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28-12-2022 | Original Article

Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation

Auteurs: Allie N. Townsend, Andrew G. Guzick, Alyssa G. Hertz, Connor M. Kerns, Wayne K. Goodman, Leandra N. Berry, Philip C. Kendall, Jeffrey J. Wood, Eric A. Storch

Gepubliceerd in: Child Psychiatry & Human Development

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Abstract

Anger outbursts (AO) are associated with severe symptoms, impairment and poorer treatment outcomes for anxious children, though limited research has examined AO in youth with co-occurring autism and anxiety disorders. This study examined AO in children with autism and anxiety by evaluating clinical characteristics, family accommodation, and changes in AO following anxiety-focused treatment. The sample comprised 167 youth with autism and anxiety enrolled in a multi-site randomized clinical trial comparing standard care CBT for anxiety, CBT adapted for youth with autism, and usual care. Most participants (60%) had AO, which contributed to impairment above and beyond anxiety and autism. AO impacted functional impairment indirectly through a pathway of parental accommodation. AO reduced with anxiety-focused treatment. Findings highlight that AO are common in this population and uniquely contribute to functional impairment, indicating a need for direct targeting in treatment.
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Voetnoten
1
This paper includes a variety of terminology to encompass autism spectrum disorder in an attempt to capture all term preferences.
 
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Metagegevens
Titel
Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation
Auteurs
Allie N. Townsend
Andrew G. Guzick
Alyssa G. Hertz
Connor M. Kerns
Wayne K. Goodman
Leandra N. Berry
Philip C. Kendall
Jeffrey J. Wood
Eric A. Storch
Publicatiedatum
28-12-2022
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-022-01489-3