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- Title
Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation.
- Authors
Townsend, Allie N.; Guzick, Andrew G.; Hertz, Alyssa G.; Kerns, Connor M.; Goodman, Wayne K.; Berry, Leandra N.; Kendall, Philip C.; Wood, Jeffrey J.; Storch, Eric A.
- 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.
- Subjects
AUTISTIC children; AUTISM in children; CLINICAL trials; ANXIETY disorders; FAMILY relations; TREATMENT effectiveness
- Publication
Child Psychiatry & Human Development, 2024, Vol 55, Issue 5, p1259
- ISSN
0009-398X
- Publication type
Article
- DOI
10.1007/s10578-022-01489-3