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Is cognitive inflexibility a missing link? The role of cognitive inflexibility, alexithymia and intolerance of uncertainty in externalising and internalising behaviours in young people with autism spectrum disorder / A. OZSIVADJIAN in Journal of Child Psychology and Psychiatry, 62-6 (June 2021)
[article]
Titre : Is cognitive inflexibility a missing link? The role of cognitive inflexibility, alexithymia and intolerance of uncertainty in externalising and internalising behaviours in young people with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : A. OZSIVADJIAN, Auteur ; M. J. HOLLOCKS, Auteur ; I. MAGIATI, Auteur ; Francesca HAPPE, Auteur ; Gillian BAIRD, Auteur ; M. ABSOUD, Auteur Article en page(s) : p.715-724 Langues : Anglais (eng) Mots-clés : Adolescent Affective Symptoms Autism Spectrum Disorder Cognition Humans Longitudinal Studies Quality of Life Uncertainty Autism alexithymia anxiety autistic emotional regulation externalising inflexibility internalising intolerance of uncertainty mechanism mediator Index. décimale : PER Périodiques Résumé : BACKGROUND: Internalising (anxiety and low mood) and externalising (aggressive or outburst behaviours, and irritability) difficulties are very common in autism spectrum disorder (ASD) across the life span, relatively stable over time and often associated with poorer quality of life. Understanding the cognitive mechanisms underlying internalising and externalising difficulties in ASD is essential for developing targeted supports and interventions. In the present study, we investigated established and less-researched cognitive factors hypothesised to contribute to internalising and/or externalising difficulties in ASD, namely cognitive inflexibility (CI), intolerance of uncertainty (IU) and alexithymia. Based on previous models and clinical experience, we hypothesised that IU would lead to internalising symptoms, with alexithymia contributing to this pathway, and that CI would have a direct effect on externalising behaviours and may indirectly contribute to internalising symptoms via increasing IU. METHODS: Our sample consisted of 95 5- to 18-year-olds presenting to a specialist neurodevelopmental clinic and receiving a diagnosis of ASD. Parents/caregivers completed questionnaires assessing ASD symptomatology, internalising and externalising difficulties, CI, IU and alexithymia. Structural equation modelling was used to examine the hypothesised pathways and relationships between the main variables of interest. RESULTS: Cognitive Inflexibility played a significant direct role in the pathway from ASD symptoms to externalising symptoms in ASD, and indirect role via IU in the pathway to internalising problems. Relationships between alexithymia and both internalising and externalising symptoms were weaker, with alexithymia predicting internalising difficulties via IU only. CONCLUSIONS: The finding of a direct pathway from CI to externalising behaviours is novel, as is the indirect role of CI in internalising symptomatology. Of the three cognitive mechanisms examined, only CI significantly predicted externalising symptoms. Possible implications for interventions and supports targeting these cognitive processes in ASD are discussed. En ligne : http://dx.doi.org/10.1111/jcpp.13295 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456
in Journal of Child Psychology and Psychiatry > 62-6 (June 2021) . - p.715-724[article] Is cognitive inflexibility a missing link? The role of cognitive inflexibility, alexithymia and intolerance of uncertainty in externalising and internalising behaviours in young people with autism spectrum disorder [Texte imprimé et/ou numérique] / A. OZSIVADJIAN, Auteur ; M. J. HOLLOCKS, Auteur ; I. MAGIATI, Auteur ; Francesca HAPPE, Auteur ; Gillian BAIRD, Auteur ; M. ABSOUD, Auteur . - p.715-724.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 62-6 (June 2021) . - p.715-724
Mots-clés : Adolescent Affective Symptoms Autism Spectrum Disorder Cognition Humans Longitudinal Studies Quality of Life Uncertainty Autism alexithymia anxiety autistic emotional regulation externalising inflexibility internalising intolerance of uncertainty mechanism mediator Index. décimale : PER Périodiques Résumé : BACKGROUND: Internalising (anxiety and low mood) and externalising (aggressive or outburst behaviours, and irritability) difficulties are very common in autism spectrum disorder (ASD) across the life span, relatively stable over time and often associated with poorer quality of life. Understanding the cognitive mechanisms underlying internalising and externalising difficulties in ASD is essential for developing targeted supports and interventions. In the present study, we investigated established and less-researched cognitive factors hypothesised to contribute to internalising and/or externalising difficulties in ASD, namely cognitive inflexibility (CI), intolerance of uncertainty (IU) and alexithymia. Based on previous models and clinical experience, we hypothesised that IU would lead to internalising symptoms, with alexithymia contributing to this pathway, and that CI would have a direct effect on externalising behaviours and may indirectly contribute to internalising symptoms via increasing IU. METHODS: Our sample consisted of 95 5- to 18-year-olds presenting to a specialist neurodevelopmental clinic and receiving a diagnosis of ASD. Parents/caregivers completed questionnaires assessing ASD symptomatology, internalising and externalising difficulties, CI, IU and alexithymia. Structural equation modelling was used to examine the hypothesised pathways and relationships between the main variables of interest. RESULTS: Cognitive Inflexibility played a significant direct role in the pathway from ASD symptoms to externalising symptoms in ASD, and indirect role via IU in the pathway to internalising problems. Relationships between alexithymia and both internalising and externalising symptoms were weaker, with alexithymia predicting internalising difficulties via IU only. CONCLUSIONS: The finding of a direct pathway from CI to externalising behaviours is novel, as is the indirect role of CI in internalising symptomatology. Of the three cognitive mechanisms examined, only CI significantly predicted externalising symptoms. Possible implications for interventions and supports targeting these cognitive processes in ASD are discussed. En ligne : http://dx.doi.org/10.1111/jcpp.13295 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 Observational measures of early irritability predict children's psychopathology risk / Ola MOHAMED ALI in Development and Psychopathology, 34-4 (October 2022)
[article]
Titre : Observational measures of early irritability predict children's psychopathology risk Type de document : Texte imprimé et/ou numérique Auteurs : Ola MOHAMED ALI, Auteur ; Lindsay N. GABEL, Auteur ; Kasey STANTON, Auteur ; Erin A. KAUFMAN, Auteur ; Daniel N. KLEIN, Auteur ; Elizabeth P. HAYDEN, Auteur Article en page(s) : p.1531-1543 Langues : Anglais (eng) Mots-clés : Affective Symptoms Anger Child Child, Preschool Female Humans Irritable Mood Mood Disorders Psychopathology children development irritability measurement observational parent report Index. décimale : PER Périodiques Résumé : Irritability is a transdiagnostic feature of diverse forms of psychopathology and a rapidly growing literature implicates the construct in child maladaptation. However, most irritability measures currently used are drawn from parent-report questionnaires not designed to measure irritability per se; furthermore, parent report methods have several important limitations. We therefore examined the utility of observational ratings of children's irritability in predicting later psychopathology symptoms. Four-hundred and nine 3-year-old children (208 girls) completed observational tasks tapping temperamental emotionality and parents completed questionnaires assessing child irritability and anger. Parent-reported child psychopathology symptoms were assessed concurrently to the irritability assessment and when children were 5 and 8 years old. Children's irritability observed during tasks that did not typically elicit anger predicted their later depressive and hyperactivity symptoms, above and beyond parent-reported irritability and context-appropriate observed anger. Our findings support the use of observational indices of irritability and have implications for the development of observational paradigms designed to assess this construct in childhood. En ligne : http://dx.doi.org/10.1017/s0954579421000183 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=489
in Development and Psychopathology > 34-4 (October 2022) . - p.1531-1543[article] Observational measures of early irritability predict children's psychopathology risk [Texte imprimé et/ou numérique] / Ola MOHAMED ALI, Auteur ; Lindsay N. GABEL, Auteur ; Kasey STANTON, Auteur ; Erin A. KAUFMAN, Auteur ; Daniel N. KLEIN, Auteur ; Elizabeth P. HAYDEN, Auteur . - p.1531-1543.
Langues : Anglais (eng)
in Development and Psychopathology > 34-4 (October 2022) . - p.1531-1543
Mots-clés : Affective Symptoms Anger Child Child, Preschool Female Humans Irritable Mood Mood Disorders Psychopathology children development irritability measurement observational parent report Index. décimale : PER Périodiques Résumé : Irritability is a transdiagnostic feature of diverse forms of psychopathology and a rapidly growing literature implicates the construct in child maladaptation. However, most irritability measures currently used are drawn from parent-report questionnaires not designed to measure irritability per se; furthermore, parent report methods have several important limitations. We therefore examined the utility of observational ratings of children's irritability in predicting later psychopathology symptoms. Four-hundred and nine 3-year-old children (208 girls) completed observational tasks tapping temperamental emotionality and parents completed questionnaires assessing child irritability and anger. Parent-reported child psychopathology symptoms were assessed concurrently to the irritability assessment and when children were 5 and 8 years old. Children's irritability observed during tasks that did not typically elicit anger predicted their later depressive and hyperactivity symptoms, above and beyond parent-reported irritability and context-appropriate observed anger. Our findings support the use of observational indices of irritability and have implications for the development of observational paradigms designed to assess this construct in childhood. En ligne : http://dx.doi.org/10.1017/s0954579421000183 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=489 Individuals with Autistic Traits Exhibit Heightened Alexithymia But Intact Interoceptive-Exteroceptive Sensory Integration / Han-Xue YANG in Journal of Autism and Developmental Disorders, 52-7 (July 2022)
[article]
Titre : Individuals with Autistic Traits Exhibit Heightened Alexithymia But Intact Interoceptive-Exteroceptive Sensory Integration Type de document : Texte imprimé et/ou numérique Auteurs : Han-Xue YANG, Auteur ; Han-Yu ZHOU, Auteur ; Hong ZHENG, Auteur ; Yi WANG, Auteur ; Yan-Yu WANG, Auteur ; Simon S. Y. LUI, Auteur ; Raymond C. K. CHAN, Auteur Article en page(s) : p.3142-3152 Langues : Anglais (eng) Mots-clés : Adolescent Affective Symptoms Autism Spectrum Disorder Autistic Disorder Heart Rate Humans Interoception Sensation Alexithymia Attention switching Autism spectrum disorders Index. décimale : PER Périodiques Résumé : Interoceptive accuracy has been widely measured using the Heartbeat Tracking Test (HTT). We devised the novel paradigm of Interoception-Exteroception Synchronicity Judgement (IESJ) task to assess participants' interoceptive accuracy, exteroceptive accuracy, and the balancing score which reflected the ability to allocate attentions between interoceptive and exteroceptive signals. This study administered the behavioural paradigms of the HTT and the IESJ as well as other self-report scales to 119 typically-developing youths. Individuals with lower autistic traits (n=30) showed comparable interoceptive accuracy, exteroceptive accuracy, and balancing scores as their higher autistic traits counterparts (n=33). Taken together, the high autistic traits subgroup exhibited higher levels of alexithymia but not empathy or interoception than the low autistic traits subgroup. En ligne : http://dx.doi.org/10.1007/s10803-021-05199-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477
in Journal of Autism and Developmental Disorders > 52-7 (July 2022) . - p.3142-3152[article] Individuals with Autistic Traits Exhibit Heightened Alexithymia But Intact Interoceptive-Exteroceptive Sensory Integration [Texte imprimé et/ou numérique] / Han-Xue YANG, Auteur ; Han-Yu ZHOU, Auteur ; Hong ZHENG, Auteur ; Yi WANG, Auteur ; Yan-Yu WANG, Auteur ; Simon S. Y. LUI, Auteur ; Raymond C. K. CHAN, Auteur . - p.3142-3152.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-7 (July 2022) . - p.3142-3152
Mots-clés : Adolescent Affective Symptoms Autism Spectrum Disorder Autistic Disorder Heart Rate Humans Interoception Sensation Alexithymia Attention switching Autism spectrum disorders Index. décimale : PER Périodiques Résumé : Interoceptive accuracy has been widely measured using the Heartbeat Tracking Test (HTT). We devised the novel paradigm of Interoception-Exteroception Synchronicity Judgement (IESJ) task to assess participants' interoceptive accuracy, exteroceptive accuracy, and the balancing score which reflected the ability to allocate attentions between interoceptive and exteroceptive signals. This study administered the behavioural paradigms of the HTT and the IESJ as well as other self-report scales to 119 typically-developing youths. Individuals with lower autistic traits (n=30) showed comparable interoceptive accuracy, exteroceptive accuracy, and balancing scores as their higher autistic traits counterparts (n=33). Taken together, the high autistic traits subgroup exhibited higher levels of alexithymia but not empathy or interoception than the low autistic traits subgroup. En ligne : http://dx.doi.org/10.1007/s10803-021-05199-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477