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10-05-2016 | Original Paper

A Comparison Between Caregiver-Reported Anxiety and Other Emotional and Behavioral Difficulties in Children and Adolescents with Autism Spectrum Disorders Attending Specialist or Mainstream Schools

Auteurs: Hani Zainal, Iliana Magiati

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 7/2019

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Abstract

Increasing numbers of students with Autism Spectrum Disorder (ASD) are attending mainstream schools. Nonetheless, concerns about their emotional well-being and mental health in these settings have also been raised. This study sought to compare caregiver-reported anxiety and other emotional and behavioural problems in youth with ASD attending mainstream or specialist schools. Caregivers of 27 youth with ASD in mainstream schools (age 10.91 ± 3.44 years) and 69 youth with ASD in special schools (age 10.93 ± 2.81 years) matched for gender, age, adaptive functioning and autism symptom severity scores participated. Caregivers completed the Spence Children’s Anxiety Scale–Parent, a measure of adaptive functioning, and a checklist of other emotional and behavioral difficulties. Students with ASD attending mainstream schools experienced higher levels of social anxiety symptoms compared to their specialist school counterparts. No other statistically significant differences were found in other aspects of emotional and behavioural functioning examined, but some differences emerged in item-level analyses. Uncertainties in navigating more complex social environments and increased social relating difficulties in mainstream schools are discussed as probable environmental triggers for increased social phobia related symptomatology, although other explanations for this small effect size difference are also considered. Limitations of the present study and recommendations for future research focusing on exploring environmental socio-ecological factors influencing anxiety and mental health in young people with ASD are also discussed.
Voetnoten
1
It should be noted that the majority of the children and adolescents with ASD in Singapore are diagnosed in the country’s two leading public child development units (0–7 years) or at the Child Guidance Clinic for 7–18 year olds (see Table 1). These are staffed by qualified and trained multi-disciplinary teams employing DSM-IV-TR (American Psychiatric Association 2000), DSM-5 (American Psychiatric Association 2013), or ICD-10 (World Health Organization 2011) diagnostic criteria and adhering to evidence-based ASD assessment practices (i.e. Ministry of Health 2010; Moh and Magiati 2012).
 
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Metagegevens
Titel
A Comparison Between Caregiver-Reported Anxiety and Other Emotional and Behavioral Difficulties in Children and Adolescents with Autism Spectrum Disorders Attending Specialist or Mainstream Schools
Auteurs
Hani Zainal
Iliana Magiati
Publicatiedatum
10-05-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 7/2019
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-016-2792-7