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15-07-2023 | Original Paper

Autistic Symptoms, Irritability, and Executive Dysfunctions: Symptom Dynamics from Multi-Network Models

Auteurs: Ka Shu Lee, Susan Shur-Fen Gau, Wan-Ling Tseng

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 8/2024

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Abstract

Socio-cognitive difficulties in individuals with autism spectrum disorder (ASD) are heterogenuous and often co-occur with irritability symptoms, such as angry/grouchy mood and temper outbursts. However, the specific relations between individual symptoms are not well-represented in conventional methods analyzing aggregated autistic symptoms and ASD diagnosis. Moreover, the cognitive-behavioral mechanisms linking ASD to irritability are largely unknown. This study investigated the dynamics between autistic (Social Responsiveness Scale) and irritability (Affective Reactivity Index) symptoms and executive functions (Cambridge Neuropsychological Test Automated Battery) in a sample of children and adolescents with ASD, their unaffected siblings, and neurotypical peers (N = 345, aged 6–18 years, 78.6% male). Three complementary networks across the entire sample were computed: (1) Gaussian graphical network estimating the conditional correlations between symptom nodes; (2) Relative importance network computing relative influence between symptoms; (3) Bayesian directed acyclic graph estimating predictive directionality between symptoms. Networks revealed numerous partial correlations within autistic (rs = .07–.56) and irritability (rs = .01–.45) symptoms and executive functions (rs = −.83 to .67) but weak connections between clusters. This segregated pattern converged in all directed and supplementary networks. Plausible predictive paths were found between social communication difficulties to autism mannerisms and between “angry frequently” to “lose temper easily.” Autistic and irritability symptoms are two relatively independent families of symptoms. It is unlikely that executive dysfunctions explain elevated irritability in ASD. Findings underscore the need for researching other mood and cognitive-behavioral bridge symptoms, which may inform individualized treatments for co-occurring irritability in ASD.
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Literatuur
go back to reference Borsboom, D., Deserno, M. K., Rhemtulla, M., Epskamp, S., Fried, E. I., McNally, R. J., Robinaugh, D. J., Perugini, M., Dalege, J., Costantini, G., Isvoranu, A.-M., Wysocki, A. C., van Borkulo, C. D., van Bork, R., & Waldorp, L. J. (2021). Network analysis of multivariate data in psychological science. Nature Reviews Methods Primers. https://doi.org/10.1038/s43586-021-00055-wCrossRef Borsboom, D., Deserno, M. K., Rhemtulla, M., Epskamp, S., Fried, E. I., McNally, R. J., Robinaugh, D. J., Perugini, M., Dalege, J., Costantini, G., Isvoranu, A.-M., Wysocki, A. C., van Borkulo, C. D., van Bork, R., & Waldorp, L. J. (2021). Network analysis of multivariate data in psychological science. Nature Reviews Methods Primers. https://​doi.​org/​10.​1038/​s43586-021-00055-wCrossRef
go back to reference Cardinale, E. M., Bezek, J., Morales, S., Filippi, C., Smith, A. R., Haller, S., Valadez, E. A., Harrewijn, A., Phillips, D., Chronis-Tuscano, A., Brotman, M. A., Fox, N. A., Pine, D. S., Leibenluft, E., & Kircanski, K. (2022). Cross-sectional and longitudinal associations of anxiety and irritability with adolescents’ neural responses to cognitive conflict. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging. https://doi.org/10.1016/j.bpsc.2022.03.007CrossRefPubMed Cardinale, E. M., Bezek, J., Morales, S., Filippi, C., Smith, A. R., Haller, S., Valadez, E. A., Harrewijn, A., Phillips, D., Chronis-Tuscano, A., Brotman, M. A., Fox, N. A., Pine, D. S., Leibenluft, E., & Kircanski, K. (2022). Cross-sectional and longitudinal associations of anxiety and irritability with adolescents’ neural responses to cognitive conflict. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging. https://​doi.​org/​10.​1016/​j.​bpsc.​2022.​03.​007CrossRefPubMed
go back to reference Carter Leno, V., Chandler, S., White, P., Pickles, A., Baird, G., Hobson, C., Smith, A. B., Charman, T., Rubia, K., & Simonoff, E. (2018). Testing the specificity of executive functioning impairments in adolescents with ADHD, ODD/CD and ASD. European Child & Adolescent Psychiatry, 27(7), 899–908. https://doi.org/10.1007/s00787-017-1089-5CrossRef Carter Leno, V., Chandler, S., White, P., Pickles, A., Baird, G., Hobson, C., Smith, A. B., Charman, T., Rubia, K., & Simonoff, E. (2018). Testing the specificity of executive functioning impairments in adolescents with ADHD, ODD/CD and ASD. European Child & Adolescent Psychiatry, 27(7), 899–908. https://​doi.​org/​10.​1007/​s00787-017-1089-5CrossRef
go back to reference Chiang, H.-L., Kao, W.-C., Chou, M.-C., Chou, W.-J., Chiu, Y.-N., Wu, Y.-Y., & Gau, S.S.-F. (2018). School dysfunction in youth with autistic spectrum disorder in Taiwan: The effect of subtype and ADHD: School dysfunction in ASD subtype. Autism Research: Official Journal of the International Society for Autism Research, 11(6), 857–869. https://doi.org/10.1002/aur.1923CrossRefPubMed Chiang, H.-L., Kao, W.-C., Chou, M.-C., Chou, W.-J., Chiu, Y.-N., Wu, Y.-Y., & Gau, S.S.-F. (2018). School dysfunction in youth with autistic spectrum disorder in Taiwan: The effect of subtype and ADHD: School dysfunction in ASD subtype. Autism Research: Official Journal of the International Society for Autism Research, 11(6), 857–869. https://​doi.​org/​10.​1002/​aur.​1923CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Erlbaum.
go back to reference Constantino, J. N., Davis, S. A., Todd, R. D., Schindler, M. K., Gross, M. M., Brophy, S. L., Metzger, L. M., Shoushtari, C. S., Splinter, R., & Reich, W. (2003). Validation of a brief quantitative measure of autistic traits: Comparison of the social responsiveness scale with the autism diagnostic interview-revised. Journal of Autism and Developmental Disorders, 33(4), 427–433. https://doi.org/10.1023/a:1025014929212CrossRefPubMed Constantino, J. N., Davis, S. A., Todd, R. D., Schindler, M. K., Gross, M. M., Brophy, S. L., Metzger, L. M., Shoushtari, C. S., Splinter, R., & Reich, W. (2003). Validation of a brief quantitative measure of autistic traits: Comparison of the social responsiveness scale with the autism diagnostic interview-revised. Journal of Autism and Developmental Disorders, 33(4), 427–433. https://​doi.​org/​10.​1023/​a:​1025014929212CrossRefPubMed
go back to reference Farhat, L. C., Brentani, H., de Toledo, V. H. C., Shephard, E., Mattos, P., Baron-Cohen, S., Thapar, A., Casella, E., & Polanczyk, G. V. (2022). ADHD and autism symptoms in youth: A network analysis. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 63(2), 143–151. https://doi.org/10.1111/jcpp.13436CrossRefPubMed Farhat, L. C., Brentani, H., de Toledo, V. H. C., Shephard, E., Mattos, P., Baron-Cohen, S., Thapar, A., Casella, E., & Polanczyk, G. V. (2022). ADHD and autism symptoms in youth: A network analysis. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 63(2), 143–151. https://​doi.​org/​10.​1111/​jcpp.​13436CrossRefPubMed
go back to reference Grömping, U. (2006). Relative importance for linear regression in R: The package relaimpo. Journal of Statistical Software, 17(1), 139–147.CrossRef Grömping, U. (2006). Relative importance for linear regression in R: The package relaimpo. Journal of Statistical Software, 17(1), 139–147.CrossRef
go back to reference Hollocks, M. J., Jones, C. R. G., Pickles, A., Baird, G., Happé, F., Charman, T., & Simonoff, E. (2014). The association between social cognition and executive functioning and symptoms of anxiety and depression in adolescents with autism spectrum disorders: Neurocognitive ability, anxiety, and depression. Autism Research: Official Journal of the International Society for Autism Research, 7(2), 216–228. https://doi.org/10.1002/aur.1361CrossRefPubMed Hollocks, M. J., Jones, C. R. G., Pickles, A., Baird, G., Happé, F., Charman, T., & Simonoff, E. (2014). The association between social cognition and executive functioning and symptoms of anxiety and depression in adolescents with autism spectrum disorders: Neurocognitive ability, anxiety, and depression. Autism Research: Official Journal of the International Society for Autism Research, 7(2), 216–228. https://​doi.​org/​10.​1002/​aur.​1361CrossRefPubMed
go back to reference Lin, H.-Y., Ni, H.-C., Tseng, W.-Y.I., & Gau, S.S.-F. (2020). Characterizing intrinsic functional connectivity in relation to impaired self-regulation in intellectually able male youth with autism spectrum disorder. Autism: the International Journal of Research and Practice, 24(5), 1201–1216. https://doi.org/10.1177/1362361319888104CrossRefPubMed Lin, H.-Y., Ni, H.-C., Tseng, W.-Y.I., & Gau, S.S.-F. (2020). Characterizing intrinsic functional connectivity in relation to impaired self-regulation in intellectually able male youth with autism spectrum disorder. Autism: the International Journal of Research and Practice, 24(5), 1201–1216. https://​doi.​org/​10.​1177/​1362361319888104​CrossRefPubMed
go back to reference Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685. https://doi.org/10.1007/bf02172145CrossRefPubMed Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685. https://​doi.​org/​10.​1007/​bf02172145CrossRefPubMed
go back to reference Luciana, M. (2003). Practitioner review: Computerized assessment of neuropsychological function in children: Clinical and research applications of the Cambridge neuropsychological testing automated battery (CANTAB): Use of the CANTAB in pediatric neuropsychology. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 44(5), 649–663. https://doi.org/10.1111/1469-7610.00152CrossRefPubMed Luciana, M. (2003). Practitioner review: Computerized assessment of neuropsychological function in children: Clinical and research applications of the Cambridge neuropsychological testing automated battery (CANTAB): Use of the CANTAB in pediatric neuropsychology. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 44(5), 649–663. https://​doi.​org/​10.​1111/​1469-7610.​00152CrossRefPubMed
go back to reference Matson, J. L., Matheis, M., Burns, C. O., Esposito, G., Venuti, P., Pisula, E., Misiak, A., Kalyva, E., Tsakiris, V., Kamio, Y., Ishitobi, M., & Goldin, R. L. (2017). Examining cross-cultural differences in autism spectrum disorder: A multinational comparison from Greece, Italy, Japan, Poland, and the United States. European Psychiatry: THe Journal of the Association of European Psychiatrists, 42, 70–76. https://doi.org/10.1016/j.eurpsy.2016.10.007CrossRefPubMed Matson, J. L., Matheis, M., Burns, C. O., Esposito, G., Venuti, P., Pisula, E., Misiak, A., Kalyva, E., Tsakiris, V., Kamio, Y., Ishitobi, M., & Goldin, R. L. (2017). Examining cross-cultural differences in autism spectrum disorder: A multinational comparison from Greece, Italy, Japan, Poland, and the United States. European Psychiatry: THe Journal of the Association of European Psychiatrists, 42, 70–76. https://​doi.​org/​10.​1016/​j.​eurpsy.​2016.​10.​007CrossRefPubMed
go back to reference Mazefsky, C. A., Day, T. N., & Golt, J. (2019). Irritability in pediatric psychopathology: Autism. In A. K. Roy, M. A. Brotman, & E. Leibenluft (Eds.), Irritability in pediatric psychopathology (pp. 215–232). Oxford University Press. Mazefsky, C. A., Day, T. N., & Golt, J. (2019). Irritability in pediatric psychopathology: Autism. In A. K. Roy, M. A. Brotman, & E. Leibenluft (Eds.), Irritability in pediatric psychopathology (pp. 215–232). Oxford University Press.
go back to reference Mazefsky, C. A., Yu, L., White, S. W., Siegel, M., & Pilkonis, P. A. (2018). The emotion dysregulation inventory: Psychometric properties and item response theory calibration in an autism spectrum disorder sample: Emotion dysregulation inventory. Autism Research: Official Journal of the International Society for Autism Research, 11(6), 928–941. https://doi.org/10.1002/aur.1947CrossRefPubMed Mazefsky, C. A., Yu, L., White, S. W., Siegel, M., & Pilkonis, P. A. (2018). The emotion dysregulation inventory: Psychometric properties and item response theory calibration in an autism spectrum disorder sample: Emotion dysregulation inventory. Autism Research: Official Journal of the International Society for Autism Research, 11(6), 928–941. https://​doi.​org/​10.​1002/​aur.​1947CrossRefPubMed
go back to reference McNally, R. J., Robinaugh, D. J., Deckersbach, T., Sylvia, L. G., & Nierenberg, A. A. (2022). Estimating the symptom structure of bipolar disorder via network analysis: Energy dysregulation as a central symptom. Journal of Psychopathology and Clinical Science, 131(1), 86–97. https://doi.org/10.1037/abn0000715CrossRefPubMed McNally, R. J., Robinaugh, D. J., Deckersbach, T., Sylvia, L. G., & Nierenberg, A. A. (2022). Estimating the symptom structure of bipolar disorder via network analysis: Energy dysregulation as a central symptom. Journal of Psychopathology and Clinical Science, 131(1), 86–97. https://​doi.​org/​10.​1037/​abn0000715CrossRefPubMed
go back to reference Ozonoff, S., Cook, I., Coon, H., Dawson, G., Joseph, R. M., Klin, A., McMahon, W. M., Minshew, N., Munson, J. A., Pennington, B. F., Rogers, S. J., Spence, M. A., Tager-Flusberg, H., Volkmar, F. R., & Wrathall, D. (2004). Performance on Cambridge neuropsychological test automated battery subtests sensitive to frontal lobe function in people with autistic disorder: Evidence from the collaborative programs of excellence in autism network. Journal of Autism and Developmental Disorders, 34(2), 139–150. https://doi.org/10.1023/b:jadd.0000022605.81989.ccCrossRefPubMed Ozonoff, S., Cook, I., Coon, H., Dawson, G., Joseph, R. M., Klin, A., McMahon, W. M., Minshew, N., Munson, J. A., Pennington, B. F., Rogers, S. J., Spence, M. A., Tager-Flusberg, H., Volkmar, F. R., & Wrathall, D. (2004). Performance on Cambridge neuropsychological test automated battery subtests sensitive to frontal lobe function in people with autistic disorder: Evidence from the collaborative programs of excellence in autism network. Journal of Autism and Developmental Disorders, 34(2), 139–150. https://​doi.​org/​10.​1023/​b:​jadd.​0000022605.​81989.​ccCrossRefPubMed
go back to reference Samson, A. C., Hardan, A. Y., Podell, R. W., Phillips, J. M., & Gross, J. J. (2015). Emotion regulation in children and adolescents with autism spectrum disorder: Emotion regulation in autism spectrum disorder. Autism Research: Official Journal of the International Society for Autism Research, 8(1), 9–18. https://doi.org/10.1002/aur.1387CrossRefPubMed Samson, A. C., Hardan, A. Y., Podell, R. W., Phillips, J. M., & Gross, J. J. (2015). Emotion regulation in children and adolescents with autism spectrum disorder: Emotion regulation in autism spectrum disorder. Autism Research: Official Journal of the International Society for Autism Research, 8(1), 9–18. https://​doi.​org/​10.​1002/​aur.​1387CrossRefPubMed
go back to reference Scheinost, D., Dadashkarimi, J., Finn, E. S., Wambach, C. G., MacGillivray, C., Roule, A. L., Niendam, T. A., Pine, D. S., Brotman, M. A., Leibenluft, E., & Tseng, W.-L. (2021). Functional connectivity during frustration: a preliminary study of predictive modeling of irritability in youth. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology, 46(7), 1300–1306. https://doi.org/10.1038/s41386-020-00954-8CrossRefPubMed Scheinost, D., Dadashkarimi, J., Finn, E. S., Wambach, C. G., MacGillivray, C., Roule, A. L., Niendam, T. A., Pine, D. S., Brotman, M. A., Leibenluft, E., & Tseng, W.-L. (2021). Functional connectivity during frustration: a preliminary study of predictive modeling of irritability in youth. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology, 46(7), 1300–1306. https://​doi.​org/​10.​1038/​s41386-020-00954-8CrossRefPubMed
go back to reference Silver, J., Carlson, G. A., Olino, T. M., Perlman, G., Mackin, D., Kotov, R., & Klein, D. N. (2021). Differential outcomes of tonic and phasic irritability in adolescent girls. Journal of Child Psychology and Psychiatry, 62(10), 1220-1227. https://doi.org/10.1111/jcpp.13402 Silver, J., Carlson, G. A., Olino, T. M., Perlman, G., Mackin, D., Kotov, R., & Klein, D. N. (2021). Differential outcomes of tonic and phasic irritability in adolescent girls. Journal of Child Psychology and Psychiatry, 62(10), 1220-1227. https://​doi.​org/​10.​1111/​jcpp.​13402
go back to reference Tung, Y.-H., Lin, H.-Y., Chen, C.-L., Shang, C.-Y., Yang, L.-Y., Hsu, Y.-C., Tseng, W.-Y.I., & Gau, S.S.-F. (2021). Whole brain white matter tract deviation and idiosyncrasy from normative development in autism and ADHD and unaffected siblings link with dimensions of psychopathology and cognition. The American Journal of Psychiatry, 178(8), 730–743. https://doi.org/10.1176/appi.ajp.2020.20070999CrossRefPubMed Tung, Y.-H., Lin, H.-Y., Chen, C.-L., Shang, C.-Y., Yang, L.-Y., Hsu, Y.-C., Tseng, W.-Y.I., & Gau, S.S.-F. (2021). Whole brain white matter tract deviation and idiosyncrasy from normative development in autism and ADHD and unaffected siblings link with dimensions of psychopathology and cognition. The American Journal of Psychiatry, 178(8), 730–743. https://​doi.​org/​10.​1176/​appi.​ajp.​2020.​20070999CrossRefPubMed
go back to reference Vaidya, C. J., You, X., Mostofsky, S., Pereira, F., Berl, M. M., & Kenworthy, L. (2020). Data-driven identification of subtypes of executive function across typical development, attention deficit hyperactivity disorder, and autism spectrum disorders. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 61(1), 51–61. https://doi.org/10.1111/jcpp.13114CrossRefPubMed Vaidya, C. J., You, X., Mostofsky, S., Pereira, F., Berl, M. M., & Kenworthy, L. (2020). Data-driven identification of subtypes of executive function across typical development, attention deficit hyperactivity disorder, and autism spectrum disorders. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 61(1), 51–61. https://​doi.​org/​10.​1111/​jcpp.​13114CrossRefPubMed
go back to reference Vasa, R. A., Keefer, A., McDonald, R. G., Hunsche, M. C., & Kerns, C. M. (2020). A scoping review of anxiety in young children with autism spectrum disorder. Autism Research: Official Journal of the International Society for Autism Research, 13(12), 2038–2057. https://doi.org/10.1002/aur.2395CrossRefPubMed Vasa, R. A., Keefer, A., McDonald, R. G., Hunsche, M. C., & Kerns, C. M. (2020). A scoping review of anxiety in young children with autism spectrum disorder. Autism Research: Official Journal of the International Society for Autism Research, 13(12), 2038–2057. https://​doi.​org/​10.​1002/​aur.​2395CrossRefPubMed
Metagegevens
Titel
Autistic Symptoms, Irritability, and Executive Dysfunctions: Symptom Dynamics from Multi-Network Models
Auteurs
Ka Shu Lee
Susan Shur-Fen Gau
Wan-Ling Tseng
Publicatiedatum
15-07-2023
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 8/2024
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-023-05981-0