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Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation

by Hertz, Alyssa G , Goodman, Wayne K , Townsend, Allie N , Kerns, Connor M , Guzick, Andrew G , Kendall, Philip C , Berry, Leandra N , Wood, Jeffrey J , Storch, Eric A

in Adjustment / Anger / Anxiety / Anxiety disorders / Autism / Autism Spectrum Disorders / Autistic children / Behavior / Behavior Disorders / Behavior Problems / Behavioral Sciences / Child & adolescent psychiatry / Child Development / Children / Clinical outcomes / Clinical research / Clinical trials / Cognitive behavioral therapy / Cognitive Restructuring / College Science / Comorbidity / Departments / Disorders / Emotional Problems / Emotional regulation / Emotions / Families & family life / Family (Sociological Unit) / Functional impairment / Interpersonal Relationship / Obsessive compulsive disorder / Outcomes of Treatment / Phenomenology / Psychiatry / Psychological Patterns / Psychopathology / Social Problems / Symptoms (Individual Disorders) / Treatment outcomes / Youth

2024

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Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation

by Hertz, Alyssa G , Goodman, Wayne K , Townsend, Allie N , Kerns, Connor M , Guzick, Andrew G , Kendall, Philip C , Berry, Leandra N , Wood, Jeffrey J , Storch, Eric A

2024

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Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation

by Hertz, Alyssa G , Goodman, Wayne K , Townsend, Allie N , Kerns, Connor M , Guzick, Andrew G , Kendall, Philip C , Berry, Leandra N , Wood, Jeffrey J , Storch, Eric A

2024

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Journal Article

Anger Outbursts in Youth with ASD and Anxiety: Phenomenology and Relationship with Family Accommodation

Hertz, Alyssa G,

Goodman, Wayne K,

Townsend, Allie N,

Kerns, Connor M,

Guzick, Andrew G,

Kendall, Philip C,

Berry, Leandra N,

Wood, Jeffrey J,

Storch, Eric A

2024

Overview

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.

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Publisher

Springer Nature B.V

Subject

Adjustment

/ Anger

/ Anxiety

/ Anxiety disorders

/ Autism

/ Autism Spectrum Disorders

/ Autistic children