Mental Health in Autism Flashcards
(24 cards)
___% of the normal population receive a mental health diagnosis, whereas __% of autistic adults meet the criteria for a mental health condition at some point in their lives. Depression and anxiety is present in __-__% of autistic adults
23% normal
79% for autistic adults
depression/anxiety present in 30-50% of autistic adults
What are the 4 types of causes in developing mental health in autism?
Enviroment
Biology
societal
psychological
What are the 3 major risk factors in developing mental health issues which are more prevalent in people with autism
Difficult life experiences
Thinking style
Social interaction difficulties
What 3 main implications does the double empathy problem lead to in autistic people?
Less readable by others
perceived more negatively by others
difficulty interacting with neurotypical
What is Camouflaging in autistic people?
method of coping to fit in with neurotypical by acting normal
What are the 3 main strategies in camouflaging?
Masking - self assessment to appear as NT
assimilation - to fit in in uncomfortable situations
compensation - for social communication difficulties
Despite camouflaging being helpful, it can lead to a loss of ________ and can be physically ________. This may take a toll on _____ health, hence why camouflaging is predictive of ______ and ______ , and even suicidality
Loss of identity
physically exhausting
take a toll on mental health
predictive of anxiety and depression and suicidality
What is the questionnaire used to capture camouflaging traits in autistic and non-autistic people?
A CAT-W
B CAT-Q
C CAT-S
D CAT-T
B CAT-Q
People with ______ ________, _________ ___________, and capability for suicide are put into the category of lethal suicide attempts
thwarted belonging and perceived burdensomeness
Despite strong evidence linking camouflaging to mental health, there is still _______ evidence
Mixed evidence linking the two
Non-social risk factors of mental health in autism refer to a _____ ______ style, making it difficult to imagine ______ ________. This can lead to increased risk of _______ _______.
concrete thinking styles make it difficult to imagine positive alternatives
inc risk of suicidal thoughts
There was an association found between ____-_____ skills and depression in people with autism
problem solving skills
Stewart et al (2006) described a diagnostic _______ in symptoms of _______ and criteria for ________. This may lead to diagnostic ________
overlap in symptoms for depression and autism criteria
diagnostic overshadowing
What is diagnostic overshadowing ?
attributing symptoms to one diagnosis when a different condition has similar symptoms
What are the 5 qualities of a good measurement assessment?
structural validity/internal consistency - all items measure same thing
hypothesis testing - can it differentiate our hypothesis
criterion validity
content validity - are questions appropriate for target
reliability - similar findings reproduced
Alexythymia in autistic people is the difficulty in _________ internal ______ and ______.
difficulty in verbalising internal theoughts and feelings
What 4 main cognitive aspects of autism make it difficult to carry out tests/diagnosis for mental health?
Alexythimia
impaired ToM
Literal interpretations of language
reduced thinking flexibility
Adapting depression diagnosis for autistic people need to make sure that items capture the ______ presentation of depression in autism. This may involve including questions ______ to people with autism, such as questions about _______.
Adapt depression questionnaire to make fit with unique aspects of autism
such as questions about camouflaging
Anxiety in autism is associated with insistence on ________, and certain rituals. This may lead to an intolerance of __________, increasing _______ behaviours to help cope.
associated with insistence on sameness
intolerance of uncertain situations and increase of repetitive beahviours
Social anxiety in regular people is the fear of ________ ________ of others, however in autism, it may be the fear of violating _____ ______ or the ___________ nature of social situations
normal pop = fear of negative evaluation
autism = fear of violating social rules or the unpredictable nature of social situations
What is the name of the autism anxiety-depression assessment adapted for autistic people?
ASC-ASD
What 3 examples of additional areas were added to the autistic version of the anxiety-depression assessment?
phobias
sensory anxiety
intolerance of uncertainty
What are 4 key issues with autistic people getting help and having therapy for mental health difficulties?
many staff are not trained
obstacles
difficulty expressing feelings
sensory sensitivity
What technique allowed 8/9 autistic children to help tackle their phobia?
A Cognitive Behavioral therapy
B Virtual Reality
C Sensory deprivation technique
D Therapy outside, in nature