Self-Reported Social Impairments Predict Depressive Disorder in Adults with Autism Spectrum Disorder
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| Title: | Self-Reported Social Impairments Predict Depressive Disorder in Adults with Autism Spectrum Disorder |
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| Language: | English |
| Authors: | Day, Talena C. (ORCID |
| Source: | Autism: The International Journal of Research and Practice. Feb 2020 24(2):297-306. |
| Availability: | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com |
| Peer Reviewed: | Y |
| Page Count: | 10 |
| Publication Date: | 2020 |
| Sponsoring Agency: | National Institute of Mental Health (DHHS/NIH) |
| Contract Number: | 5R01MH107426 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Adults, Autism, Pervasive Developmental Disorders, Predictor Variables, Depression (Psychology), Comorbidity, Gender Differences, Intelligence Quotient, Symptoms (Individual Disorders), Severity (of Disability), Cognitive Ability, Clinical Diagnosis, Intelligence Tests, Diagnostic Tests, Observation |
| Assessment and Survey Identifiers: | Wechsler Abbreviated Scale of Intelligence, Autism Diagnostic Observation Schedule |
| DOI: | 10.1177/1362361319857375 |
| ISSN: | 1362-3613 |
| Abstract: | In adults with autism spectrum disorder, co-occurring psychiatric conditions are prevalent, and depression is one of the most common co-occurring disorders. This study examined the relationship between depression and cognitive ability, autism symptom severity, and self-reported social impairments in autism spectrum disorder. A total of 33 adults with autism spectrum disorder and 28 adults with typical development completed a standardized psychiatric interview, cognitive test, measure of clinician-rated autism symptom severity, and self-report of social impairments. Nine participants with autism spectrum disorder (27%) met the criteria for a depressive disorder (autism spectrum disorder + depressive disorder). Relatively more females with autism spectrum disorder had a co-occurring depressive disorder. The typical development group had a higher intelligence quotient than the autism spectrum disorder group, but the autism spectrum disorder + depressive disorder group did not differ from the typical development or autism spectrum disorder group. While the autism spectrum disorder + depressive disorder group had lower clinician-rated autism symptom severity than the autism spectrum disorder group, the autism spectrum disorder + depressive disorder group reported more social impairments than the autism spectrum disorder group. Self-reported social impairments predicted depression in adults with autism spectrum disorder when accounting for symptom severity and cognitive ability. These findings suggest that more self-perceived social impairments are related to depressive disorders in autism spectrum disorder, and may help clinicians identify individuals who are vulnerable in developing a co-occurring depressive disorder. Future directions include follow-up studies with larger cohorts and longitudinal designs to support inferences regarding directionality of these relationships. |
| Abstractor: | As Provided |
| Entry Date: | 2020 |
| Accession Number: | EJ1241271 |
| Database: | ERIC |
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| Abstract: | In adults with autism spectrum disorder, co-occurring psychiatric conditions are prevalent, and depression is one of the most common co-occurring disorders. This study examined the relationship between depression and cognitive ability, autism symptom severity, and self-reported social impairments in autism spectrum disorder. A total of 33 adults with autism spectrum disorder and 28 adults with typical development completed a standardized psychiatric interview, cognitive test, measure of clinician-rated autism symptom severity, and self-report of social impairments. Nine participants with autism spectrum disorder (27%) met the criteria for a depressive disorder (autism spectrum disorder + depressive disorder). Relatively more females with autism spectrum disorder had a co-occurring depressive disorder. The typical development group had a higher intelligence quotient than the autism spectrum disorder group, but the autism spectrum disorder + depressive disorder group did not differ from the typical development or autism spectrum disorder group. While the autism spectrum disorder + depressive disorder group had lower clinician-rated autism symptom severity than the autism spectrum disorder group, the autism spectrum disorder + depressive disorder group reported more social impairments than the autism spectrum disorder group. Self-reported social impairments predicted depression in adults with autism spectrum disorder when accounting for symptom severity and cognitive ability. These findings suggest that more self-perceived social impairments are related to depressive disorders in autism spectrum disorder, and may help clinicians identify individuals who are vulnerable in developing a co-occurring depressive disorder. Future directions include follow-up studies with larger cohorts and longitudinal designs to support inferences regarding directionality of these relationships. |
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| ISSN: | 1362-3613 |
| DOI: | 10.1177/1362361319857375 |
