Autism & Developmental

Emotion Regulation in Young Children with Autism Spectrum Disorders.

Berkovits et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Emotion dysregulation stays stuck and spawns new problems in young autistic children unless you treat it.

✓ Read this if BCBAs running early-intervention or preschool autism classrooms.
✗ Skip if Clinicians who only serve verbally fluent adolescents.

01Research in Context

01

What this study did

Berkovits et al. (2017) watched preschool and early-elementary kids with autism for ten months. They used the Emotion Regulation Checklist at the start and again at the end.

No therapy was given. The team just wanted to see if emotion dysregulation stayed the same and whether it forecasted bigger social or behavior problems later.

02

What they found

Scores hardly moved. Kids who were highly dysregulated at the beginning were still highly dysregulated ten months later.

Those stable high scores predicted new or worsening social and behavior difficulties. In short, emotion trouble did not fade on its own.

03

How this fits with other research

The picture is bleak without help. Uljarević et al. (2018) saw the same pattern in even younger toddlers: early dysregulation on the CBCL forecasted poorer adaptive skills later.

Tsai et al. (2018) added that when preschoolers use fewer calm-down strategies, parents also report lower quality of life. The stress spreads through the whole family.

Hope arrives in later studies. Anthony et al. (2020) and Thomson et al. (2015) show that short CBT packages can improve emotion regulation in 8- to 12-year-olds. Berkovits et al. (2025) now gives you normative no-treatment scores, so you can tell if your intervention really beats natural change.

04

Why it matters

Waiting does not work. If a young client shows high dysregulation on the Emotion Regulation Checklist, plan to treat it directly and soon. Use the 2025 norms as your baseline, borrow CBT elements shown to work with older kids, and track both child and parent outcomes so you catch family-wide gains.

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Score the Emotion Regulation Checklist, then add a calm-down routine with visual cues to the child's day.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
108
Population
autism spectrum disorder
Finding
negative

03Original abstract

There has been little research connecting underlying emotion processes (e.g., emotion regulation) to frequent behavior problems in young children with autism spectrum disorder (ASD). This study examined the stability of emotion regulation and its relationship with other aspects of child functioning. Participants included 108 children with ASD, ages 4-7, and their primary caregivers. ASD symptoms and cognitive/language abilities were assessed upon study entry. Parents reported on children's emotion regulation, social skills and behavior problems at two time points, 10 months apart. Emotion dysregulation was stable and related strongly to social and behavioral functioning but was largely independent of IQ. Further analyses suggested that emotion dysregulation predicts increases in social and behavioral difficulties across time. Implications for intervention are discussed.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-016-2922-2