Autism & Developmental

Intolerance of Uncertainty and Sensory Overreactivity: Potential Targets to Reduce Aggression in Young Autistic Children?

Keefer et al. (2025) · Journal of autism and developmental disorders 2025
★ The Verdict

Money crises can quickly raise problem behavior and caregiver depression in autism families, so roll out mental-health supports the moment economic stress hits.

✓ Read this if BCBAs serving autistic adults or teens whose families face job or housing worry.
✗ Skip if Clinicians working only with young kids in stable high-income districts.

01Research in Context

01

What this study did

De Roubaix et al. (2025) tracked families of autistic adults during the Great Recession. They looked at how money stress changed problem behavior and caregiver mood.

The team used a before-and-after design with no control group. They compared scores from just before the downturn to scores after the worst part.

02

What they found

Problem behavior and mom depression both got worse after the recession hit. Dad stress and job status stayed the same.

Adult health ratings also held steady. The study shows money shocks can hurt mood and behavior even when jobs and health do not change.

03

How this fits with other research

Lugo-Marín et al. (2021) saw the opposite during COVID lockdown: autistic adults and Level 2 youth had fewer mental-health symptoms. The difference is setting. Lockdown cut social demands, while recession added money worry.

Vassos et al. (2023) and Romero et al. (2024) match Amy’s pattern. Both found youth symptoms rose during the pandemic when services stopped and stress was high. Together they warn that any big crisis can spike behavior if support drops.

Tan et al. (2026) stretch the story forward. They show parent emotion-regulation problems today predict child behavior problems two years later. Amy’s recession spike in mom depression could echo for years unless we act.

04

Why it matters

You can’t stop recessions, but you can screen early. Add brief mood checks to parent meetings when the news talks of layoffs. Offer free ACT or mindfulness groups right away; Jones et al. (2014) and Koç et al. (2026) show these skills buffer caregiver stress. A small dose of support early may stop a behavior surge that lasts long after the economy recovers.

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Add a two-question parent mood screener to your next session if local layoffs are in the news.

02At a glance

Intervention
not applicable
Design
other
Sample size
392
Population
autism spectrum disorder
Finding
mixed

03Original abstract

Autistic individuals and their families are at risk for poor outcomes in employment and mental health and may be vulnerable to long-term effects of broader societal conditions. The aim of the current longitudinal study was to understand the impact of the Great Recession of 2007-2009 on autistic individuals and their mothers (N = 392). Hierarchical linear modeling (HLM) results indicated that problem behavior of autistic adults increased in the years following the recession. The rate at which autistic individuals moved away and lived separately from their mothers also slowed during the recession. Mothers experienced significantly higher levels of depressive symptoms postrecession, compared to prerecession. In many other respects, the autistic individuals and their mothers did not experience negative outcomes, suggesting resilience and a strong safety net. These included the physical health and vocational/employment status of the autistic adults and their mothers. Results point to specific areas of vulnerability of autistic individuals and their mothers during the economic downturn, as well as a broad pattern of resilience in these families.

Journal of autism and developmental disorders, 2025 · doi:10.1007/s10803-014-2199-2