Autism & Developmental

Failure is not an option: Risk-taking is moderated by anxiety and also by cognitive ability in children and adolescents diagnosed with an autism spectrum disorder.

South et al. (2011) · Journal of autism and developmental disorders 2011
★ The Verdict

In kids with ASD, high anxiety and low IQ together reduce risk-taking—screen both to understand task avoidance.

✓ Read this if BCBAs running social-skills or academic groups with school-age youth who have ASD
✗ Skip if Clinicians focused on toddlers or non-verbal adults

01Research in Context

01

What this study did

South et al. (2011) watched kids and teens with autism play a computer game that let them choose safe or risky gambles. The team also gave quick tests for IQ, anxiety, and behavioral inhibition.

They wanted to know if autism alone changes how much risk kids take, or if anxiety and smarts matter more.

02

What they found

Kids with autism took the same amount of risk as typical kids overall.

But inside the autism group only, high anxiety plus low IQ made kids pick the safe choice more often. Behavioral inhibition strengthened this link.

03

How this fits with other research

Sasson et al. (2018) later ran the same gamble game with autistic adults and saw more risk-aversion. The adult study extends the 2011 work: the overall group difference shows up only after adolescence.

Faja et al. (2015) and Leezenbaum et al. (2019) found younger children with autism struggle to wait for a bigger reward. These delay tasks tap the same self-control muscle that anxiety weakens in the 2011 risk task.

Ingadottir et al. (2025) showed anxiety can both hurt and help cognitive scores in school-age youth with autism. Their mixed pattern helps explain why anxiety cut risk-taking only when IQ was also low in Mikle’s sample.

04

Why it matters

Before you call a child overly cautious, check two numbers: anxiety level and IQ. When both are low, the child may avoid the gamble not from rigidity but from fear plus limited problem-solving. Ease anxiety first, then teach the task rules. This two-step view keeps you from mislabeling a smart but worried kid as indecisive, or a slow learner as defiant.

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02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
40
Population
autism spectrum disorder
Finding
null

03Original abstract

Understanding hetereogeneity in symptom expression across the autism spectrum disorders (ASD) is a major challenge for identifying causes and effective treatments. In 40 children and adolescents diagnosed with ASD and 37 IQ-and age-matched comparison participants (the TYP group), we found no differences in summary measures on an experimental risk-taking task. However, anxiety and IQ predicted risk-taking only in the ASD group. Risk-taking was correlated with behavioral inhibition in the ASD group and behavioral activation in the TYP group. We suggest that performance on the task was motivated by fear of failure in the ASD group and by sensitivity to reward in the TYP group. Behavioral markers of anxiety and cognitive ability may improve conceptualization of heterogeneity in ASD.

Journal of autism and developmental disorders, 2011 · doi:10.1007/s10803-010-1021-z