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Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults.

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  • Author(s): Maisel, Max E.. Department of Psychology, Brigham Young University, Provo, UT, US; Stephenson, Kevin G., ORCID Stephenson, Kevin G., ORCID 0000-0002-5196-9407. Department of Psychology, Brigham Young University, Provo, UT, US; South, Mikle, ORCID 0000-0003-0152-1257. Department of Psychology, Brigham Young University, Provo, UT, US, South, Mikle, ORCID 0000-0003-0152-1257. Department of Psychology, Brigham Young University, Provo, UT, US, ; Rodgers, Jacqui, ORCID Rodgers, Jacqui, ORCID 0000-0002-1759-316X. Institute of Neuroscience, University of Newcastle, United Kingdom; Freeston, Mark H.. Institute of Neuroscience, University of Newcastle, United Kingdom; Gaigg, Sebastian B.. Department of Psychology, City University London, United Kingdom
  • Source:
    Journal of Abnormal Psychology, Vol 125(5), Jul, 2016. pp. 692-703.
  • Publisher:
    US : American Psychological Association
  • Language:
    English
  • Document Type:
    Journal Article
  • Publication Type:
    Journal; Peer Reviewed Journal
  • Additional Information
    • Address:
      South, Mikle, Department of Psychology, Brigham Young University, 245 TLRB, Provo, UT, US, 84602, [email protected]
    • Source:
      J Abnorm Psychol
    • Source:
      The Journal of Abnormal and Social Psychology; The Journal of Abnormal Psychology; The Journal of Abnormal Psychology and Social Psychology
    • ISSN:
      0021-843X (Print)
      1939-1846 (Electronic)
    • Keywords:
      autism, anxiety, alexithymia, emotional acceptance, intolerance of uncertainty
    • Abstract:
      Emotional acceptance, alexithymia, and intolerance of uncertainty (IU) contribute to anxiety disorders in neurotypical populations. Their association with anxiety in people diagnosed with autism spectrum disorder (ASD) has not been studied. We aimed to model the contributions of these constructs on the relationship between dimensional measures of autism and anxiety. Participants were 151 adults recruited from 2 sites, including those diagnosed with ASD (n = 76) and a matched comparison group (n = 75). All participants completed a battery of questionnaires measuring core autism symptoms, anxiety, emotional acceptance, alexithymia, and intolerance of uncertainty. Structural equation modeling with mediation was used to examine directional relationships among these variables. Autism symptoms directly predicted less emotional acceptance and increased alexithymia and IU. Alexithymia and acceptance were shown to explain 64% of the effect between autism symptom severity and anxiety level. This suggests that people with ASD experience increased levels of anxiety because they are more likely to react aversively to their emotional experiences, while lacking the ability to identify and understand their emotions. Developing and implementing mindfulness-based interventions aimed at assuaging alexithymia and IU, while increasing emotional acceptance, may be especially helpful in treating anxiety in ASD. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
    • Abstract:
      General Scientific Summary—This study suggests that people with ASD experience increased levels of anxiety because they are more likely to react aversively to their emotional experiences, while lacking the ability to identify and understand their emotions. This suggests that the development and utilization of interventions targeting these constructs may be especially helpful in the treatment of anxiety disorders for people diagnosed with ASD. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
    • Subject Terms:
    • Subject Terms:
      Adolescent; Adult; Affective Symptoms; Aged; Anxiety Disorders; Autism Spectrum Disorder; Cognition; Female; Humans; Male; Mental Status Schedule; Middle Aged; Models, Psychological; Uncertainty
    • PsycINFO Classification:
      Psychological & Physical Disorders (3200)
    • Population:
      Human
      Male
      Female
    • Location:
      United Kingdom
    • Age Group:
      Adolescence (13-17 yrs)
      Adulthood (18 yrs & older)
      Young Adulthood (18-29 yrs)
      Thirties (30-39 yrs)
      Middle Age (40-64 yrs)
      Aged (65 yrs & older)
    • Tests & Measures:
      Wechsler Abbreviated Intelligence Scale-Second Edition
      Wechsler Adult Intelligence Scale–Revised
      Intolerance of Uncertainty Scale-12
      Toronto Alexithymia Scale-20
      State Trait Anxiety Inventory Form-Y
      Five Facet Mindfulness Questionnaire   DOI: 10.1037/t05514-000
      Wechsler Adult Intelligence Scale--Third Edition   DOI: 10.1037/t49755-000
      Penn State Worry Questionnaire   DOI: 10.1037/t01760-000
      Autism-Spectrum Quotient--Adult   DOI: 10.1037/t00350-000
      Brief Fear of Negative Evaluation Scale   DOI: 10.1037/t00048-000
    • Methodology:
      Empirical Study; Quantitative Study
    • Supplemental Data:
      Tables and Figures Internet
    • Physical Description:
      Electronic
    • Publication Date:
      First Posted: May 19, 2016; Accepted: Apr 11, 2016; Revised: Apr 8, 2016; First Submitted: Dec 30, 2015
    • Publication Date:
      20160519
    • Publication Date:
      20201015
    • Copyright:
      American Psychological Association. 2016
    • Accession Number:
      http://dx.doi.org/10.1037/abn0000168; http://dx.doi.org/10.1037/abn0000168.supp(Supplemental)
    • Accession Number:
      27196436
    • Accession Number:
      abn-125-5-692
    • Accession Number:
      2016-24938-001
    • Number of Citations in Source:
      198
  • Citations
    • ABNT:
      MAISEL, M. E. et al. Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults. Journal of Abnormal Psychology, [s. l.], v. 125, n. 5, p. 692–703, 2016. DOI 10.1037/abn0000168.supp (Supplemental). Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pdh&AN=2016-24938-001. Acesso em: 24 nov. 2020.
    • AMA:
      Maisel ME, Stephenson KG, South M, Rodgers J, Freeston MH, Gaigg SB. Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults. Journal of Abnormal Psychology. 2016;125(5):692-703. doi:10.1037/abn0000168.supp (Supplemental)
    • APA:
      Maisel, M. E., Stephenson, K. G., South, M., Rodgers, J., Freeston, M. H., & Gaigg, S. B. (2016). Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults. Journal of Abnormal Psychology, 125(5), 692–703. https://doi.org/10.1037/abn0000168.supp (Supplemental)
    • Chicago/Turabian: Author-Date:
      Maisel, Max E., Kevin G. Stephenson, Mikle South, Jacqui Rodgers, Mark H. Freeston, and Sebastian B. Gaigg. 2016. “Modeling the Cognitive Mechanisms Linking Autism Symptoms and Anxiety in Adults.” Journal of Abnormal Psychology 125 (5): 692–703. doi:10.1037/abn0000168.supp (Supplemental).
    • Harvard:
      Maisel, M. E. et al. (2016) ‘Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults’, Journal of Abnormal Psychology, 125(5), pp. 692–703. doi: 10.1037/abn0000168.supp (Supplemental).
    • Harvard: Australian:
      Maisel, ME, Stephenson, KG, South, M, Rodgers, J, Freeston, MH & Gaigg, SB 2016, ‘Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults’, Journal of Abnormal Psychology, vol. 125, no. 5, pp. 692–703, viewed 24 November 2020, .
    • MLA:
      Maisel, Max E., et al. “Modeling the Cognitive Mechanisms Linking Autism Symptoms and Anxiety in Adults.” Journal of Abnormal Psychology, vol. 125, no. 5, July 2016, pp. 692–703. EBSCOhost, doi:10.1037/abn0000168.supp (Supplemental).
    • Chicago/Turabian: Humanities:
      Maisel, Max E., Kevin G. Stephenson, Mikle South, Jacqui Rodgers, Mark H. Freeston, and Sebastian B. Gaigg. “Modeling the Cognitive Mechanisms Linking Autism Symptoms and Anxiety in Adults.” Journal of Abnormal Psychology 125, no. 5 (July 2016): 692–703. doi:10.1037/abn0000168.supp (Supplemental).
    • Vancouver/ICMJE:
      Maisel ME, Stephenson KG, South M, Rodgers J, Freeston MH, Gaigg SB. Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults. Journal of Abnormal Psychology [Internet]. 2016 Jul [cited 2020 Nov 24];125(5):692–703. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pdh&AN=2016-24938-001