학술논문

Exploring the Manifestations of Anxiety in Children with Autism Spectrum Disorders
Document Type
article
Source
Journal of Autism and Developmental Disorders. 43(10)
Subject
Biological Psychology
Clinical and Health Psychology
Social and Personality Psychology
Psychology
Behavioral and Social Science
Brain Disorders
Autism
Clinical Research
Intellectual and Developmental Disabilities (IDD)
Pediatric
Basic Behavioral and Social Science
Mental Health
Mental health
Adolescent
Anxiety
Child
Child Development Disorders
Pervasive
Child
Preschool
Female
Humans
Language Development
Male
Autism spectrum disorders
Measurement
Clinical Trials
Education
Psychology and Cognitive Sciences
Developmental & Child Psychology
Health sciences
Language
Abstract
This study explores the manifestation and measurement of anxiety symptoms in 415 children with ASDs on a 20-item, parent-rated, DSM-IV referenced anxiety scale. In both high and low-functioning children (IQ above vs. below 70), commonly endorsed items assessed restlessness, tension and sleep difficulties. Items requiring verbal expression of worry by the child were rarely endorsed. Higher anxiety was associated with functional language, IQ above 70 and higher scores on several other behavioral measures. Four underlying factors emerged: Generalized Anxiety, Separation Anxiety, Social Anxiety and Over-arousal. Our findings extend our understanding of anxiety across IQ in ASD and provide guidance for improving anxiety outcome measurement.