Autism & Developmental

Brief Report: Inter-Relationship between Emotion Regulation, Intolerance of Uncertainty, Anxiety, and Depression in Youth with Autism Spectrum Disorder.

Cai et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

Intolerance of uncertainty may be the key mechanism linking poor emotion regulation to anxiety and depression in teens and young adults with ASD.

✓ Read this if BCBAs working with autistic adolescents who show anxiety or mood issues.
✗ Skip if Clinicians serving only non-verbal or very young autistic children.

01Research in Context

01

What this study did

The team asked 94 teens and young adults with autism to fill out four short surveys.

They measured emotion regulation skills, intolerance of uncertainty, anxiety, and depression.

Then they used statistics to see which factor linked the others together.

02

What they found

Kids who struggled to manage their feelings also felt more anxious and depressed.

But the numbers showed intolerance of uncertainty was the real bridge.

When uncertainty was high, poor emotion control led straight to anxiety and low mood.

03

How this fits with other research

Myers et al. (2018) looked at executive function instead of uncertainty.

They found planning and self-control predicted depression in autistic kids too.

Both studies point to self-regulation as the key lever for mental health.

Maddox et al. (2015) focused on reading faces, not handling uncertainty.

They showed emotion perception gaps hurt social skills, not mood.

Together the papers tell us: different regulation skills shape different life areas.

04

Why it matters

When you see anxiety or depression in an autistic teen, ask about uncertainty first.

Teach them to spot unclear situations and use coping plans.

Lowering uncertainty may cut the link between poor emotion control and mental health problems.

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02At a glance

Intervention
not applicable
Design
other
Sample size
61
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The aim of this study was to examine the inter-relationship between emotion regulation (ER), intolerance of uncertainty (IU), and symptoms of anxiety and depression in adolescents and young adults diagnosed with autism spectrum disorder (ASD). Sixty-one individuals aged 14-24 years (M age = 18.19; SD age = 2.19) completed the ER Questionnaire, IU Scale-12, Diagnostic and Statistical Manual of Mental Disorders-5 Dimensional Anxiety Scales, Patient Health Questionnaire-9, and Autism-Spectrum Quotient-Short. Correlation and mediation analyses were conducted. Results indicated all key variables were associated with each other and IU mediated the relationships between ER and symptoms of anxiety and of depression. Findings have implications for the design of future interventions targeting affective disorders in ASD.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-017-3318-7