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Controlled Clinical Trial
. 2018 Sep;48(9):3101-3115.
doi: 10.1007/s10803-018-3542-9.

High Risk for Severe Emotional Dysregulation in Psychiatrically Referred Youth with Autism Spectrum Disorder: A Controlled Study

Gagan Joshi  1   2   3 , Janet Wozniak  4   5   6 , Maura Fitzgerald  4   5 , Stephen Faraone  7   8 , Ronna Fried  4   5   6 , Maribel Galdo  4   5 , Stephannie L Furtak  4   5 , Kristina Conroy  4   5 , J Ryan Kilcullen  4   5 , Abigail Belser  4   5 , Joseph Biederman  4   5   6
Affiliations
Controlled Clinical Trial

High Risk for Severe Emotional Dysregulation in Psychiatrically Referred Youth with Autism Spectrum Disorder: A Controlled Study

Gagan Joshi et al. J Autism Dev Disord. 2018 Sep.

Abstract

To assess prevalence and severity of emotional dysregulation (ED) in psychiatrically referred youth with autism spectrum disorder (ASD). ASD youth (N = 123) were compared to youth with attention-deficit/hyperactivity disorder (ADHD) and controls. The majority of psychiatrically referred youth with ASD had positive Child Behavior Checklist-ED (CBCL-ED) profile that was significantly higher than in youth with ADHD (82 vs. 53%; p < 0.001). The severe emotional dysregulation (SED) profile was significantly greater in ASD youth than ADHD (44 vs. 15%; p < 0.001). In the presence of SED profile ASD youth suffered from greater severity of autism, associated psychopathology, and psychosocial dysfunction. Greater than expected prevalence of SED in psychiatrically referred youth with ASD that identifies distinct clinical correlates associated with severe morbidity and dysfunction.

Keywords: Autism spectrum disorder; CBCL; Emotional dysregulation; Youth.

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