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Social Anxiety in High-functioning Children and Adolescents with Autism and Asperger Syndrome
Authors:Sanna Kuusikko  Rachel Pollock-Wurman  Katja Jussila  Alice S. Carter  Marja-Leena Mattila  Hanna Ebeling  David L. Pauls  Irma Moilanen
Affiliation:(1) Clinic of Child Psychiatric, University and University Hospital of Oulu, Oulu, Finland;(2) Child Psychiatric Clinic, University Hospital of Oulu, P.O. Box 26, 90029 OYS Oulu, Finland;(3) Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA;(4) University of Massachusetts Boston, Boston, MA, USA
Abstract:We examined social anxiety and internalizing symptoms using the Social Phobia and Anxiety Inventory for Children (SPAI-C), the Social Anxiety Scale for Children -Revised (SASC-R), and the Child Behavior Checklist (CBCL) in a sample of fifty-four high-functioning subjects with autism or Asperger syndrome (HFA/AS) (M = 11.2 ± 1.7 years) and 305 community subjects (M = 12.2 ± 2.2 years). Children and adolescents completed the SPAI-C and SASC-R, and their parents completed the CBCL Internalizing scale. Adolescents with HFA/AS scored higher than the community sample on all measures. Behavioural avoidance and evaluative social anxiety increased by age within the HFA/AS group, whereas behavioural avoidance decreased by age in control participants. Data support that HFA/AS in adolescents may be associated with clinically relevant social anxiety symptoms.
Keywords:Asperger syndrome  High-functioning autism  Social anxiety  Social phobia
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