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Social anxiety in autism spectrum disorder: A systematic review

Research output: Contribution to journalArticle

Debbie Spain, Jacqueline Sin, Kai B. Linder, Johanna McMahon, Francesca Happé

Original languageEnglish
Pages (from-to)51-68
Number of pages18
JournalResearch In Autism Spectrum Disorders
Volume52
Early online date26 May 2018
DOIs
StatePublished - Aug 2018

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Abstract

Purpose
Social anxiety (SA) commonly co-occurs with autism spectrum disorders (ASD). It is conceivable that inherent socio-communication impairments, or their impact on social experiences, contribute to the development of SA.

Method
We undertook a systematic review to summarise English-language research about relationships between core ASD symptoms and SA in individuals with ASD.

Results
We searched five databases for studies published up until 28 July 2017. Of 1481 publications retrieved, 24 cross-sectional studies (described in 25 papers) met the inclusion criteria. Given methodological and clinical heterogeneity, data were synthesised narratively. SA, in individuals with ASD, was associated with poorer social skills and functioning, and reduced social motivation. There were associations between self-report SA and ASD measures, but a trend towards non-significant relationships between parent-ratings of these symptoms. Tentative evidence indicated that SA symptoms were not associated with restricted, repetitive behaviours or sensory sensitivities.

Conclusion
These findings support the notion that there are links between core ASD characteristics and SA. Further studies, employing qualitative and quantitative designs are needed to enhance understanding of causal, maintaining and protective mechanisms for SA in ASD.

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