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Social anxiety in autism spectrum disorder: a systematic review.

Spain, D; Sin, PH; Linder, KB; McMahon, J; Happé, F (2018) Social anxiety in autism spectrum disorder: a systematic review. Research in Autism Spectrum Disorders, 52. pp. 51-68. ISSN 1750-9467
SGUL Authors: Sin, Pui Han Jacqueline

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Purpose Social anxiety (SA) commonly co-occurs with autism spectrum disorders (ASD). It is conceivable that inherent socio-communication impairments, or their impact on social experiences, contribute to the development of SA. Method We undertook a systematic review to summarise English-language research about relationships between core ASD symptoms and SA in individuals with ASD. Results We searched five databases for studies published up until 28 July 2017. Of 1481 publications retrieved, 24 cross-sectional studies (described in 25 papers) met the inclusion criteria. Given methodological and clinical heterogeneity, data were synthesised narratively. SA, in individuals with ASD, was associated with poorer social skills and functioning, and reduced social motivation. There were associations between self-report SA and ASD measures, but a trend towards non-significant relationships between parent-ratings of these symptoms. Tentative evidence indicated that SA symptoms were not associated with restricted, repetitive behaviours or sensory sensitivities. Conclusion These findings support the notion that there are links between core ASD characteristics and SA. Further studies, employing qualitative and quantitative designs are needed to enhance understanding of causal, maintaining and protective mechanisms for SA in ASD.

Item Type: Article
Additional Information: © 2018 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Research in Autism Spectrum Disorders
ISSN: 1750-9467
August 2018Published
26 May 2018Published Online
17 April 2018Accepted
Publisher License: Creative Commons: Attribution 4.0
Project IDFunderFunder ID
CDRF – 2012-03-059National Institute for Health Research
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