ArticleEuropean child & adolescent psychiatry2023
Developmental cascades between insistence on sameness behaviour and anxiety symptoms in autism spectrum disorder.
Article in European child & adolescent psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Prevention and Reduction of Anxiety in Autistic Preschoolers Through an Autism-Specific Parent-Mediated Intervention: A Pilot Randomised Controlled Trial Evaluating Short and Longer Term Outcomes.Journal of autism and developmental disorders · 2026Trial
- Effortful Control but Not Negative Affectivity Predicts Intensity of Restricted Repetitive Behaviors in Toddlers With Neurodevelopmental Conditions.JAACAP open · 2026Article
- Adaptive, social, and repetitive behaviors in children with autism spectrum disorder and comorbid amblyopia and/or strabismus.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026Article
- Sex-Differential Trajectories of Domain-Specific Associations Between Autistic Traits and Co-Occurring Emotional-Behavioral Concerns in Autistic Children.Autism research : official journal of the International Society for Autism Research · 2025Article
- What for developmentalism in psychiatry?European child & adolescent psychiatry · 2025Article
- Relationship between social anxiety and separation anxiety symptoms with insistence on sameness with the mediating role of sensory hypersensitivity.BMC psychology · 2025Article
- A longitudinal study of developmental quotients in early interventions for children with intellectual disability.Frontiers in psychiatry · 2025Article
- Differentiating autism spectrum disorder and global developmental delay in preschoolers: overlapping profiles and diagnostic challenges.Frontiers in psychology · 2025Article
- Time is of the essence: Age at autism diagnosis, sex assigned at birth, and psychopathology.Autism : the international journal of research and practice · 2024Article
- Longitudinal Analyses of Mental Health in Autistic Individuals: A Systematic Review.Brain sciences · 2024Review
- Examining a model of anxiety in autistic adults.Autism : the international journal of research and practice · 2024Article
- Understanding the prevalence and manifestation of anxiety and other socio-emotional and behavioural difficulties in children with Developmental Language Disorder.Journal of neurodevelopmental disorders · 2023Article
- Autism severity and its relationship to disability.Autism research : official journal of the International Society for Autism Research · 2023Article
Corrections and comments
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Authors and funding
14 authors at 9 institutions in 2 countries.
Funding
Abstract
Autistic children experience high rates of anxiety. Insistence on sameness behaviour (IS) is a core feature of autism that appears correlated with anxiety severity. The objective of this study was to examine the longitudinal relations between anxiety and IS in autistic children using a developmental cascade model. A longitudinal cohort of 421 autistic children was followed between 4 and 11 years of age. Anxiety was quantified using items from the Anxiety Problems subscale of the Child Behavior Checklist; sameness behaviours were measured using the Repetitive Behavior Scale-Revised, Ritualistic/sameness subscale (both parent-report measures). Structural equation modelling was used to examine the longitudinal and directional associations between anxiety and IS at four time-points, through cross-lagged panel models (CLPM) with and without a random-intercepts component (RI-CLPM). Both the CLPM and the RI-CLPM had good fit. Significant directional associations were detected whereby elevated or increasing IS preceded elevated or increasing anxiety symptoms 1-2 years later, respectively. Stable baseline tendencies towards anxiety and IS as between-person traits (intercepts) were strongly associated (standardized estimate = 0.69, p < 0.001). The magnitude of the cross-sectional associations between anxiety and IS appeared to lessen with age. IS and anxiety symptoms in autism are closely related. They appear to be shared traits that mirror each other particularly in younger children. Increasing IS may be a sign of emerging future anxiety. Interventions that target IS to reduce or prevent anxiety amongst school-aged autistic children merit further study.
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