Social Anxiety in Children and Adolescents With Autism Spectrum Disorders Contribute to Impairments in Social Communication and Social Motivation
BackgroundRecognition of symptoms of Social anxiety (SA) may be difficult among individuals with Autism Spectrum Disorders (ASD) because of overlap between social anxiety and autistic symptomatology. The main aim of our study was thus to explore the association between symptoms of social anxiety and...
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Frontiers Media S.A.
2020-07-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00710/full |
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| author | Kellen Briot Kellen Briot François Jean Ali Jouni Marie-Maude Geoffray Myriam Ly-Le Moal Daniel Umbricht Christopher Chatham Lorraine Murtagh Richard Delorme Richard Delorme Richard Delorme Manuel Bouvard Manuel Bouvard Manuel Bouvard Manuel Bouvard Marion Leboyer Marion Leboyer Marion Leboyer Anouck Amestoy Anouck Amestoy Anouck Amestoy Anouck Amestoy |
| author_facet | Kellen Briot Kellen Briot François Jean Ali Jouni Marie-Maude Geoffray Myriam Ly-Le Moal Daniel Umbricht Christopher Chatham Lorraine Murtagh Richard Delorme Richard Delorme Richard Delorme Manuel Bouvard Manuel Bouvard Manuel Bouvard Manuel Bouvard Marion Leboyer Marion Leboyer Marion Leboyer Anouck Amestoy Anouck Amestoy Anouck Amestoy Anouck Amestoy |
| author_sort | Kellen Briot |
| collection | DOAJ |
| description | BackgroundRecognition of symptoms of Social anxiety (SA) may be difficult among individuals with Autism Spectrum Disorders (ASD) because of overlap between social anxiety and autistic symptomatology. The main aim of our study was thus to explore the association between symptoms of social anxiety and clinical characteristics of ASD in order to identify individuals experiencing concomitant ASD and social anxiety disorder. We also described the prevalence of SA in a sample of children and adolescents with ASD.Method79 children and adolescents with ASD (with and without intellectual disability) and 28-matched control participants were recruited in two French Expert Centers for ASD, coordinated by the Fundation FondaMental. Psychiatric comorbidities, anxiety disorders and depression were screened with standard tools (Liebowitz social anxiety scale, Hamilton Depression and Anxiety Rating Scale) and correlated to autistic features and social skills assessed with the social responsiveness scale 2 (SRS-2) and the repetitive behavior scale (RBS-R). We performed bivariate analysis between the social anxiety level and the scores measured with different clinical scales. We then adjusted the observed relationships with the alterations of SRS-2 and RBS-R scores.ResultsAfter adjustment, the level of social anxiety appeared as significantly associated with alterations in social reciprocity and particularly with the SRS-2 “social communication” and “social motivation” sub-scores, but not with RBS-R score.ConclusionsWe confirm previous reports showing that individuals with ASD are at high risk for specific anxiety disorders. In particular, high levels of impairments in social motivation and social communication (SRS-2) are indicative of comorbid disorders namely, social anxiety and ASD. Our findings clearly inform diagnostic assessment in ASD and stress the need to take comorbid anxiety disorders into consideration to improve treatment of ASD. To further clarify the impact of social anxiety on social competences and socio-adaptive handicap, longitudinal studies and cluster analysis will be needed in the future. |
| first_indexed | 2024-12-13T05:07:14Z |
| format | Article |
| id | doaj.art-2a5fabd047a046c79666388f12775437 |
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| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-13T05:07:14Z |
| publishDate | 2020-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-2a5fabd047a046c79666388f127754372022-12-21T23:58:37ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-07-011110.3389/fpsyt.2020.00710542188Social Anxiety in Children and Adolescents With Autism Spectrum Disorders Contribute to Impairments in Social Communication and Social MotivationKellen Briot0Kellen Briot1François Jean2Ali Jouni3Marie-Maude Geoffray4Myriam Ly-Le Moal5Daniel Umbricht6Christopher Chatham7Lorraine Murtagh8Richard Delorme9Richard Delorme10Richard Delorme11Manuel Bouvard12Manuel Bouvard13Manuel Bouvard14Manuel Bouvard15Marion Leboyer16Marion Leboyer17Marion Leboyer18Anouck Amestoy19Anouck Amestoy20Anouck Amestoy21Anouck Amestoy22University of Bordeaux, Medical Sciences Department, Bordeaux, FranceCentre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, Bordeaux, FranceCentre Hospitalier Dr Jean Eric Techer, Pôle de Psychiatrie de l'enfant et de l'adolescent, Calais, FranceCentre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, Bordeaux, FranceDepartment of Child and Adolescent Psychiatry, Centre Hospitalier le Vinatier, Bron, FranceInstitut Roche, Tour Horizons- Bureau 18M3, Boulogne-Billancourt, FranceRoche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, SwitzerlandRoche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, SwitzerlandFondation FondaMental, Créteil, FranceInstitut Pasteur, Human Genetics and Cognitive Functions Unit, Paris, FranceUniversité Paris Est Créteil, AP-HP, DMU IMPACT, Psychiatry and Addictology Department, Mondor University Hospital, Créteil, FranceUniversity of Bordeaux, Medical Sciences Department, Bordeaux, FranceCentre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, Bordeaux, FranceFondation FondaMental, Créteil, France0Aquitaine Institute for Cognitive and Integrative Neuroscience, INCIA UMR 5287, Bordeaux, FranceFondation FondaMental, Créteil, FranceUniversité Paris Est Créteil, AP-HP, DMU IMPACT, Psychiatry and Addictology Department, Mondor University Hospital, Créteil, France1INSERM, U955, IMRB, Laboratoire de NeuroPsychiatrie translationnelle, Créteil, FranceUniversity of Bordeaux, Medical Sciences Department, Bordeaux, FranceCentre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, Bordeaux, FranceFondation FondaMental, Créteil, France0Aquitaine Institute for Cognitive and Integrative Neuroscience, INCIA UMR 5287, Bordeaux, FranceBackgroundRecognition of symptoms of Social anxiety (SA) may be difficult among individuals with Autism Spectrum Disorders (ASD) because of overlap between social anxiety and autistic symptomatology. The main aim of our study was thus to explore the association between symptoms of social anxiety and clinical characteristics of ASD in order to identify individuals experiencing concomitant ASD and social anxiety disorder. We also described the prevalence of SA in a sample of children and adolescents with ASD.Method79 children and adolescents with ASD (with and without intellectual disability) and 28-matched control participants were recruited in two French Expert Centers for ASD, coordinated by the Fundation FondaMental. Psychiatric comorbidities, anxiety disorders and depression were screened with standard tools (Liebowitz social anxiety scale, Hamilton Depression and Anxiety Rating Scale) and correlated to autistic features and social skills assessed with the social responsiveness scale 2 (SRS-2) and the repetitive behavior scale (RBS-R). We performed bivariate analysis between the social anxiety level and the scores measured with different clinical scales. We then adjusted the observed relationships with the alterations of SRS-2 and RBS-R scores.ResultsAfter adjustment, the level of social anxiety appeared as significantly associated with alterations in social reciprocity and particularly with the SRS-2 “social communication” and “social motivation” sub-scores, but not with RBS-R score.ConclusionsWe confirm previous reports showing that individuals with ASD are at high risk for specific anxiety disorders. In particular, high levels of impairments in social motivation and social communication (SRS-2) are indicative of comorbid disorders namely, social anxiety and ASD. Our findings clearly inform diagnostic assessment in ASD and stress the need to take comorbid anxiety disorders into consideration to improve treatment of ASD. To further clarify the impact of social anxiety on social competences and socio-adaptive handicap, longitudinal studies and cluster analysis will be needed in the future.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00710/fullautism spectrum disorderschildadolescentsocial anxietycomorbidityprevalence |
| spellingShingle | Kellen Briot Kellen Briot François Jean Ali Jouni Marie-Maude Geoffray Myriam Ly-Le Moal Daniel Umbricht Christopher Chatham Lorraine Murtagh Richard Delorme Richard Delorme Richard Delorme Manuel Bouvard Manuel Bouvard Manuel Bouvard Manuel Bouvard Marion Leboyer Marion Leboyer Marion Leboyer Anouck Amestoy Anouck Amestoy Anouck Amestoy Anouck Amestoy Social Anxiety in Children and Adolescents With Autism Spectrum Disorders Contribute to Impairments in Social Communication and Social Motivation Frontiers in Psychiatry autism spectrum disorders child adolescent social anxiety comorbidity prevalence |
| title | Social Anxiety in Children and Adolescents With Autism Spectrum Disorders Contribute to Impairments in Social Communication and Social Motivation |
| title_full | Social Anxiety in Children and Adolescents With Autism Spectrum Disorders Contribute to Impairments in Social Communication and Social Motivation |
| title_fullStr | Social Anxiety in Children and Adolescents With Autism Spectrum Disorders Contribute to Impairments in Social Communication and Social Motivation |
| title_full_unstemmed | Social Anxiety in Children and Adolescents With Autism Spectrum Disorders Contribute to Impairments in Social Communication and Social Motivation |
| title_short | Social Anxiety in Children and Adolescents With Autism Spectrum Disorders Contribute to Impairments in Social Communication and Social Motivation |
| title_sort | social anxiety in children and adolescents with autism spectrum disorders contribute to impairments in social communication and social motivation |
| topic | autism spectrum disorders child adolescent social anxiety comorbidity prevalence |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00710/full |
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