Autistic characteristics in youth with anorexia nervosa before and after treatment.

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Title: Autistic characteristics in youth with anorexia nervosa before and after treatment.
Authors: Susanin, Annabel (AUTHOR), Cooper, Marita (AUTHOR), Makara, Amanda (AUTHOR), Kuschner, Emily S. (AUTHOR), Timko, C. Alix (AUTHOR)
Source: European Eating Disorders Review. Sep2022, Vol. 30 Issue 5, p664-670. 7p.
Subjects: Anorexia nervosa treatment, Statistics, Autism in adolescence, Randomized controlled trials, Parenting, Symptoms, Health behavior, Questionnaires, Descriptive statistics, Data analysis, Early medical intervention, Adolescence
Abstract: Objective: Cognitive characteristics common to autistic individuals are often seen in adults with anorexia nervosa (AN), raising the question of whether autistic people and people with AN may share an endophenotype. We need to examine autistic characteristics during the early stages of AN to accurately parse true symptom co‐occurrence from behavioural alterations due to prolonged illness. Methods: We conducted a post‐hoc analysis examining autistic characteristics in 59 youth with AN. Adolescents and parents participating in a randomised‐clinical trial for AN completed questionnaires probing autistic characteristics at baseline and treatment end. We categorised participants as above or below cut‐offs of clinical indicators of autism using the Autism Probability Index (API) and the Autism Spectrum Quotient‐10. Results: Rates of high autistic characteristics ranged between 0% and 36% depending on the instrument used and how the data was obtained (i.e., by informant report or self‐report). Paternal report of autistic characteristics differed across treatment completers versus non completers and maternal report indicated lower weight gain for those with elevated characteristics. Conclusions: Low rates of autism and fluctuations in autistic features during treatment underscore the importance of longitudinal examinations of autistic characteristics in adolescents with AN. Future studies need to replicate findings in a larger adolescent sample. Trial registration: ClinicalTrails.gov Identifier NCT03928028. Key points: Rates of autism characteristics in youth with anorexia nervosa depended on instrument used and informant.No association between autism characteristics and demographic, clinical, or treatment outcomes.Longitudinal examinations of autism characteristics in anorexia nervosa are needed. [ABSTRACT FROM AUTHOR]
Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Autistic characteristics in youth with anorexia nervosa before and after treatment.
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  Data: <searchLink fieldCode="AR" term="%22Susanin%2C+Annabel%22">Susanin, Annabel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cooper%2C+Marita%22">Cooper, Marita</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Makara%2C+Amanda%22">Makara, Amanda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kuschner%2C+Emily+S%2E%22">Kuschner, Emily S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Timko%2C+C%2E+Alix%22">Timko, C. Alix</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Eating+Disorders+Review%22">European Eating Disorders Review</searchLink>. Sep2022, Vol. 30 Issue 5, p664-670. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Anorexia+nervosa+treatment%22">Anorexia nervosa treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Autism+in+adolescence%22">Autism in adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Parenting%22">Parenting</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Cognitive characteristics common to autistic individuals are often seen in adults with anorexia nervosa (AN), raising the question of whether autistic people and people with AN may share an endophenotype. We need to examine autistic characteristics during the early stages of AN to accurately parse true symptom co‐occurrence from behavioural alterations due to prolonged illness. Methods: We conducted a post‐hoc analysis examining autistic characteristics in 59 youth with AN. Adolescents and parents participating in a randomised‐clinical trial for AN completed questionnaires probing autistic characteristics at baseline and treatment end. We categorised participants as above or below cut‐offs of clinical indicators of autism using the Autism Probability Index (API) and the Autism Spectrum Quotient‐10. Results: Rates of high autistic characteristics ranged between 0% and 36% depending on the instrument used and how the data was obtained (i.e., by informant report or self‐report). Paternal report of autistic characteristics differed across treatment completers versus non completers and maternal report indicated lower weight gain for those with elevated characteristics. Conclusions: Low rates of autism and fluctuations in autistic features during treatment underscore the importance of longitudinal examinations of autistic characteristics in adolescents with AN. Future studies need to replicate findings in a larger adolescent sample. Trial registration: ClinicalTrails.gov Identifier NCT03928028. Key points: Rates of autism characteristics in youth with anorexia nervosa depended on instrument used and informant.No association between autism characteristics and demographic, clinical, or treatment outcomes.Longitudinal examinations of autism characteristics in anorexia nervosa are needed. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1002/erv.2937
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 664
    Subjects:
      – SubjectFull: Anorexia nervosa treatment
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Autism in adolescence
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Parenting
        Type: general
      – SubjectFull: Symptoms
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      – SubjectFull: Health behavior
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      – SubjectFull: Questionnaires
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Adolescence
        Type: general
    Titles:
      – TitleFull: Autistic characteristics in youth with anorexia nervosa before and after treatment.
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            NameFull: Susanin, Annabel
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            NameFull: Cooper, Marita
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            NameFull: Makara, Amanda
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            NameFull: Kuschner, Emily S.
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            – D: 01
              M: 09
              Text: Sep2022
              Type: published
              Y: 2022
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