Co-occurring anxiety is common in children with autism spectrum disorder (ASD). However, inconsistencies across parent and child reports of anxiety may complicate the assessment of anxiety in this population. The present study examined parent and child anxiety ratings in children with ASD with and without anxiety disorders and tested the association between parent-child anxiety rating discrepancy and ASD symptom severity. Participants included children aged 8-16 years in three diagnostic groups: ASD with co-occurring anxiety disorders (ASD + Anxiety; n = 34), ASD without co-occurring anxiety disorders (ASD; n = 18), and typically developing healthy controls (TD; n = 50). Parents and children completed ratings of child anxiety using the
Irritability is a common and impairing problem in children and adolescents that can be viewed as a dimension of psychopathology, as well as a core or co-occurring symptom in many childhood disorders. Two forms of interventions for irritability, parent management training (PMT) and cognitive-behavioral therapy (CBT), share common behavioral principles and social information-processing theoretical underpinnings. PMT aims to ameliorate aversive patterns of family interaction that produce the antecedents and consequences that maintain a child’s noncompliance and aggression. During CBT, children learn to regulate frustration and improve social problem-solving skills to reduce the frequency and intensity of anger outbursts and aggressive behavior. Dialectical behavior therapy (DBT) combines training in behavioral skills for reducing interpersonal conflicts with mindfulness and acceptance techniques for emotion regulation. Treatment studies of these approaches in children with various forms of behavioral and emotion dysregulation are reviewed and implications for children with disruptive mood dysregulation disorder are discussed.
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