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HDI 600 ASD and Co-Occurring Anxiety

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Alyssa Diefenthaler

on 7 December 2012

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Transcript of HDI 600 ASD and Co-Occurring Anxiety

Alyssa Diefenthaler Autism Spectrum Disorders and Co-Occurring Anxiety Introduction Youth with ASD at increased risk for developing mental health conditions -> anxiety
Effects abilities in multiple settings:
Home
School
Community
Impact of anxiety on individuals with ASD:
Social inappropriateness
Repetitive questioning
Ritualized behavior Overview Autism Comorbidity Anxiety is more common in children with ASD
30% of youth with ASD experience anxiety
Most literature has focused on physiology sensations
Agitation to disrupted routine
Low frustration tolerance
Sensory sensitivities (found in over half)
Physiologial hyperarousal
Panic Social Functioning Implications Important to examine because of social deficits present in those with ASD
Relationship between anxiety and peer relationships
Adverse peer interactions/peer rejection increases risk for social anxiety
Negative peer interactions may lead to social anxiety and withdrawal
Exclusion
Rejection Treatment Implications Research shows that pharmacological and psychosocial interventions may reduce impact of mental health conditions in individuals with DD including those with ASD
Anxiety has been reduced after Cognitive Behavioral Therapy (CBT) interventions were used
Modifying therapy procedures is best when addressing those with DD and specifically ASD
Visual and concrete approach is more effective References Bellini, S. (2004). Social skill deficits and anxiety in high-functioning
adolescents with autism
spectrum disorders. Focus on Autism and Other Developmental Disabilities,19, 78-86.
Reaven, J.A. (2009). Children with high-functioning autism spectrum
disorders and co-occurring
anxiety symptoms: Implications for assessment and treatment. Journal for Specialists in
Pediatric Nursing, 14, 192-199.
Reaven, J.A., Blakeley-Smith, A., Culhane-Shelburne, K. & Hepburn, S.
(2012). Group
cognitive behavior therapy for children with high functioning autism spectrum disorders
and anxiety: a randomized trial. Journal of Child Psychology and Psychiatry, 53, 410
419. doi: 10.1111/j.1469-7610.2011.024686.x. Affects as many as 1 of every 91 youth in United States
Characterized by:
Communicative deficits
Repetitive Behaviors Anxiety Effects 10% to 20% of children and is most common form of psychopathology in childhood
Signals:
Lack of self-assurance
Sense of threat
Complex and uncomfortable physical arousal, emotional sensation and cognitive thoughts References White, S.W., Ollendick, T., Scahill, L., Oswald, D., & Albano, A.M. (2009).
Preliminary
efficacy of a cognitive-behavioral treatment program for anxious youth with autism
spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1652-1662. doi: 10.1007/s10803-009-0801-9.
Wood, J.J. & Gadow, K.D. (2010). Exploring the nature and
function of anxiety in youth
with autism spectrum disorders. Clinical Psychology: Science and Practice, 17,
281-292.
Green, S.A., & Ben-Sasson, A. (2010). Anxiety disorders and sensory
over-responsivity in
children with autism spectrum disorders: Is there a causal relationship? Journal of Autism
and Developmental Disabilities, 40, 1495-1504. doi: 10:1007/s10803-010-1007-x.
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