Abstract
Peer problems are common among children and adolescents with autism spectrum disorders (ASD), and may be exacerbated among those who are also anxious. Yet, few data exist on the nature and psychosocial correlates of peer victimization in youth with ASD and anxiety. Accordingly, this study investigated associations among peer victimization, loneliness, autism-related social impairment, and psychopathology in a sample of 60 youth (ages 11–14 years) with ASD and co-occurring anxiety. Youth completed measures of peer victimization, loneliness, anxiety, and depression, while their parent completed measures of child behavioral and emotional problems, functional impairment in daily life, and autism-related social impairment. Modest rates of victimization were noted, with ~7 % and 15 % of youth reporting clinically significant relational and reputational victimization but 0 % of participants endorsing significant overt victimization. Peer victimization was directly but modestly associated with some psychosocial maladjustment indices, but not with autism-related social impairment. Although results have to be considered in the context of certain limitations, these data suggest that peer victimization may be associated with anxiety and depressive symptoms and loneliness in children with ASD and comorbid anxiety.
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Achenbach, T. M. (1994). Child Behavior Checklist and related instruments. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcome assessment (pp. 517–549). Hillsdale: Lawrence Erlbaum Associates, Inc.
Asher, S. R., & Wheeler, V. A. (1985). Children’s loneliness: a comparison of rejected and neglected peer status. Journal of Consulting and Clinical Psychology, 53, 500–505.
Asher, S. R., Hymel, S., & Renshaw, P. D. (1984). Loneliness in children. Child Development, 55, 1457–1464.
Bagner, D. M., Storch, E. A., & Roberti, J. W. (2004). A factor analytic study of the Loneliness and Social Dissatisfaction Scale in a sample of African Americna and Hispanic American children. Child Psychiatry and Human Development, 34, 237–250.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
Bauminger, N., & Kasari, C. (2000). Loneliness and friendship in high-functioning children with autism. Child Development, 71(2), 447–456.
Bird, H., Shaffer, D., Fisher, P., Gould, M., Staghezza, B., Chen, J., et al. (1993). The Columbia Impairment Scale (CIS): pilot findings on a measure of global impairment for children and adolescents. International Journal of Methods in Psychiatric Research, 3, 167–176.
Cappadocia, M. C., Weiss, J. A., & Pepler, D. (2012). Bullying experiences among children and youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 266–277.
Carter, S. (2009). Bullying of students with asperger syndrome. Issues in Comprehensive Pediatric Nursing, 32(3), 145–154.
Cassidy, J., & Asher, S. R. (1992). Loneliness and peer relations in young children. Child Development, 63(2), 350–365.
Chorpita, B. F., Yim, L., Moffitt, C. E., Umermoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale. Behaviour Research and Therapy, 38, 835–855.
Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behaviour Research and Therapy, 43, 309–322.
Constantino, J. N., & Gruber, C. P. (2005). Social responsiveness scale. Los Angeles: Western Psychological Services.
Erath, S. A., Tu, K. M., & El-Sheikh, M. (2012). Socially Anxious and Peer-Victimized Preadolescents: “Doubly Primed” for Distress? Journal of Abnormal Child Psychology, 40(5), 837–848.
Fekkes, M., Pijpers, F. I., & Verloove-Vanhorick, S. P. (2006). Effects of antibullying school program on bullying and health complaints. Archives of Pediatric and Adolescent Medicine, 160(6), 638–644.
Ginsburg, G. S., La Greca, A. M., & Silverman, W. K. (1998). Social anxiety in children with anxiety disorders: relation with social and emotional functioning. Journal of Abnormal Child Psychology, 26(3), 175–185.
Grills, A. E., & Ollendick, T. H. (2002). Peer victimization, global self-worth, and anxiety in middle school children. Journal of Clinical Child and Adolescent Psychology, 31(1), 59–68.
Guile, J. M., Greenfield, B., Berthiaume, C., Chapdelaine, C., & Bergeron, L. (2009). Reliability and diagnostic efficiency of the abbreviated-diagnostic interview for borderlines in an adolescent clinical population. European Child & Adolescent Psychiatry, 18, 575–581.
Hawker, D. S., & Boulton, M. J. (2000). Twenty years’ research on peer victimization and psychosocial maladjustment: a meta-analytic review of cross-sectional studies. Journal of Child Psychology and Psychiatry, 41(4), 441–455.
Hayes, A. F. (2009). Beyond Baron and Kenny: statistical mediation analysis in the new millenium. Communication Monographs, 76, 408–420.
Juvonen, J., Graham, S., & Schuster, M. A. (2003). Bullying among young adolescents: the strong, the weak, and the troubled. Pediatrics, 112(6 Pt 1), 1231–1237.
Kasari, C., Locke, J., Gulsrud, A., & Rotheram-Fuller, E. (2011). Social networks and friendships at school: comparing children with and without ASD. Journal of Autism and Developmental Disorders, 41, 533–544.
Kasari, C., Rotheram-Fuller, E., Locke, J., & Gulsrud, A. (2012). Making the connection: randomized controlled trial of social skills at school for children with autism spectrum disorders. Journal of Child Psychology and Psychiatry, 53(4), 431–439.
Krause, M. R., Serlin, R. C., Ward, S. E., Rony, R. Y., Ezenwa, M. O., & Naab, F. (2010). Testing mediation in nursing research: beyond Baron and Kenny. Nursing Research, 59, 288–294.
Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Mattila, M. L., Ebeling, H., et al. (2008). Social anxiety in high-functioning children and adolescents with Autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 38(9), 1697–1709.
La Greca, A. M., & Lopez, N. (1998). Social anxiety among adolescents: linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26(2), 83–94.
Lasgaard, M., Nielsen, A., Eriksen, M. E., & Goossens, L. (2009). Loneliness and social support in adolescent boys with autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(2), 218–226.
Lee, H., Marvin, A. R., Watson, T., Piggot, J., Law, J. K., Law, P. A., et al. (2010). Accuracy of phenotyping of autistic children based on internet implemented parent report. American Journal of Medical Genetics, 153B, 1119–1126.
Little, L. (2002). Middle-class mothers’ perceptions of peer and sibling victimization among children with Asperger’s syndrome and nonverbal learning disorders. Issues in Comprehensive Pediatric Nursing, 25(1), 43–57.
Locke, J., Rotheram-Fuller, E., & Kasari, C. (2012). Exploring the Social Impact of Being a Typical Peer Model for Included Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders.
MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83–104.
McLaughlin, K. A., Hatzenbuehler, M. L., & Hilt, L. M. (2009). Emotion dysregulation as a mechanism linking peer victimization to internalizing symptoms in adolescents. Journal of Consulting and Clinical Psychology, 77, 894–904.
Montes, G., & Halterman, J. S. (2007). Bullying among children with autism and the influence of comorbidity with ADHD: a population-based study. Ambulatory Pediatrics, 7(3), 253–257.
Morton, J. F., & Campbell, J. M. (2008). Information source affects peers’ initial attitudes toward autism. Research in Developmental Disabilities, 29(3), 189–201.
Myers, T. A. (2011). Coodbye, listwise deletion: presenting hot deck imputation as an easy and effective tool for handling missing data. Communication Methods and Measures, 5, 297–310.
Nansel, T. R., Overpeck, M., Pilla, R. S., Ruan, W. J., Simons-Morton, B., & Scheidt, P. (2001). Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. Journal of the American Medical Association, 285(16), 2094–2100.
Nansel, T. R., Craig, W., Overpeck, M. D., Saluja, G., & Ruan, W. J. (2004). Cross-national consistency in the relationship between bullying behaviors and psychosocial adjustment. Archives of Pediatric and Adolescent Medicine, 158(8), 730–736.
Olweus, D. (1994). Bullying at school: basic facts and effects of a school based intervention program. Journal of Child Psychology and Psychiatry, 35(7), 1171–1190.
Panella, D., & Henggeler, S. W. (1986). Peer interactions of conduct-disordered, anxious-withdrawn, and well-adjusted black adolescents. Journal of Abnormal Child Psychology, 14(1), 1–12.
Preacher, K. J., & Hayes, A. F. (2008). Contemporary approaches to assessing mediation in communication research. In A. F. Hayes, M. D. Slater, & L. B. Snyder (Eds.), The sage sourcebook of advanced data analysis methods for communication research. Thousand Oaks: Sage.
Prinstein, M. J., Boergers, J., & Vernberg, E. M. (2001). Overt and relational aggression in adolescents: social-psychological adjustment of aggressors and victims. Journal of Clinical Psychology, 30, 479–491.
Rotheram-Fuller, E., Kasari, C., Chamberlain, B., & Locke, J. (2010). Social involvement of children with autism spectrum disorders in elementary school classrooms. Journal of Child Psychology and Psychiatry, 51(11), 1227–1234.
Rucker, D. D., Preacher, K. J., Tormala, Z. L., & Petty, R. E. (2011). Mediation analysis in social psychology: current practices and new recommendations. Social and Personality Psychology Compass, 5(6), 359–371.
Samson, A. C., Huber, O., & Ruch, W. (2011, July). Teasing, ridiculing and the relation to the fear of being laughed at in individuals with Asperger’s syndrome. Journal of Autism and Developmental Disorders, 41, 475–483.
Schneider, B. H. (2009). An observational study of the interactions of socially withdrawn/anxious early adolescents and their friends. Journal of Child Psychology and Psychiatry, 50(7), 799–806.
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychological Methods, 7, 422–445.
Shtayermman, O. (2007). Peer victimization in adolescents and young adults diagnosed with Asperger’s Syndrome: a link to depressive symptomatology, anxiety symptomatology and suicidal ideation. Issues in Comprehensive Pediatric Nursing, 30(3), 87–107.
Sofronoff, K., Dark, E., & Stone, V. (2010). Social vulnerability and bullying in children with Asperger syndrome. Autism, 15, 355–372.
Storch, E. A., & Ledley, D. R. (2005). Peer victimization and psychosocial adjustment in children: current knowledge and future directions. Clinical Pediatrics, 44(1), 29–38.
Storch, E. A., & Masia-Warner, C. (2004). The relationship of peer victimization to social anxiety and loneliness in adolescent females. Journal of Adolescence, 27(3), 351–362.
Storch, E. A., Lewin, A. B., Silverstein, J. H., Heidgerken, A. D., Strawser, M. S., Baumeister, A., et al. (2004). Social-psychological correlates of peer victimization in children with endocrine disorders. Journal of Pediatrics, 145(6), 784–789.
Storch, E. A., Ledley, D. R., Lewin, A. B., Murphy, T. K., Johns, N. B., Goodman, W. K., et al. (2006). Peer victimization in children with obsessive-compulsive disorder: relations with symptoms of psychopathology. Journal of Clinical Child and Adolescent Psychology, 35(3), 446–455.
Storch, E. A., Ehrenreich May, J., Wood, J. J., Lewin, A., De Nadai, A. S., & Murphy, T. K. (2012). Respondent agreement on the Anxiety Disorders Interview Schedule for Youth with Autism. Journal of Child and Adolescent Psychopharmacology.
Strauss, C. C., Lahey, B. B., Frick, P., Frame, C. L., & Hynd, G. W. (1988). Peer social status of children with anxiety disorders. Journal of Consulting and Clinical Psychology, 56(1), 137–141.
Twyman, K. A., Saylor, C. F., Saia, D., Macias, M. M., Taylor, L. A., & Spratt, E. (2010). Bullying and ostracism experiences in children with special health care needs. Journal of Developmental and Behavioral Pediatrics, 31, 1–8.
van Roekel, E., Scholte, R. H., & Didden, R. (2010). Bullying among adolescents with autism spectrum disorders: prevalence and perception. Journal of Autism and Developmental Disorders, 40, 63–73.
Wainscot, J. J., Naylor, P., Sutcliffe, P., Tantam, D., & Williams, J. V. (2008). Relationships with peers and use of the school environment of mainstream secondary school pupils with Asperger Syndrome (High-Functioning Autism): A case-control study. International Journal of Psychology and Psychological Therapy, 8, 25–38.
Walters, K. S., & Inderbitzen, H. M. (1998). Social anxiety and peer relations among adolescents: testing a psychobiological model. Journal of Anxiety Disorders, 12(3), 183–198.
Williford, A., Boulton, A., Noland, B., Little, T. D., Karna, A., & Salmivalli, C. (2012). Effects of the KiVa anti-bullying program on adolescents’ depression, anxiety, and perception of peers. Journal of Abnormal Child Psychology, 40(2), 289–300.
Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009). Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial. Journal of Child Psychology and Psychiatry, 50(3), 224–234.
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The contributions of Sarah Gunderson are acknowledged. This paper was supported by grants from the National Institute of Child Health and Human Development to the first, third, 10th and 11th authors (5R34HD065274-02), and grants to the first author from the All Children’s Hospital Research Foundation and the University of South Florida Office of Research and Innovation Established Researcher Grant Program.
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Storch, E.A., Larson, M.J., Ehrenreich-May, J. et al. Peer Victimization in Youth with Autism Spectrum Disorders and Co-occurring Anxiety: Relations with Psychopathology and Loneliness. J Dev Phys Disabil 24, 575–590 (2012). https://doi.org/10.1007/s10882-012-9290-4
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DOI: https://doi.org/10.1007/s10882-012-9290-4