectual disability [Texte imprimé et/ou numérique] / Emily SPACKMAN, Auteur ; Ru Ying CAI, Auteur ; Antonio Y. HARDAN, Auteur ; Mirko ULJAREVI?, Auteur . - p.1810-1817. Langues : Anglais (eng) in Autism Research > 17-9 (September 2024) . - p.1810-1817 Mots-clés : anxiety  autism Spectrum disorder  emotion dysregulation  intellectual disability  restricted and repetitive behaviors Index. décimale : PER Périodiques Résumé : Abstract There is a paucity of research that explores associations between emotion dysregulation and the expression and severity of core and co-occurring characteristics of autism spectrum disorder (ASD), especially in autistic youth with co-occurring intellectual disability (ID). This study explored the interplay between developmental characteristics and emotion dysregulation, anxiety, and specific subtypes of RRBs that are elevated in autistic youth with co-occurring ID. Generalized additive models demonstrated that age, sex, language level, dysregulation, and anxiety showed unique patterns of association with subtypes of RRBs in a sample of 150 autistic youth with co-occurring ID who are non-speaking or minimally verbal. More specifically, higher anxiety levels were significantly associated with elevations in repetitive sensory motor behaviors (RSMB), self-injurious behaviors (SIB), insistence on sameness (IS), and unusual interests (UI). While emotion dysregulation was a significant predictor of UI, it demonstrated positive, albeit not significant, associations with the intensity of SIB and RSMB. Language level was a significant predictor of RSMB, such that the intensity of RSMB was higher for individuals who were non-speaking relative to those who spoke in single words. These findings provide preliminary insights into patterns of associations between emotion dysregulation, anxiety, and specific subdomains of RRBs in autistic youth with ID. En ligne : https://doi.org/10.1002/aur.3207 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=535

Exploring the Heterogeneity of Self-Injurious Behaviors in Autistic Youth: Patterns, Predictors, and Implications for Intervention / Emily F. FERGUSON ; Emily SPACKMAN ; Ru Ying CAI ; Antonio Y. HARDAN ; Mirko ULJAREVI? in Autism Research, 18-1 (January 2025)  

Public ISBD [article]  inAutism Research > 18-1 (January 2025) . - p.133-151 Titre : Exploring the Heterogeneity of Self-Injurious Behaviors in Autistic Youth: Patterns, Predictors, and Implications for Intervention : Autism Research Type de document : Texte imprimé et/ou numérique Auteurs : Emily F. FERGUSON, Auteur ; Emily SPACKMAN, Auteur ; Ru Ying CAI, Auteur ; Antonio Y. HARDAN, Auteur ; Mirko ULJAREVI?, Auteur Article en page(s) : p.133-151 Langues : Anglais (eng) Mots-clés : adolescent  arousal  autism spectrum disorder  challenging behaviors  dysregulation  emotions  intellectual disability  restricted and repetitive behaviors  self harm  self injurious behaviors  self injury  stereotypic movement disorder Index. décimale : PER Périodiques Résumé : Abstract Self-injurious behaviors (SIB) encompass a heterogeneous set of self-inflicted aggressive behaviors that are highly prevalent in autistic youth. Existing research on SIB in autism spectrum disorder (ASD) has been limited by significant methodological and conceptual inconsistencies. Thus, the current study leveraged item-level data capturing the severity of unique SIB topographies to further understanding of factors associated with distinct SIB in a sample of 582 autistic youth (Mage?=?12.12, SDage?=?3.68; range: 3?19?years; 13% females). Results suggest variation in severity endorsements for specific SIB topographies amongst autistic youth, such that 30%?50% of caregivers endorsed slight to very serious concern regarding the SIB topographies of bites nails/skin/fingers, scratches self, hits head/face/neck, bangs head against things, and picks skin. Generalized additive models demonstrated distinct patterns of associations between each SIB topography and dysregulation, sensory hypersensitivity, age, sex, IQ, and language level. Findings underscore the importance of exploring SIB as a multifaceted construct to capture unique correlates of distinct SIB that vary in severity and functional impact, which is critical for the development of effective interventions. This study represents an important step towards more individualized characterization of SIB and support for diverse presentations of these behaviors in autistic youth. En ligne : https://doi.org/10.1002/aur.3269 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=546 [article] Exploring the Heterogeneity of Self-Injurious Behaviors in Autistic Youth: Patterns, Predictors, and Implications for Intervention : Autism Research [Texte imprimé et/ou numérique] / Emily F. FERGUSON, Auteur ; Emily SPACKMAN, Auteur ; Ru Ying CAI, Auteur ; Antonio Y. HARDAN, Auteur ; Mirko ULJAREVI?, Auteur . - p.133-151. Langues : Anglais (eng) in Autism Research > 18-1 (January 2025) . - p.133-151 Mots-clés : adolescent  arousal  autism spectrum disorder  challenging behaviors  dysregulation  emotions  intellectual disability  restricted and repetitive behaviors  self harm  self injurious behaviors  self injury  stereotypic movement disorder Index. décimale : PER Périodiques Résumé : Abstract Self-injurious behaviors (SIB) encompass a heterogeneous set of self-inflicted aggressive behaviors that are highly prevalent in autistic youth. Existing research on SIB in autism spectrum disorder (ASD) has been limited by significant methodological and conceptual inconsistencies. Thus, the current study leveraged item-level data capturing the severity of unique SIB topographies to further understanding of factors associated with distinct SIB in a sample of 582 autistic youth (Mage?=?12.12, SDage?=?3.68; range: 3?19?years; 13% females). Results suggest variation in severity endorsements for specific SIB topographies amongst autistic youth, such that 30%?50% of caregivers endorsed slight to very serious concern regarding the SIB topographies of bites nails/skin/fingers, scratches self, hits head/face/neck, bangs head against things, and picks skin. Generalized additive models demonstrated distinct patterns of associations between each SIB topography and dysregulation, sensory hypersensitivity, age, sex, IQ, and language level. Findings underscore the importance of exploring SIB as a multifaceted construct to capture unique correlates of distinct SIB that vary in severity and functional impact, which is critical for the development of effective interventions. This study represents an important step towards more individualized characterization of SIB and support for diverse presentations of these behaviors in autistic youth. En ligne : https://doi.org/10.1002/aur.3269 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=546

Factor Structure and Psychometric Properties of the Child Social Preference Scale-3 in Children With Autism / Antonio Y. HARDAN ; Emily SPACKMAN ; Emma BAKER ; Thomas W. FRAZIER ; Mirko ULJAREVIC in Autism Research, 18-7 (July 2025)  

Public ISBD [article]  inAutism Research > 18-7 (July 2025) . - p.1389-1396 Titre : Factor Structure and Psychometric Properties of the Child Social Preference Scale-3 in Children With Autism Type de document : Texte imprimé et/ou numérique Auteurs : Antonio Y. HARDAN, Auteur ; Emily SPACKMAN, Auteur ; Emma BAKER, Auteur ; Thomas W. FRAZIER, Auteur ; Mirko ULJAREVIC, Auteur Article en page(s) : p.1389-1396 Langues : Anglais (eng) Mots-clés : approach  autism  avoidance  factor analysis  social withdrawal Index. décimale : PER Périodiques Résumé : ABSTRACT Considerable variability in social engagement among individuals with autism is well documented. Since multiple processes may contribute to this heterogeneity, validating tools to assess these differences is crucial. Originally developed in the general population, the Child Social Preference Scale (CSPS-3) aims to assess distinct forms of social disengagement arising from different combinations of approach and avoidance motivations and holds promise for delineating variability in social behaviors within autism spectrum disorder (ASD). This study investigated the factor structure and psychometric properties of the CSPS-3 in a sample of 689 children diagnosed with autism (Mage?=?11.23, SD?=?3.56; 76% male). The results suggest that a bifactor model, consisting of a general factor and three subscales (shyness, unsociability, and social avoidance), provided the best fit to the data, with the general factor accounting for most of the variance. While the subscales demonstrated adequate internal consistency, their construct reliability and stability varied, with much of the reliable variance attributed to the general factor. The structure was consistent across age and sex subgroups, and the subscales showed distinct patterns of associations with key clinical correlates. These findings support the CSPS-3's utility in assessing diverse forms of social disengagement in the autism population, while indicating that the subscales could be refined to better capture their unique aspects. En ligne : https://doi.org/10.1002/aur.70059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=565 [article] Factor Structure and Psychometric Properties of the Child Social Preference Scale-3 in Children With Autism [Texte imprimé et/ou numérique] / Antonio Y. HARDAN, Auteur ; Emily SPACKMAN, Auteur ; Emma BAKER, Auteur ; Thomas W. FRAZIER, Auteur ; Mirko ULJAREVIC, Auteur . - p.1389-1396. Langues : Anglais (eng) in Autism Research > 18-7 (July 2025) . - p.1389-1396 Mots-clés : approach  autism  avoidance  factor analysis  social withdrawal Index. décimale : PER Périodiques Résumé : ABSTRACT Considerable variability in social engagement among individuals with autism is well documented. Since multiple processes may contribute to this heterogeneity, validating tools to assess these differences is crucial. Originally developed in the general population, the Child Social Preference Scale (CSPS-3) aims to assess distinct forms of social disengagement arising from different combinations of approach and avoidance motivations and holds promise for delineating variability in social behaviors within autism spectrum disorder (ASD). This study investigated the factor structure and psychometric properties of the CSPS-3 in a sample of 689 children diagnosed with autism (Mage?=?11.23, SD?=?3.56; 76% male). The results suggest that a bifactor model, consisting of a general factor and three subscales (shyness, unsociability, and social avoidance), provided the best fit to the data, with the general factor accounting for most of the variance. While the subscales demonstrated adequate internal consistency, their construct reliability and stability varied, with much of the reliable variance attributed to the general factor. The structure was consistent across age and sex subgroups, and the subscales showed distinct patterns of associations with key clinical correlates. These findings support the CSPS-3's utility in assessing diverse forms of social disengagement in the autism population, while indicating that the subscales could be refined to better capture their unique aspects. En ligne : https://doi.org/10.1002/aur.70059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=565

Understanding the heterogeneity of anxiety in autistic youth: A person-centered approach / Emily SPACKMAN in Autism Research, 15-9 (September 2022)  

Public ISBD [article]  inAutism Research > 15-9 (September 2022) . - p.1742-1754 Titre : Understanding the heterogeneity of anxiety in autistic youth: A person-centered approach Type de document : Texte imprimé et/ou numérique Auteurs : Emily SPACKMAN, Auteur ; Jian Wei LERH, Auteur ; Jacqui RODGERS, Auteur ; Matthew J. HOLLOCKS, Auteur ; Mikle SOUTH, Auteur ; Helen MCCONACHIE, Auteur ; Ann OZSIVADJIAN, Auteur ; Amy VAUGHAN VAN HECKE, Auteur ; Robin LIBOVE, Auteur ; Antonio Y. HARDAN, Auteur ; Susan R. LEEKAM, Auteur ; Emily SIMONOFF, Auteur ; Thomas W. FRAZIER, Auteur ; Gail A. ALVARES, Auteur ; Jessica M. SCHWARTZMAN, Auteur ; Iliana MAGIATI, Auteur ; Mirko ULJAREVIĆ, Auteur Article en page(s) : p.1742-1754 Langues : Anglais (eng) Mots-clés : Adolescent  Anxiety/complications/psychology  Anxiety Disorders/psychology  Autism Spectrum Disorder/complications/epidemiology/psychology  Autistic Disorder  Child  Child Development Disorders, Pervasive  Child, Preschool  Female  Humans  anxiety  autism  individual differences  latent profile analysis  subtyping Index. décimale : PER Périodiques Résumé : The present study aimed to examine anxiety profiles among children and adolescents on the autism spectrum. It further aimed to characterize the association between the identified anxiety profiles and key clinical and developmental variables. The Spence Children's Anxiety Scale-Parent Version (SCAS-P) data from a large international pooled sample of 870 caregivers of autistic children and adolescents (M(age)  = 11.6years, SD(age)  = 2.77; 107 females) was used. Latent profile analysis identified a three-anxiety profile solution exhibiting high entropy (0.80) and high latent profile probabilities, with good classification accuracy. Identified profiles fell along the severity spectrum and were named as the mild (n = 498), moderate (n = 272) and severe (n= 100) anxiety profiles. There were no statistically significant differences between the three anxiety profiles in terms of sex distribution. Participants in the mild profile were significantly younger than those in the severe profile, had significantly fewer social communication difficulties than youth in the moderate anxiety profile group and had significantly fewer restricted and repetitive behaviors and lower cognitive functioning scores compared to participants in moderate and severe anxiety profiles. This is the first study to move beyond identifying associations and group-level differences to exploring and identifying characteristics of anxiety-based subgroups at an individual level that differ on key clinical and developmental variables. The subgroups identified in this study are a preliminary, yet important, first step towards informing future assessment and individualized interventions aiming to support young people on the autism spectrum to reduce and manage anxiety. LAY SUMMARY: This study tried to understand if there are subgroups of autistic young people who may have similar anxiety profiles. We found that we could meaningfully group young people into three groups based on how severe the anxiety symptoms their caregivers reported were: a group with low levels of anxiety, those with moderate anxiety, and those with more severe anxiety. We also found that the young people in the mild group were younger, had fewer autism traits and lower levels of intellectual functioning than young people in the other two groups. En ligne : http://dx.doi.org/10.1002/aur.2744 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483 [article] Understanding the heterogeneity of anxiety in autistic youth: A person-centered approach [Texte imprimé et/ou numérique] / Emily SPACKMAN, Auteur ; Jian Wei LERH, Auteur ; Jacqui RODGERS, Auteur ; Matthew J. HOLLOCKS, Auteur ; Mikle SOUTH, Auteur ; Helen MCCONACHIE, Auteur ; Ann OZSIVADJIAN, Auteur ; Amy VAUGHAN VAN HECKE, Auteur ; Robin LIBOVE, Auteur ; Antonio Y. HARDAN, Auteur ; Susan R. LEEKAM, Auteur ; Emily SIMONOFF, Auteur ; Thomas W. FRAZIER, Auteur ; Gail A. ALVARES, Auteur ; Jessica M. SCHWARTZMAN, Auteur ; Iliana MAGIATI, Auteur ; Mirko ULJAREVIĆ, Auteur . - p.1742-1754. Langues : Anglais (eng) in Autism Research > 15-9 (September 2022) . - p.1742-1754 Mots-clés : Adolescent  Anxiety/complications/psychology  Anxiety Disorders/psychology  Autism Spectrum Disorder/complications/epidemiology/psychology  Autistic Disorder  Child  Child Development Disorders, Pervasive  Child, Preschool  Female  Humans  anxiety  autism  individual differences  latent profile analysis  subtyping Index. décimale : PER Périodiques Résumé : The present study aimed to examine anxiety profiles among children and adolescents on the autism spectrum. It further aimed to characterize the association between the identified anxiety profiles and key clinical and developmental variables. The Spence Children's Anxiety Scale-Parent Version (SCAS-P) data from a large international pooled sample of 870 caregivers of autistic children and adolescents (M(age)  = 11.6years, SD(age)  = 2.77; 107 females) was used. Latent profile analysis identified a three-anxiety profile solution exhibiting high entropy (0.80) and high latent profile probabilities, with good classification accuracy. Identified profiles fell along the severity spectrum and were named as the mild (n = 498), moderate (n = 272) and severe (n= 100) anxiety profiles. There were no statistically significant differences between the three anxiety profiles in terms of sex distribution. Participants in the mild profile were significantly younger than those in the severe profile, had significantly fewer social communication difficulties than youth in the moderate anxiety profile group and had significantly fewer restricted and repetitive behaviors and lower cognitive functioning scores compared to participants in moderate and severe anxiety profiles. This is the first study to move beyond identifying associations and group-level differences to exploring and identifying characteristics of anxiety-based subgroups at an individual level that differ on key clinical and developmental variables. The subgroups identified in this study are a preliminary, yet important, first step towards informing future assessment and individualized interventions aiming to support young people on the autism spectrum to reduce and manage anxiety. LAY SUMMARY: This study tried to understand if there are subgroups of autistic young people who may have similar anxiety profiles. We found that we could meaningfully group young people into three groups based on how severe the anxiety symptoms their caregivers reported were: a group with low levels of anxiety, those with moderate anxiety, and those with more severe anxiety. We also found that the young people in the mild group were younger, had fewer autism traits and lower levels of intellectual functioning than young people in the other two groups. En ligne : http://dx.doi.org/10.1002/aur.2744 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483

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