Alexithymia and intolerance of uncertainty predict somatic symptoms in autistic and non-autistic adults / Fionnuala LARKIN in Autism, 27-3 (April 2023)  

Public ISBD [article]  inAutism > 27-3 (April 2023) . - p.602-615 Titre : Alexithymia and intolerance of uncertainty predict somatic symptoms in autistic and non-autistic adults Type de document : Texte imprimé et/ou numérique Auteurs : Fionnuala LARKIN, Auteur ; Brianna RALSTON, Auteur ; Sophie Jayne DINSDALE, Auteur ; Sakura KIMURA, Auteur ; Marianna Emma HAYIOU-THOMAS, Auteur Article en page(s) : p.602-615 Langues : Anglais (eng) Mots-clés : alexithymia,autism,interoception,intolerance of uncertainty,somatic symptoms Index. décimale : PER Périodiques Résumé : Autistic people experience heightened rates of physical health problems but may also experience elevated levels of somatic symptoms (e.g. pain, headache, gastrointestinal symptoms) due to psychological factors which are common in autism. This online study sought to compare rates of somatic symptoms (Patient Health Questionnaire-15) in older adolescents and adults who were autistic (n=51), non-autistic (n=119) and who suspected they were autistic (n=32), while controlling for health conditions. We investigated psychological risk factors that may predispose individuals to experience somatic symptoms, including alexithymia (General Alexithymia Factor Score), interoception (Body Awareness Questionnaire) and intolerance of uncertainty (Intolerance of Uncertainty Scale). Diagnosed autistic individuals had higher rates of alexithymia and intolerance of uncertainty. We also found higher somatic symptoms in diagnosed autistic individuals, controlling for mental and physical health. However, hierarchical regression showed that somatic symptoms were predicted by physical and mental health conditions, female gender, alexithymia, and intolerance of uncertainty, regardless of autism status. The results suggest that autistic and non-autistic individuals experience more bodily discomfort in part due to gender, physical and mental health, alexithymia, and difficulty tolerating uncertainty. Implications for mental and physical health care in autism are discussed.Lay abstractAutistic people have more physical health problems than non-autistic people. We were interested in whether autistic people experience more discomfort in their bodies than non-autistic people and whether certain psychological traits contribute to that. A survey was completed online by older adolescents and adults, 51 of whom were autistic, 32 of whom thought they might be autistic but were not diagnosed and 119 who were not autistic. They completed measures of somatic symptoms (daily experience of pain, discomfort, dizziness), alexithymia (difficulty identifying and expressing feelings), interoception (how much people are aware of their bodies) and intolerance of uncertainty (how people handle doubt or uncertainty), and reported any physical or mental health conditions. We found that the autistic participants had more physical and mental health conditions than the non-autistic participants, but even when we took account of this, they experienced higher levels of somatic symptoms. We looked at which psychological factors influenced levels of somatic symptoms across the whole sample, and found that alexithymia, intolerance of uncertainty, having physical health problems, being female and the number of mental health conditions predicted somatic symptoms, while interoception and autism diagnosis did not. The findings suggest that people may be more likely to experience physical discomfort if they are female, and have difficulty identifying and expressing feeling and difficulty tolerating doubt. As these psychological factors are more prominent in autism, we think this is important for physical and mental health providers to know about, so that these psychological factors can be considered when assessing and treating autistic people. En ligne : https://doi.org/10.1177/13623613221109717 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=499 [article] Alexithymia and intolerance of uncertainty predict somatic symptoms in autistic and non-autistic adults [Texte imprimé et/ou numérique] / Fionnuala LARKIN, Auteur ; Brianna RALSTON, Auteur ; Sophie Jayne DINSDALE, Auteur ; Sakura KIMURA, Auteur ; Marianna Emma HAYIOU-THOMAS, Auteur . - p.602-615. Langues : Anglais (eng) in Autism > 27-3 (April 2023) . - p.602-615 Mots-clés : alexithymia,autism,interoception,intolerance of uncertainty,somatic symptoms Index. décimale : PER Périodiques Résumé : Autistic people experience heightened rates of physical health problems but may also experience elevated levels of somatic symptoms (e.g. pain, headache, gastrointestinal symptoms) due to psychological factors which are common in autism. This online study sought to compare rates of somatic symptoms (Patient Health Questionnaire-15) in older adolescents and adults who were autistic (n=51), non-autistic (n=119) and who suspected they were autistic (n=32), while controlling for health conditions. We investigated psychological risk factors that may predispose individuals to experience somatic symptoms, including alexithymia (General Alexithymia Factor Score), interoception (Body Awareness Questionnaire) and intolerance of uncertainty (Intolerance of Uncertainty Scale). Diagnosed autistic individuals had higher rates of alexithymia and intolerance of uncertainty. We also found higher somatic symptoms in diagnosed autistic individuals, controlling for mental and physical health. However, hierarchical regression showed that somatic symptoms were predicted by physical and mental health conditions, female gender, alexithymia, and intolerance of uncertainty, regardless of autism status. The results suggest that autistic and non-autistic individuals experience more bodily discomfort in part due to gender, physical and mental health, alexithymia, and difficulty tolerating uncertainty. Implications for mental and physical health care in autism are discussed.Lay abstractAutistic people have more physical health problems than non-autistic people. We were interested in whether autistic people experience more discomfort in their bodies than non-autistic people and whether certain psychological traits contribute to that. A survey was completed online by older adolescents and adults, 51 of whom were autistic, 32 of whom thought they might be autistic but were not diagnosed and 119 who were not autistic. They completed measures of somatic symptoms (daily experience of pain, discomfort, dizziness), alexithymia (difficulty identifying and expressing feelings), interoception (how much people are aware of their bodies) and intolerance of uncertainty (how people handle doubt or uncertainty), and reported any physical or mental health conditions. We found that the autistic participants had more physical and mental health conditions than the non-autistic participants, but even when we took account of this, they experienced higher levels of somatic symptoms. We looked at which psychological factors influenced levels of somatic symptoms across the whole sample, and found that alexithymia, intolerance of uncertainty, having physical health problems, being female and the number of mental health conditions predicted somatic symptoms, while interoception and autism diagnosis did not. The findings suggest that people may be more likely to experience physical discomfort if they are female, and have difficulty identifying and expressing feeling and difficulty tolerating doubt. As these psychological factors are more prominent in autism, we think this is important for physical and mental health providers to know about, so that these psychological factors can be considered when assessing and treating autistic people. En ligne : https://doi.org/10.1177/13623613221109717 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=499

Collaborative competence in dialogue: Pragmatic language impairment as a window onto the psychopathology of autism / Fionnuala LARKIN in Research in Autism Spectrum Disorders, 43-44 (November 2017)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 43-44 (November 2017) . - p.27-39 Titre : Collaborative competence in dialogue: Pragmatic language impairment as a window onto the psychopathology of autism Type de document : Texte imprimé et/ou numérique Auteurs : Fionnuala LARKIN, Auteur ; Jessica Anne HOBSON, Auteur ; R. Peter HOBSON, Auteur ; Andrew TOLMIE, Auteur Article en page(s) : p.27-39 Langues : Anglais (eng) Mots-clés : Autism  Pragmatic language  Conversation  Identification  ADOS Index. décimale : PER Périodiques Résumé : AbstractBackground Pragmatic language, including conversational ability, can be difficult for people with autism. Difficulties with dialogue may reflect impairment in interpersonal engagement more than general language ability. Method We investigated conversational abilities among children and adolescents with and without autism (n = 18 per group) matched for language proficiency and productivity. Videotaped conversations from the Autism Diagnostic Observational Schedule (ADOS, Lord, Rutter, DiLavore, & Risi, 2001) were rated according to the Collaborative Competence in Dialogue (CCD) scale featuring six verbal and non-verbal ‘cues’ that conversational partners use to sustain dialogue. Results Participants with autism produced significantly fewer ‘typical’ communicative cues and more cues rated as intermittent or rote/stereotyped, even when non-verbal items (gaze) were removed from consideration. Within the autism group, competence in dialogue was not correlated with ‘general’ language ability, but was correlated with a measure of pragmatic ability. Conclusions Difficulties with collaboration in dialogue may mirror the intermittent or incomplete interpersonal engagement of children with autism. Implications Assessment of language ability in autism should include observation in unstructured social settings. En ligne : https://doi.org/10.1016/j.rasd.2017.09.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=327 [article] Collaborative competence in dialogue: Pragmatic language impairment as a window onto the psychopathology of autism [Texte imprimé et/ou numérique] / Fionnuala LARKIN, Auteur ; Jessica Anne HOBSON, Auteur ; R. Peter HOBSON, Auteur ; Andrew TOLMIE, Auteur . - p.27-39. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 43-44 (November 2017) . - p.27-39 Mots-clés : Autism  Pragmatic language  Conversation  Identification  ADOS Index. décimale : PER Périodiques Résumé : AbstractBackground Pragmatic language, including conversational ability, can be difficult for people with autism. Difficulties with dialogue may reflect impairment in interpersonal engagement more than general language ability. Method We investigated conversational abilities among children and adolescents with and without autism (n = 18 per group) matched for language proficiency and productivity. Videotaped conversations from the Autism Diagnostic Observational Schedule (ADOS, Lord, Rutter, DiLavore, & Risi, 2001) were rated according to the Collaborative Competence in Dialogue (CCD) scale featuring six verbal and non-verbal ‘cues’ that conversational partners use to sustain dialogue. Results Participants with autism produced significantly fewer ‘typical’ communicative cues and more cues rated as intermittent or rote/stereotyped, even when non-verbal items (gaze) were removed from consideration. Within the autism group, competence in dialogue was not correlated with ‘general’ language ability, but was correlated with a measure of pragmatic ability. Conclusions Difficulties with collaboration in dialogue may mirror the intermittent or incomplete interpersonal engagement of children with autism. Implications Assessment of language ability in autism should include observation in unstructured social settings. En ligne : https://doi.org/10.1016/j.rasd.2017.09.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=327

How does restricted and repetitive behavior relate to language and cognition in typical development? / Fionnuala LARKIN in Development and Psychopathology, 29-3 (August 2017)  

Public ISBD [article]  inDevelopment and Psychopathology > 29-3 (August 2017) . - p.863-874 Titre : How does restricted and repetitive behavior relate to language and cognition in typical development? Type de document : Texte imprimé et/ou numérique Auteurs : Fionnuala LARKIN, Auteur ; Elizabeth MEINS, Auteur ; Luna C. M. CENTIFANTI, Auteur ; Charles FERNYHOUGH, Auteur ; Susan R. LEEKAM, Auteur Article en page(s) : p.863-874 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Abstract Relations between restricted and repetitive behavior at age 26 months and children's concurrent (N = 203) and later (n = 161) social cognition and language development were investigated. Restricted and repetitive behavior was assessed using two scales: sensory and motor repetitive behaviors and rigidity/routines/restricted interests. Language was assessed at ages 26 and 51 months; social cognition was assessed at ages 26 (symbolic play) and 51 and 61 months (theory of mind). Sensory and motor repetitive behavior was negatively related to children's (a) language performance at 26 and 51 months, (b) instructed symbolic play at 26 months, and (c) theory of mind performance at 51 and 61 months. Path analyses showed that children's sensory and motor repetitive behavior at age 26 months was related to lower receptive verbal ability and theory of mind at 51 months, which led to lower theory of mind at 61 months. Rigidity/routines/restricted interests at 26 months were unrelated to concurrent and later social cognition and language. These results are discussed in terms of the pathways via which sensory and motor repetitive behavior might impact negatively on development. En ligne : http://dx.doi.org/10.1017/s0954579416000535 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=311 [article] How does restricted and repetitive behavior relate to language and cognition in typical development? [Texte imprimé et/ou numérique] / Fionnuala LARKIN, Auteur ; Elizabeth MEINS, Auteur ; Luna C. M. CENTIFANTI, Auteur ; Charles FERNYHOUGH, Auteur ; Susan R. LEEKAM, Auteur . - p.863-874. Langues : Anglais (eng) in Development and Psychopathology > 29-3 (August 2017) . - p.863-874 Index. décimale : PER Périodiques Résumé : Abstract Relations between restricted and repetitive behavior at age 26 months and children's concurrent (N = 203) and later (n = 161) social cognition and language development were investigated. Restricted and repetitive behavior was assessed using two scales: sensory and motor repetitive behaviors and rigidity/routines/restricted interests. Language was assessed at ages 26 and 51 months; social cognition was assessed at ages 26 (symbolic play) and 51 and 61 months (theory of mind). Sensory and motor repetitive behavior was negatively related to children's (a) language performance at 26 and 51 months, (b) instructed symbolic play at 26 months, and (c) theory of mind performance at 51 and 61 months. Path analyses showed that children's sensory and motor repetitive behavior at age 26 months was related to lower receptive verbal ability and theory of mind at 51 months, which led to lower theory of mind at 61 months. Rigidity/routines/restricted interests at 26 months were unrelated to concurrent and later social cognition and language. These results are discussed in terms of the pathways via which sensory and motor repetitive behavior might impact negatively on development. En ligne : http://dx.doi.org/10.1017/s0954579416000535 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=311

Mental Health Professionals' Experiences of Adapting Mental Health Interventions for Autistic Adults: A Systematic Review and Thematic Synthesis / Fionnuala LARKIN ; Sarah FOLEY in Journal of Autism and Developmental Disorders, 54-7 (July 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-7 (July 2024) . - p.2484-2501 Titre : Mental Health Professionals' Experiences of Adapting Mental Health Interventions for Autistic Adults: A Systematic Review and Thematic Synthesis Type de document : Texte imprimé et/ou numérique Auteurs : Fionnuala LARKIN, Auteur ; Sarah FOLEY, Auteur Article en page(s) : p.2484-2501 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Autistic adults experience high rates of metal health difficulties and face significant barriers to accessing appropriate mental health care. Empirical research and recent professional guidelines emphasise the importance of modifying standard mental health interventions to best meet the needs of autistic adults. This systematic review explored mental health professionals' experiences of adapting mental health interventions for autistic adults. A systematic search was conducted on CINAHL, PsychINFO, PubMed, Scopus, and Web of Science in July 2022. The findings from 13 identified studies were synthesised using thematic synthesis. Three major analytical themes were generated, the unique experience of adapting interventions for autistic clients, factors which facilitate successful adaptations, and challenges to adapting interventions. Each theme contained a number of subsequent sub-themes. Professionals view the process of adapting interventions to be a highly individualised process. A range of personal traits, professional experiences, and systemic, service-based issues were identified in facilitating or challenging this individualised process. Further research regarding adaptations with different intervention models and increased supportive resources are required to enable professionals to successfully adapt interventions for autistic adult clients. En ligne : https://doi.org/10.1007/s10803-023-06006-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=533 [article] Mental Health Professionals' Experiences of Adapting Mental Health Interventions for Autistic Adults: A Systematic Review and Thematic Synthesis [Texte imprimé et/ou numérique] / Fionnuala LARKIN, Auteur ; Sarah FOLEY, Auteur . - p.2484-2501. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 54-7 (July 2024) . - p.2484-2501 Index. décimale : PER Périodiques Résumé : Autistic adults experience high rates of metal health difficulties and face significant barriers to accessing appropriate mental health care. Empirical research and recent professional guidelines emphasise the importance of modifying standard mental health interventions to best meet the needs of autistic adults. This systematic review explored mental health professionals' experiences of adapting mental health interventions for autistic adults. A systematic search was conducted on CINAHL, PsychINFO, PubMed, Scopus, and Web of Science in July 2022. The findings from 13 identified studies were synthesised using thematic synthesis. Three major analytical themes were generated, the unique experience of adapting interventions for autistic clients, factors which facilitate successful adaptations, and challenges to adapting interventions. Each theme contained a number of subsequent sub-themes. Professionals view the process of adapting interventions to be a highly individualised process. A range of personal traits, professional experiences, and systemic, service-based issues were identified in facilitating or challenging this individualised process. Further research regarding adaptations with different intervention models and increased supportive resources are required to enable professionals to successfully adapt interventions for autistic adult clients. En ligne : https://doi.org/10.1007/s10803-023-06006-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=533

Mind-Mindedness and Stress in Parents of Children with Developmental Disorders / Fionnuala LARKIN in Journal of Autism and Developmental Disorders, 51-2 (February 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-2 (February 2021) . - p.600-612 Titre : Mind-Mindedness and Stress in Parents of Children with Developmental Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Fionnuala LARKIN, Auteur ; Marianna E. HAYIOU-THOMAS, Auteur ; Zaynah ARSHAD, Auteur ; Matthew LEONARD, Auteur ; Frances J. WILLIAMS, Auteur ; Nicoletta KATSENIOU, Auteur ; Rania N. MALOUTA, Auteur ; Charlotte R. P. MARSHALL, Auteur ; Maria DIAMANTOPOULOU, Auteur ; Etonia TANG, Auteur ; Sneha MANI, Auteur ; Elizabeth MEINS, Auteur Article en page(s) : p.600-612 Langues : Anglais (eng) Mots-clés : Developmental disorders  Mind-mindedness  Parental attributions  Parenting stress Index. décimale : PER Périodiques Résumé : Relations between mind-mindedness (assessed using the describe-your-child interview) and stress were investigated in parents of children with developmental disorders (ADHD, n?=?51, ASD, n?=?23, Down's Syndrome, n?=?38, and 22q11.2 Deletion Syndrome, 22q11.2DS, n?=?32) and typically-developing children (n?=?89). Mind-mindedness did not differ across diagnostic groups, and mind-mindedness predicted parenting stress across groups. Parenting stress was lowest in the typically-developing and Down's Syndrome groups. Across all groups, mind-minded and positive descriptions predicted lower parenting stress, and negative descriptions predicted higher stress. In the developmental disorder groups, describing the children with reference to their disorder was negatively correlated with mind-mindedness. Results are discussed with regard to interventions for families where children have developmental disorders. En ligne : http://dx.doi.org/10.1007/s10803-020-04570-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=440 [article] Mind-Mindedness and Stress in Parents of Children with Developmental Disorders [Texte imprimé et/ou numérique] / Fionnuala LARKIN, Auteur ; Marianna E. HAYIOU-THOMAS, Auteur ; Zaynah ARSHAD, Auteur ; Matthew LEONARD, Auteur ; Frances J. WILLIAMS, Auteur ; Nicoletta KATSENIOU, Auteur ; Rania N. MALOUTA, Auteur ; Charlotte R. P. MARSHALL, Auteur ; Maria DIAMANTOPOULOU, Auteur ; Etonia TANG, Auteur ; Sneha MANI, Auteur ; Elizabeth MEINS, Auteur . - p.600-612. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-2 (February 2021) . - p.600-612 Mots-clés : Developmental disorders  Mind-mindedness  Parental attributions  Parenting stress Index. décimale : PER Périodiques Résumé : Relations between mind-mindedness (assessed using the describe-your-child interview) and stress were investigated in parents of children with developmental disorders (ADHD, n?=?51, ASD, n?=?23, Down's Syndrome, n?=?38, and 22q11.2 Deletion Syndrome, 22q11.2DS, n?=?32) and typically-developing children (n?=?89). Mind-mindedness did not differ across diagnostic groups, and mind-mindedness predicted parenting stress across groups. Parenting stress was lowest in the typically-developing and Down's Syndrome groups. Across all groups, mind-minded and positive descriptions predicted lower parenting stress, and negative descriptions predicted higher stress. In the developmental disorder groups, describing the children with reference to their disorder was negatively correlated with mind-mindedness. Results are discussed with regard to interventions for families where children have developmental disorders. En ligne : http://dx.doi.org/10.1007/s10803-020-04570-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=440

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