The relationship between distress tolerance and behavioral activation on anxiety and depression symptomatology in autistic youth: Leveraging self and caregiver perspectives
2024

Understanding Anxiety and Depression in Autistic Youth

Sample size: 200 publication 10 minutes Evidence: moderate

Author Information

Author(s): Jessica M. Schwartzman, Ligia Antezana, Caitlin M. Conner

Primary Institution: Vanderbilt University Medical Center

Hypothesis

Lower behavioral activation and distress tolerance are associated with more severe anxiety and depression symptoms in autistic adolescents.

Conclusion

The study found that low distress tolerance and behavioral activation are linked to more severe anxiety and depression symptoms in autistic adolescents.

Supporting Evidence

  • Low distress tolerance and behavioral activation were associated with more severe internalizing symptoms.
  • Behavioral activation may be more relevant to treatment planning for depression than distress tolerance.
  • Adolescents assigned female at birth reported lower distress tolerance and more severe internalizing symptoms.

Takeaway

This study shows that autistic teens who struggle to handle distress and engage in activities may feel more anxious and depressed.

Methodology

The study used correlational and regression analyses on self-reports from 100 autistic adolescents and their caregivers.

Potential Biases

Potential bias due to reliance on self-reports and caregiver reports, which may not fully capture the adolescents' experiences.

Limitations

The study's cross-sectional design limits causal inferences, and the sample may not represent all autistic adolescents.

Participant Demographics

Participants included 100 verbally fluent autistic adolescents aged 11 to 17, with a majority being male, cisgender, and White.

Statistical Information

P-Value

p<0.001

Confidence Interval

(0.11, 0.54)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/aur.3208

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