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Anxiety in high-functioning autism: A pilot study of experience sampling using a mobile platform.

Dougal Julian Hare1, Carolyn Gracey2, Christopher Wood3

  • 1Cardiff University, UK dougal.hare@manchester.ac.uk.

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Adults with high-functioning autism experience anxiety differently. Mobile platforms may offer a feasible way to deliver real-time stress management techniques, improving mood and reducing worry.

Keywords:
anxietyautism spectrum disordersinterventions – psychosocial/behaviouraltechnology

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Area of Science:

  • Psychiatry
  • Psychology
  • Neurodevelopmental Disorders

Background:

  • Anxiety and stress are common in adults with high-functioning autism (HFA).
  • Cognitive-behavioural therapy (CBT) is a primary anxiety treatment but faces challenges in HFA populations.
  • Understanding the unique experience of anxiety in HFA is crucial for effective interventions.

Purpose of the Study:

  • To examine everyday anxiety and stress in adults with HFA using modified experience sampling.
  • To explore the feasibility of mobile-based, real-time stress management for this population.

Main Methods:

  • Modified experience sampling technique (mEST) employed to capture real-time data.
  • Participants with HFA monitored anxiety, stress, and related thoughts/feelings.
  • Feasibility of a mobile platform for delivering stress management interventions assessed.

Main Results:

  • High anxiety in HFA was linked to worry, confusing thoughts, and social isolation, not internal focus, imagery, or rumination.
  • Participants reported enhanced mood and reduced worry/anxious thinking during the study's active phase.
  • Preliminary data suggest mobile-based interventions are feasible for real-time stress management.

Conclusions:

  • The experience of anxiety in HFA differs from the general population.
  • Mobile platforms show promise for delivering accessible, real-time stress management interventions for adults with HFA.
  • Further research is needed to refine and develop these digital clinical interventions.