Developmental cascades between insistence on sameness behaviour and anxiety symptoms in autism spectrum disorder
Autistic children experience high rates of anxiety. Insistence on sameness behaviour (IS) is a core feature of autism that appears correlated with anxiety severity. The objective of this study was to examine the longitudinal relations between anxiety and IS in autistic children using a developmental...
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| Veröffentlicht in: | European child & adolescent psychiatry 2023-11, Vol.32 (11), p.2109-2118 |
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| creator | Baribeau, Danielle A. Vigod, Simone N. Pullenayegum, Eleanor Kerns, Connor M. Vaillancourt, Tracy Duku, Eric Smith, Isabel M. Volden, Joanne Zwaigenbaum, Lonnie Bennett, Teresa Elsabbagh, Mayada Zaidman-Zait, Anat Richard, Annie E. Szatmari, Peter |
| description | Autistic children experience high rates of anxiety. Insistence on sameness behaviour (IS) is a core feature of autism that appears correlated with anxiety severity. The objective of this study was to examine the longitudinal relations between anxiety and IS in autistic children using a developmental cascade model. A longitudinal cohort of 421 autistic children was followed between 4 and 11 years of age. Anxiety was quantified using items from the Anxiety Problems subscale of the Child Behavior Checklist; sameness behaviours were measured using the Repetitive Behavior Scale-Revised, Ritualistic/sameness subscale (both parent-report measures). Structural equation modelling was used to examine the longitudinal and directional associations between anxiety and IS at four time-points, through cross-lagged panel models (CLPM) with and without a random-intercepts component (RI-CLPM). Both the CLPM and the RI-CLPM had good fit. Significant directional associations were detected whereby elevated or increasing IS preceded elevated or increasing anxiety symptoms 1–2 years later, respectively. Stable baseline tendencies towards anxiety and IS as between-person traits (intercepts) were strongly associated (standardized estimate = 0.69,
p
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| doi_str_mv | 10.1007/s00787-022-02049-9 |
| format | Article |
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p
< 0.001). The magnitude of the cross-sectional associations between anxiety and IS appeared to lessen with age. IS and anxiety symptoms in autism are closely related. They appear to be shared traits that mirror each other particularly in younger children. Increasing IS may be a sign of emerging future anxiety. Interventions that target IS to reduce or prevent anxiety amongst school-aged autistic children merit further study.</description><identifier>ISSN: 1018-8827</identifier><identifier>EISSN: 1435-165X</identifier><identifier>DOI: 10.1007/s00787-022-02049-9</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anxiety ; Autism ; Autistic children ; Behavior ; Child and Adolescent Psychiatry ; Child Behavior Checklist ; Children ; Measures ; Medicine ; Medicine & Public Health ; Original Contribution ; Psychiatry ; Repetitive behaviour ; Structural equation modeling</subject><ispartof>European child & adolescent psychiatry, 2023-11, Vol.32 (11), p.2109-2118</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-bf2aedb79df2e73ff6ff69eeace77337d35fe3c51ed0953bd55542079a465ecb3</citedby><cites>FETCH-LOGICAL-c352t-bf2aedb79df2e73ff6ff69eeace77337d35fe3c51ed0953bd55542079a465ecb3</cites><orcidid>0000-0003-4461-5851</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00787-022-02049-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00787-022-02049-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,12825,27901,27902,30976,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Baribeau, Danielle A.</creatorcontrib><creatorcontrib>Vigod, Simone N.</creatorcontrib><creatorcontrib>Pullenayegum, Eleanor</creatorcontrib><creatorcontrib>Kerns, Connor M.</creatorcontrib><creatorcontrib>Vaillancourt, Tracy</creatorcontrib><creatorcontrib>Duku, Eric</creatorcontrib><creatorcontrib>Smith, Isabel M.</creatorcontrib><creatorcontrib>Volden, Joanne</creatorcontrib><creatorcontrib>Zwaigenbaum, Lonnie</creatorcontrib><creatorcontrib>Bennett, Teresa</creatorcontrib><creatorcontrib>Elsabbagh, Mayada</creatorcontrib><creatorcontrib>Zaidman-Zait, Anat</creatorcontrib><creatorcontrib>Richard, Annie E.</creatorcontrib><creatorcontrib>Szatmari, Peter</creatorcontrib><title>Developmental cascades between insistence on sameness behaviour and anxiety symptoms in autism spectrum disorder</title><title>European child & adolescent psychiatry</title><addtitle>Eur Child Adolesc Psychiatry</addtitle><description>Autistic children experience high rates of anxiety. Insistence on sameness behaviour (IS) is a core feature of autism that appears correlated with anxiety severity. The objective of this study was to examine the longitudinal relations between anxiety and IS in autistic children using a developmental cascade model. A longitudinal cohort of 421 autistic children was followed between 4 and 11 years of age. Anxiety was quantified using items from the Anxiety Problems subscale of the Child Behavior Checklist; sameness behaviours were measured using the Repetitive Behavior Scale-Revised, Ritualistic/sameness subscale (both parent-report measures). Structural equation modelling was used to examine the longitudinal and directional associations between anxiety and IS at four time-points, through cross-lagged panel models (CLPM) with and without a random-intercepts component (RI-CLPM). Both the CLPM and the RI-CLPM had good fit. Significant directional associations were detected whereby elevated or increasing IS preceded elevated or increasing anxiety symptoms 1–2 years later, respectively. Stable baseline tendencies towards anxiety and IS as between-person traits (intercepts) were strongly associated (standardized estimate = 0.69,
p
< 0.001). The magnitude of the cross-sectional associations between anxiety and IS appeared to lessen with age. IS and anxiety symptoms in autism are closely related. They appear to be shared traits that mirror each other particularly in younger children. Increasing IS may be a sign of emerging future anxiety. Interventions that target IS to reduce or prevent anxiety amongst school-aged autistic children merit further study.</description><subject>Anxiety</subject><subject>Autism</subject><subject>Autistic children</subject><subject>Behavior</subject><subject>Child and Adolescent Psychiatry</subject><subject>Child Behavior Checklist</subject><subject>Children</subject><subject>Measures</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Contribution</subject><subject>Psychiatry</subject><subject>Repetitive behaviour</subject><subject>Structural equation 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Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European child & adolescent psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baribeau, Danielle A.</au><au>Vigod, Simone N.</au><au>Pullenayegum, Eleanor</au><au>Kerns, Connor M.</au><au>Vaillancourt, Tracy</au><au>Duku, Eric</au><au>Smith, Isabel M.</au><au>Volden, Joanne</au><au>Zwaigenbaum, Lonnie</au><au>Bennett, Teresa</au><au>Elsabbagh, Mayada</au><au>Zaidman-Zait, Anat</au><au>Richard, Annie E.</au><au>Szatmari, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Developmental cascades between insistence on sameness behaviour and anxiety symptoms in autism spectrum disorder</atitle><jtitle>European child & adolescent psychiatry</jtitle><stitle>Eur Child Adolesc Psychiatry</stitle><date>2023-11-01</date><risdate>2023</risdate><volume>32</volume><issue>11</issue><spage>2109</spage><epage>2118</epage><pages>2109-2118</pages><issn>1018-8827</issn><eissn>1435-165X</eissn><abstract>Autistic children experience high rates of anxiety. Insistence on sameness behaviour (IS) is a core feature of autism that appears correlated with anxiety severity. The objective of this study was to examine the longitudinal relations between anxiety and IS in autistic children using a developmental cascade model. A longitudinal cohort of 421 autistic children was followed between 4 and 11 years of age. Anxiety was quantified using items from the Anxiety Problems subscale of the Child Behavior Checklist; sameness behaviours were measured using the Repetitive Behavior Scale-Revised, Ritualistic/sameness subscale (both parent-report measures). Structural equation modelling was used to examine the longitudinal and directional associations between anxiety and IS at four time-points, through cross-lagged panel models (CLPM) with and without a random-intercepts component (RI-CLPM). Both the CLPM and the RI-CLPM had good fit. Significant directional associations were detected whereby elevated or increasing IS preceded elevated or increasing anxiety symptoms 1–2 years later, respectively. Stable baseline tendencies towards anxiety and IS as between-person traits (intercepts) were strongly associated (standardized estimate = 0.69,
p
< 0.001). The magnitude of the cross-sectional associations between anxiety and IS appeared to lessen with age. IS and anxiety symptoms in autism are closely related. They appear to be shared traits that mirror each other particularly in younger children. Increasing IS may be a sign of emerging future anxiety. Interventions that target IS to reduce or prevent anxiety amongst school-aged autistic children merit further study.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00787-022-02049-9</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4461-5851</orcidid></addata></record> |
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| ispartof | European child & adolescent psychiatry, 2023-11, Vol.32 (11), p.2109-2118 |
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| subjects | Anxiety Autism Autistic children Behavior Child and Adolescent Psychiatry Child Behavior Checklist Children Measures Medicine Medicine & Public Health Original Contribution Psychiatry Repetitive behaviour Structural equation modeling |
| title | Developmental cascades between insistence on sameness behaviour and anxiety symptoms in autism spectrum disorder |
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