Autism & Developmental

How Does Emotion Regulation Strategy Use and Psychological Wellbeing Predict Mood in Adults With and Without Autism Spectrum Disorder? A Naturalistic Assessment.

Cai et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Autistic adults feel better when they savour good moments and accept feelings, but common targets like self-blame barely affect them.

✓ Read this if BCBAs serving autistic adults in clinic or community mental-health settings.
✗ Skip if Clinicians focused only on children or on behaviour reduction plans.

01Research in Context

01

What this study did

Cai et al. (2020) asked adults with and without autism to carry a phone for one week.

The phone beeped at random times and asked what emotion strategy they had just used and how they felt.

This real-life sampling shows what really helps mood outside the clinic.

02

What they found

For autistic adults, two moves hurt mood: dampening good feelings and blaming others.

Two moves helped: savouring nice moments and accepting feelings as they are.

Surprise: self-blame and avoidance only dragged down non-autistic adults, not the autistic group.

03

How this fits with other research

Cai et al. (2018) warned that most autism work uses paper surveys, not real moments. The new study answers that call with live phone prompts.

Laugeson et al. (2014) found only one in four studies mixed methods. The 2020 paper adds a second method by catching feelings in daily life.

Yamashiro et al. (2019) showed brooding raises depression in autistic adults. The new data say self-blame does not change mood, so the two papers seem to clash. The gap is timing: Amy asked "how you usually think," Ying asked "what you just did." Brooding is a habit, momentary self-blame is not.

04

Why it matters

Stop teaching autistic adults to reduce self-blame or avoidance; those tools barely touch their mood.

Instead, build savouring skills: pause to notice a good song, a finished task, a nice text.

Acceptance training also pays off. In short, amplify the good rather than fix the neutral.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add a 30-second savouring exercise to the end of each session: have the client name one good thing that happened and describe why it felt nice.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
42
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

The aim of this study was to identify emotion regulation (ER) strategies that most strongly impact momentary mood in a sample of 23 adults with and 19 without autism spectrum disorder (ASD). Participants completed cognitive and behavioural assessments, online questionnaires, and experience sampling methodology questions. In the ASD group, the use of dampening and other-blame reduced mood while savouring and emotional acceptance improved mood. The use of self-blame and avoidance negatively impacted mood only in the non-ASD group, suggesting the use of these two strategies do not reduce mood in individuals with ASD. ER and mental health interventions should capture ER strategy use and aim to decrease maladaptive strategy use and increase adaptive strategy use.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-03934-0