The Analysis of Effects of Semantic Comprehension upon the Anxiety Indices in People with Autism Spectrum Disorder
Hypersensitivity to stimuli is one of main way of anxiety symptoms in people with Autism Spectrum Disorders (ASD) owing, within other factors, to deficit cognitive attribution performed on stimulating input. This research studies precisely the possible existence of relationships between the comprehensive elements of the information input and the anxiety increase in people with ASD.
A total of 30 students with ASD have participated in the study, aged between 6 and 14 age years, divided into two groups, an experimental group (EG) consisting of 20 students and a control group (CG) formed by 10 other students. Study aims are to study the relationships between perception and information understanding, as well the consequent anxiety reactions in people with ASD and, finally, analyze the improvement of these data from application of a naturalistic systemic program.
Results found along 3 successive measures along 12 months, performed throughout correlation analysis, ANOVA W test of 1-factor comparative measures and post- hoc analysis to age variable, allows to conclude the students who belong to EG significantly improved in aspects related to conceptual coding and in self-management of their own learning and, accordingly, they reduce anxiety level with regarding to their CG peers.
Keywords:Autism spectrum disorder, Anxiety, Naturalistic learning
 American Psychiatric Association.. Diagnostic and Statistical Manual of Mental Disorders (DSM- 5) ®. Arlington: American Psychiatric Association, 2013.
 Beaumont, R. & Newcombe, P. (2006). Theory of mind and central coherence in adults with high functioning autism or Asperger syndrome. Autism 10(4): 365–382. https://journals.sagepub.com/doi/pdf/10.1177/1362361306064416
 Black, K., Stevenson, R. A., Segers, M., Ncube, B. L., Sun, S. Z., Philipp-Muller, A. et al. (2017). Linking anxiety and insistence on sameness in autistic children: The role of sensory hypersensitivity. Journal of Autism and Developmental Disorders, 47(8): 2459-2470. http://dx.doi.org/10.1007/s10803-017-3161-x
 Bradshaw, J., Koegel, L. K. & Koegel, R..L.. Improving functional language and social motivation with a parent- mediated intervention for toddlers with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 2017, 47(8): 2443-2458.
 Cai, R. Y., Richdale, A. L., Dissanayake, C. & Uljarevic, M.. Brief report: Inter-relationship between emotion regulation, intolerance of uncertainty, anxiety, and depression in youth with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 2018, 48(1): 316-325.
 Capps, L., Losh, M. & Thurber, C. The frog ate a bug and made his mouth sad: narrative competence in children with autism. Journal of Abnormal Child Psychology, 2000, 28: 193–204.
 Clarke, C., Hill, V. & Charman, T.. School based cognitive behavioral therapy targeting anxiety in children with Autistic Spectrum Disorder: A quasi-experimental randomised controlled trail incorporating a mixed methods approach. Journal of Autism and Developmental Disorders, 2017, 47(12): 3883-3895.
 Colle, L. Baron-Cohen, S. & Wheelwright, S.. Narrative discourse in adults with high functioning autism or Asperger syndrome. Journal of Autism and Developmental Disorders, 2008, 38: 28–40.
 Corbett, B. A., Blain, S. D., Ioannou, S. & Balser, M.. Changes in anxiety following a randomized control trial of a theatre- based intervention for youth with Autism Spectrum Disorder. Autism: The International Journal of Research and Practice, 2017, 21(3): 333-343.
 Duifhuis, E. A., den Boer, J. C., Doornbos, A., Buitelaar, J. K., Oosterling, I. J. & Klip, H.. The effect of Pivotal Response Treatment in children with Autism Spectrum Disorders: A non- randomized study with a blinded outcome measure. Journal of Autism and Developmental Disorders, 2017, 47(2): 231-242.
 Hardan, A. Y., Gengoux, G. W., Berquist, K. L., Libove, R. A., Ardel, C. M., Phillips, J., et al.. A randomized controlled trial of Pivotal Response Treatment Group for parents of children with autism. Journal of Child Psychology and Psychiatry, 2015, 56(8): 884–892.
 Hodgson, A. R., Freeston, M. H., Honey, E. & Rodgers, J.. Facing the unknown: Intolerance of uncertainty in children with Autism Spectrum Disorder. Journal of Applied Research in Intellectual Disabilities, 2017, 30(2): 336-344.
 Hogan-Brown, A. L., Losh, M. & Martin, G.E.. An investigation of narrative ability in boys with autism and fragile X syndrome. American Journal on Intellectual and Developmental Disabilities, 2013, 118(2): 77–94.
 Joyce, C., Honey, E., Leekam, S. R., Barrett, S. L. & Rodgers, J.. Anxiety, intolerance of uncertainty and restricted and repetitive behavior: Insights directly from young people with ASD. Journal of Autism and Developmental Disorders, 2017, 47(12): 3789-3802.
 Keefer, A., Kreiser, N. L., Singh, V., Blakeley-Smith, A., Duncan, A., et al.. Intolerance of uncertainty predicts anxiety outcomes following CBT in youth with ASD. Journal of Autism and Developmental Disorders, 2017, 47(12): 3949-3958.
 Koegel, L. K.. Interventions to facilitate communication in autism. Journal of Autism and Developmental Disorders, 2000, 30(5): 383–391.
 Koegel, R. L.. The Evolution of Positive Behavioral Intervention and Support. Journal of Positive Behavior Interventions, 2018, 20(1): 4-5.
 Koegel, R. L. & Koegel, L. K.. Pivotal response treatments for autism: Communication, social, and academic development. Baltimore: Brookes Pub. Co., 2006.
 Koegel, R. L. & Koegel, L. K.. The PRT Pocket guide: Pivotal response treatment for Autism Spectrum Disorders. Baltimore: Brookes Pub. Co., 2012.
 Lee, M., Martin, G.E., Hogan, A., Hano, D., Gordon, P.C. & Losh, M.. What's the story? A computational analysis of narrative competence in autism. Autism: The International Journal of Research and Practice, 2018, 22(3): 335-344.
 Lin, C. E. & Koegel, R. L.. Treatment for higher- order restricted repetitive behaviors (H-RRB) in children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 2018, 48(11): 3831-3845.
 Losh, M. & Capps, L. Narrative ability in high-functioning children with autism or Asperger’s syndrome. Journal of Autism and Developmental Disorders, 2003, 33(3): 239–251.
 Lyons, G. L.. Cumulative evidence and consensus of Pivotal Response Treatment as a naturalistic developmental behavior intervention for young children with autism. University of Wisconsin: ProQuest LLC, 2017.
 Moskowitz, L. J., Walsh, C. E., Mulder, E., McLaughlin, D., Magito; Hajcak, G. et al. . Intervention for anxiety and problem behavior in children with Autism Spectrum Disorder and Intellectual Disability. Journal of Autism and Developmental Disorders, 2017, 47(12): 3930-3948.
 Neil, L., Olsson, N. C. & Pellicano, E.. The relationship between intolerance of uncertainty, sensory sensitivities, and anxiety in autistic and typically developing children. Journal of Autism and Developmental Disorders, 2016, 46(6): 1962–1973.
 Ojea, M.. Perceptive- cognitive functional learning model based on the self-management of students with Autistic Spectrum Disorder: A comparative analysis. American Journal of Biomedical Science and Research, 2019, 1(3): 112-121.
 Perrin, S.. A randomized controlled trial of cognitive therapy for generalized anxiety disorder in youth: The role of intolerance of uncertainty in symptom change. Conference proceedings, British association of behavioural and cognitive therapy (BABCP) annual meeting, 2014. Google Scholar
 Rodas, N. V., Eisenhower, A. & Blacher, J.. Structural and pragmatic language in children with ASD: Longitudinal impact on anxiety and externalizing behaviors. Journal of Autism and Developmental Disorders, 2017, 47(11): 3479-3488.
 Rodgers, J., Glod, M., Connolly, B. & McConachie, H.. The relationship between anxiety and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 2012, 42(11): 2404–2409.
 DOI: 10.1007/s10803-012-1531-y
 Rodgers, J., Hodgson, A., Shields, K., Wright, C., Honey, E. & Freeston, M.. Towards a treatment for intolerance of uncertainty in young people with Autism Spectrum Disorder: Development of the coping with uncertainty in everyday situations (CUES©) Programme. Journal of Autism and Developmental Disorders, 2017, 47(12): 3959-3966.
 Tager-Flusberg, H. & Sullivan, K.. Attributing mental states to story characters: a comparison of narratives produced by autistic and mentally retarded individuals. Applied Psycholinguistics 1995, 16(3): 241–256.
 Vella, L., Ring, H., Aitken, M. R., Watson, P. C., Presland, A. & Clare, I. C.. Understanding self-Reported difficulties in decision- making by people with Autism Spectrum Disorders. Autism: The International Journal of Research and Practice, 2018, 22(5): 549-559.
 Vernon, T. W., Koegel, R. L., Dauterman, H. & Stolen, K.. An early social engagement intervention for young children with autism and their parents. Journal of Autism and Developmental Disorders, 2012, 42(12): 2702–2717.
 DOI: 10.1007/s10803-012-1535-7.
 Verschuur, R., Huskens, B., Verhoeven, L. & Didden, R.. Increasing opportunities for question- asking in school- aged children with Autism Spectrum Disorder: Effectiveness of staff training in Pivotal Response Treatment. Journal of Autism and Developmental Disorders, 2017, 47(2): 490-505.