Abstract
Asthma is the most prevalent chronic medical condition among youth. Youth with asthma have higher rates of anxiety, depression, behavioral difficulties, and similar or higher rates of engaging in deleterious health behaviors (e.g., tobacco and marijuana use) compared to youth without asthma. Further, some families struggle with managing their child’s asthma symptoms and adhering to their treatment regimen. This chapter will use anxiety as an example to demonstrate a biopsychosocial case conceptualization approach and review cognitive behavioral interventions that address comorbid anxiety and asthma among youth.
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Notes
- 1.
This case is completely confabulated.
References
Abu-Hasan, M., Tannous, B., & Weinberger, M. (2005). Exercise-induced dyspnea in children and adolescents: If not asthma then what? Annals of Allergy, Asthma & Immunology, 94(3), 366–371. https://doi.org/10.1016/S1081-1206(10)60989-1.
Achenbach, T. M. (2009). The Achenbach System of Empirically Based Assessment (ASEBA): Development, findings, theory, and applications. Burlington, VT: University of Vermont Research Center for Children, Youth, & Families.
Adams, R. J., Smith, B. J., & Ruffin, R. E. (2000). Factors associated with hospital admissions and repeat emergency department visits for adults with asthma. Thorax, 55(7), 566–573. https://doi.org/10.1136/thorax.55.7.566.
Alati, R., O’Callaghan, M., Najman, J. M., Williams, G. M., Bor, W., & Lawlor, D. A. (2005). Asthma and internalizing behavior problems in adolescence: A longitudinal study. Psychosomatic Medicine, 67(3), 462–470. https://doi.org/10.1097/01.psy.0000161524.37575.42.
Alexeeva, I., & Martin, M. (2018). Evidence for mood-dependent attentional processing in asthma: Attentional bias towards health-threat in depressive mood and attentional avoidance in neutral mood. Journal of Behavioral Medicine, 41(4), 550–567. https://doi.org/10.1007/s10865-018-9919-6.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edition (DSM-5). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
Bauman, L. J., Wright, E., Leickly, F. E., Crain, E., Kruszon-Moran, D., Wade, S. L., et al. (2002). Relationship of adherence to pediatric asthma morbidity among inner-city children. Pediatrics, 110(1), e6. https://doi.org/10.1542/peds.110.1.e6.
Bender, B. G. (2016). Nonadherence to asthma treatment: Getting unstuck. Journal of Allergy and Clinical Immunology: In Practice, 4(5), 849–851. https://doi.org/10.1016/j.jaip.2016.07.007.
Bender, B., Wamboldt, F., O’Connor, S. L., Rand, C., Szefler, S., Milgrom, H., et al. (2000). Measurement of children’s asthma medication adherence by self report, mother report, canister weight, and Doser CT. Annals of Allergy, Asthma and Immunology, 85(5), 416–421. https://doi.org/10.1016/S1081-1206(10)62557-4.
Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38(10), 1230–1236. https://doi.org/10.1097/00004583-199910000-00011.
Bortoluzzi, A., Salum, G. A., da Rosa, E. D., Chagas, V., Castro, M. A. A., & Manfro, G. G. (2018). DNA methylation in adolescents with anxiety disorder: A longitudinal study. Scientific Reports, 8(1), 1–12. https://doi.org/10.1038/s41598-018-32090-1.
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17–31. https://doi.org/10.1016/j.cpr.2005.07.003.
Canino, G., McQuaid, E. L., & Rand, C. S. (2009). Addressing asthma health disparities: A multilevel challenge. Journal of Allergy and Clinical Immunology, 123(6), 1209–1217. https://doi.org/10.1016/j.jaci.2009.02.043.
Carr, R. E., Lehrer, P. M., Rausch, L. L., & Hochron, S. M. (1994). Anxiety sensitivity and panic attacks in an asthmatic population. Behaviour Research and Therapy, 32(4), 411–418. https://doi.org/10.1016/0005-7967(94)90004-3.
Centers for Disease Control and Prevention. (2016). CDC—asthma—most recent asthma data. Retrieved October 29, 2018, from https://www.cdc.gov/asthma/most_recent_data.htm.
Colland, V. T. (1993). Learning to cope with asthma: A behavioural self-management program for children. Patient Education and Counseling, 22(3), 141–152.
Deliu, M., Belgrave, D., Sperrin, M., Buchan, I., & Custovic, A. (2017). Asthma phenotypes in childhood. Expert Review of Clinical Immunology, 13(7), 705–713. https://doi.org/10.1080/1744666X.2017.1257940.
DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment. Archives of Internal Medicine, 160(14), 2101. https://doi.org/10.1001/archinte.160.14.2101.
Dudeney, J., Sharpe, L., & Hunt, C. (2015). Attentional bias towards threatening stimuli in children with anxiety: A meta-analysis. Clinical Psychology Review, 40, 66–75. https://doi.org/10.1016/j.cpr.2015.05.007.
Dudeney, J., Sharpe, L., Jaffe, A., Jones, E. B., & Hunt, C. (2017a). Anxiety in youth with asthma: A meta-analysis. Pediatric Pulmonology, 52(9), 1121–1129. https://doi.org/10.1002/ppul.23689.
Dudeney, J., Sharpe, L., Sicouri, G., Lorimer, S., Dear, B. F., Jaffe, A., et al. (2017b). Attentional bias in children with asthma with and without anxiety disorders. Journal of Abnormal Child Psychology, 45(8), 1635–1646. https://doi.org/10.1007/s10802-017-0261-1.
Easter, G., Sharpe, L., & Hunt, C. J. (2015). Systematic review and meta-analysis of anxious and depressive symptoms in caregivers of children with asthma. Journal of Pediatric Psychology, 40(7), 623–632. https://doi.org/10.1093/jpepsy/jsv012.
Eccleston, C., Palermo, T. M., Fisher, E., & Law, E. (2015). Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, (4), CD009660. https://doi.org/10.1002/14651858.CD009660.pub3.
Feldman, J. M., Steinberg, D., Kutner, H., Eisenberg, N., Hottinger, K., Sidora-Arcoleo, K., et al. (2013). Perception of pulmonary function and asthma control: The differential role of child versus caregiver anxiety and depression. Journal of Pediatric Psychology, 38(10), 1091–1100. https://doi.org/10.1093/jpepsy/jst052.
Fritz, G. K., McQuaid, E. L., Spirito, A., & Klein, R. B. (1996). Symptom perception in pediatric asthma: Relationship to functional morbidity and psychological factors. Journal of the American Academy of Child and Adolescent Psychiatry, 35(8), 1033–1041. https://doi.org/10.1097/00004583-199608000-00014.
Gao, Y., Zhao, H., Zhang, F., Gao, Y., Shen, P., Chen, R., et al. (2015). The relationship between depression and asthma: A meta-analysis of prospective studies. PLoS One, 10(7), e0132424. https://doi.org/10.1371/journal.pone.0132424.
Global Initiative for Asthma. (2018). Global strategy for asthma management and prevention, 2018.
Goodwin, R. D., Bandiera, F. C., Steinberg, D., Ortega, A. N., & Feldman, J. M. (2012). Asthma and mental health among youth: Etiology, current knowledge and future directions. Expert Review of Respiratory Medicine, 6(4), 397–406. https://doi.org/10.1586/ers.12.34.
Hasler, G., Gergen, P. J., Kleinbaum, D. G., Ajdacic, V., Gamma, A., Eich, D., et al. (2005). Asthma and panic in young adults: A 20-year prospective community study. American Journal of Respiratory and Critical Care Medicine, 171(11), 1224–1230. https://doi.org/10.1164/rccm.200412-1669OC.
Higa-McMillan, C. K., Francis, S. E., & Chorpita, B. F. (2014). Anxiety disorders. In E. Mash & R. Barkley (Eds.), Child psychopathology (3rd ed., pp. 345–428). New York: The Guilford Press.
Janssens, T., Verleden, G., De Peuter, S., Van Diest, I., & Van den Bergh, O. (2009). Inaccurate perception of asthma symptoms: A cognitive-affective framework and implications for asthma treatment. Clinical Psychology Review, 29(4), 317–327. https://doi.org/10.1016/j.cpr.2009.02.006.
Jones, S. E., Merkle, S., Wheeler, L., Mannino, D. M., & Crossett, L. (2006). Tobacco and other drug use among high school students with asthma. Journal of Adolescent Health, 39(2), 291–294. https://doi.org/10.1016/j.jadohealth.2005.12.003.
Juniper, E., Guyatt, G., Feeny, D., Ferrie, P., Griffith, L., & Townsend, M. (1996a). Measuring quality of life in children with asthma. Quality of Life Research, 5, 35–46.
Juniper, E., Guyatt, G., Feeny, D., Ferrie, P., Griffith, L., & Townsend, M. (1996b). Measuring quality of life in the parents of children with asthma. Quality of Life Research, 5(1), 27–34. Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed4&NEWS=N&AN=1996095275.
Juniper, E. F., Svensson, K., Mörk, A. C., & Ståhl, E. (2005). Measurement properties and interpretation of three shortened versions of the asthma control questionnaire. Respiratory Medicine, 99(5), 553–558. https://doi.org/10.1016/j.rmed.2004.10.008.
Katon, W. J., Richardson, L., Lozano, P., & McCauley, E. (2004). The relationship of asthma and anxiety disorders. Psychosomatic Medicine, 66(3), 349–355. https://doi.org/10.1097/01.psy.0000126202.89941.ea.
Kaugars, A. S., Klinnert, M. D., & Bender, B. G. (2004). Family influences on pediatric asthma. Journal of Pediatric Psychology, 29(7), 475–491.
Kean, E. M., Kelsay, K., Wamboldt, F., & Wamboldt, M. Z. (2006). Posttraumatic stress in adolescents with asthma and their parents. Journal of the American Academy of Child and Adolescent Psychiatry, 45(1), 78–86. https://doi.org/10.1097/01.chi.0000186400.67346.02.
Kendall, P. (2012a). Anxiety disorders in youth. In P. Kendall (Ed.), Child and adolescent therapy. Cognitive-behavioral procedures (4th ed., pp. 143–189). New York, NY: The Guilford Press.
Kendall, P. (2012b). Guiding theory for therapy with children and adolescents. In P. Kendall (Ed.), Child and adolescent therapy. Cognitive-behavioral procedures (4th ed., pp. 3–24). New York, NY: The Guilford Press.
Kendall, P., Crawford, E., Kagan, E., Furr, J., & Podell, J. (2017). Child-focused treatment for anxiety. In J. Weisz & A. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (3rd ed., pp. 17–34). New York, NY: The Guilford Press.
Kew, K. M., Nashed, M., Dulay, V., & Yorke, J. (2016). Cognitive behavioural therapy (CBT) for adults and adolescents with asthma. Cochrane Database of Systematic Reviews, (9). https://doi.org/10.1002/14651858.CD011818.pub2.
Lim, J., Wood, B. L., Miller, B. D., & Simmens, S. J. (2011). Effects of paternal and maternal depressive symptoms on child internalizing symptoms and asthma disease activity: Mediation by interparental negativity and parenting. Journal of Family Psychology, 25(1), 137–146. https://doi.org/10.1037/a0022452.
Liu, A. H., Zeiger, R., Sorkness, C., Mahr, T., Ostrom, N., Burgess, S., et al. (2007). Development and cross-sectional validation of the childhood asthma control test. Journal of Allergy and Clinical Immunology, 119(4), 817–825. https://doi.org/10.1016/j.jaci.2006.12.662.
Long, K. A., Ewing, L. J., Cohen, S., Skoner, D., Gentile, D., Koehrsen, J., Howe, C., Thompson, A. L., Rosen, R. K., Ganley, M., & Marsland, A. L. (2011). Preliminary evidence for the feasibility of a stress management intervention for 7- to 12-year-olds with asthma. Journal of Asthma, 48(2), 162–170.
Lowther, H., Newman, E., Sharp, K., & McMurray, A. (2016). Attentional bias to respiratory- and anxiety-related threat in children with asthma. Cognition and Emotion, 30(5), 953–967. https://doi.org/10.1080/02699931.2015.1036842.
Lu, Y., Mak, K. K., van Bever, H. P. S., Ng, T. P., Mak, A., & Ho, R. C. M. (2012). Prevalence of anxiety and depressive symptoms in adolescents with asthma: A meta-analysis and meta-regression. Pediatric Allergy and Immunology, 23(8), 707–715. https://doi.org/10.1111/pai.12000.
March, J. S., Parker, J. D. A., Sullivan, K., Stallings, P., & Conners, C. K. (1997). The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 554–565. https://doi.org/10.1097/00004583-199704000-00019.
Marriage, D., & Henderson, J. (2012). Cognitive behaviour therapy for anxiety in children with asthma. Nursing Children and Young People, 24(9), 30–34. https://doi.org/10.7748/ncyp2012.11.24.9.30.c9392.
McLeish, A. C., & Zvolensky, M. J. (2010). Asthma and cigarette smoking: A review of the empirical literature. The Journal of Asthma, 47(4), 345–361. https://doi.org/10.3109/02770900903556413.
Mcmains, K. C. (2015). Assessment of asthma severity and control. International Forum of Allergy and Rhinology, 5(Suppl 1), S31–S34. https://doi.org/10.1002/alr.21559.
McQuaid, E., Kopel, S., & Nassau, J. (2001). Behavioral adjustment in children with asthma: A meta-analysis. Journal of Developmental and Behavioral Pediatrics, 22(6), 430–439.
McQuaid, E. L., Kopel, S. J., Klein, R. B., & Fritz, G. K. (2003). Medication adherence in pediatric asthma: Reasoning, responsibility, and behavior. Journal of Pediatric Psychology, 28(5), 323–333. https://doi.org/10.1093/jpepsy/jsg022.
McQuaid, E. L., Walders, N., Kopel, S. J., Fritz, G. K., & Klinnert, M. D. (2005). Pediatric asthma management in the family context: The family asthma management system scale. Journal of Pediatric Psychology, 30(6), 492–502. https://doi.org/10.1093/jpepsy/jsi074.
Milgrom, H., Bender, B., Ackerson, L., Bowry, P., Smith, B., & Rand, C. (1996). Noncompliance and treatment failure in children with asthma. Journal of Allergy and Clinical Immunology, 98(6), 1051–1057. https://doi.org/10.1016/S0091-6749(96)80190-4.
Muris, P., Ollendick, T. H., Roelofs, J., & Austin, K. (2014). The Short Form of the Fear Survey Schedule for Children-Revised (FSSC-R-SF): An efficient, reliable, and valid scale for measuring fear in children and adolescents. Journal of Anxiety Disorders, 28(8), 957–965. https://doi.org/10.1016/j.janxdis.2014.09.020.
Nathan, R. A., Sorkness, C. A., Kosinski, M., Schatz, M., Li, J. T., Marcus, P., et al. (2004). Development of the asthma control test: A survey for assessing asthma control. Journal of Allergy and Clinical Immunology, 113(1), 59–65. https://doi.org/10.1016/j.jaci.2003.09.008.
National Asthma Education and Prevention Program. (2007). Guidelines for the diagnosis and management of asthma. National Asthma Education and Prevention Program Expert Panel Report 3. Bethesda, MD. https://doi.org/NIH Publication Number 08-5846.
National Heart Lung and Blood Institute. (2007). National Asthma Education and Prevention Program Expert Panel Report 3 (EPR-3): Guidelines for the diagnosis and Management of Asthma-Summary Report 2007. Bethesda, MD.
Ollendick, T. H. (1983). Reliability and validity of the revised fear survey schedule for children (FSSC-R). Behaviour Research and Therapy, 21(6), 685–692. https://doi.org/10.1016/0005-7967(83)90087-6.
Pai, A. L. H., & McGrady, M. (2014). Systematic review and meta-analysis of psychological interventions to promote treatment adherence in children, adolescents, and young adults with chronic illness. Journal of Pediatric Psychology, 39(8), 918–931. https://doi.org/10.1093/jpepsy/jsu038.
Panton, J., & Barley, E. (2005). Family therapy for asthma in children. Cochrane Database of Systematic Reviews, (1), CD000089. https://doi.org/10.1002/14651858.CD000089.pub2.
Papneja, T., & Manassis, K. (2016). Characterization and treatment response of anxious children with asthma. The Canadian Journal of Psychiatry, 51(6), 393–396.
Park, S. J., Sawyer, S. M., & Glaun, D. E. (1996). Childhood asthma complicated by anxiety: An application of cognitive behavioural therapy. Journal of Pediatrics and Child Health, 32, 183–187.
Pateraki, E., Morris, P. G., Pateraki, E., Hons, B. S., & Sc, M. (2018). Effectiveness of cognitive behavioural therapy in reducing anxiety in adults and children with asthma: A systematic review children with asthma: A systematic review. Journal of Asthma, 55(5), 532–554. https://doi.org/10.1080/02770903.2017.1350967.
Persons, J. (2008). The case formulation approach to cognitive-behavior therapy. New York, NY: The Guilford Press.
Peters, T. E., & Fritz, G. K. (2010). Psychological considerations of the child with asthma. Child and Adolescent Psychiatric Clinics of North America, 19(2), 319–333. https://doi.org/10.1016/J.CHC.2010.01.006.
Rappaport, L. M., Sheerin, C., Carney, D. M., Towbin, K. E., Leibenluft, E., Pine, D. S., et al. (2017). Clinical correlates of carbon dioxide hypersensitivity in children. Journal of the American Academy of Child and Adolescent Psychiatry, 56(12), 1089–1096.e1. https://doi.org/10.1016/j.jaac.2017.09.423.
Reynolds, C., & Kamphaus, R. (2016). Behavior assessment system for children, third edition (BASC-3). Bloomington, MN: Pearson.
Reynolds, C., & Paget, K. (1983). National normative and reliability data for the revised Children’s Manifest Anxiety Scale. School Psychology Review, 12(3), 324–336. https://doi.org/10.1162/DRAM-a-00278.
Richardson, L. P., Lozano, P., Russo, J., McCauley, E., Bush, T., & Katon, W. (2006). Asthma symptom burden: Relationship to asthma severity and anxiety and depression symptoms. Pediatrics, 118(3), 1042–1051. https://doi.org/10.1542/peds.2006-0249.
Rosenberg, S. L., Miller, G. E., Brehm, J. M., & Celedón, J. C. (2014). Stress and asthma: Novel insights on genetic, epigenetic, and immunologic mechanisms. Journal of Allergy and Clinical Immunology, 134(5), 1009–1015. https://doi.org/10.1016/j.jaci.2014.07.005.
Roy-Byrne, P. P., Davidson, K. W., Kessler, R. C., Asmundson, G. J. G., Goodwin, R. D., Kubzansky, L., et al. (2008). Anxiety disorders and comorbid medical illness. General Hospital Psychiatry, 30(3), 208–225. https://doi.org/10.1016/j.genhosppsych.2007.12.006.
Scherer, Y. K., & Bruce, S. (2001). Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart and Lung: Journal of Acute and Critical Care, 30(4), 250–257. https://doi.org/10.1067/mhl.2001.116013.
Sicouri, G., Sharpe, L., Hudson, J. L., Dudeney, J., Jaffe, A., & Hunt, C. (2017a). A case series evaluation of a pilot group cognitive behavioural treatment for children with asthma and anxiety. Behaviour Change, 34(1), 35–47. https://doi.org/10.1017/bec.2017.3.
Sicouri, G., Sharpe, L., Hudson, J. L., Dudeney, J., Jaffe, A., Selvadurai, H., et al. (2017b). Threat interpretation and parental influences for children with asthma and anxiety. Behaviour Research and Therapy, 89, 14–23. https://doi.org/10.1016/j.brat.2016.11.004.
Silverman, W., & Albano, A. (1996). The anxiety disorders interview schedule for children for DSM-IV. San Antonio, TX: Psychological Cooperation.
Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (STAI Form Y). Palo Alto: Consulting Psychologists Press. https://doi.org/10.1002/ana.22691.
Still, L., & Dolen, W. K. (2016). The perception of asthma severity in children. Current Allergy and Asthma Reports, 16(7), 1–6. https://doi.org/10.1007/s11882-016-0629-2.
Strine, T. W., Mokdad, A. H., Balluz, L. S., Berry, J. T., & Gonzalez, O. (2008). Impact of depression and anxiety on quality of life, health behaviors, and asthma control among adults in the United States with asthma, 2006. Journal of Asthma, 45(2), 123–133. https://doi.org/10.1080/02770900701840238.
ten Thoren, C., & Petermann, F. (2000). Reviewing asthma and anxiety. Respiratory Medicine, 94(5), 409–415. https://doi.org/10.1053/rmed.1999.0757.
Tepper, R. S., Wise, R. S., Covar, R., Irvin, C. G., Kercsmar, C. M., Kraft, M., et al. (2012). Asthma outcomes: Pulmonary physiology. Journal of Allergy and Clinical Immunology, 129(3 Suppl), S65–S87. https://doi.org/10.1016/j.jaci.2011.12.986.
Thomsen, S. F., van der Sluis, S., Kyvik, K. O., Skytthe, A., Skadhauge, L. R., & Backer, V. (2011). Increase in the heritability of asthma from 1994 to 2003 among adolescent twins. Respiratory Medicine, 105(8), 1147–1152.
Van De Ven, M. O. M., Engels, R. C. M. E., Sawyer, S. M., Otten, R., & Van Den Eijnden, R. J. J. M. (2007). The role of coping strategies in quality of life of adolescents with asthma. Quality of Life Research, 16(4), 625–634. https://doi.org/10.1007/s11136-006-9146-4.
Weinberger, M., & Abu-Hasan, M. (2007). Pseudo-asthma: When cough, wheezing, and dyspnea are not asthma. Pediatrics, 120(4), 855–864. https://doi.org/10.1542/peds.2007-0078.
Wood, B. L., Cheah, P. A., Lim, J. H., Ritz, T., Miller, B. D., Stern, T., et al. (2007). Reliability and validity of the asthma trigger inventory applied to a pediatric population. Journal of Pediatric Psychology, 32(5), 552–560. https://doi.org/10.1093/jpepsy/jsl043.
Wood, B. L., Miller, B. D., & Lehman, H. K. (2015). Review of family relational stress and pediatric asthma: The value of biopsychosocial systemic models. Family Process, 54(2), 376–389. https://doi.org/10.1111/famp.12139.
Yang, I. V., Lozupone, C. A., & Schwartz, D. A. (2017). The environment, epigenome, and asthma. Journal of Allergy and Clinical Immunology, 140(1), 14–23. https://doi.org/10.1016/j.jaci.2017.05.011.
Yii, A. C. A., & Koh, M. S. (2013). A review of psychological dysfunction in asthma: Affective, behavioral and cognitive factors. Journal of Asthma, 50(9), 915–921. https://doi.org/10.3109/02770903.2013.819887.
Zahran, H. S., Bailey, C. M., Damon, S. A., Garbe, P. L., & Breysse, P. N. (2018). Vital signs: Asthma in children—United States, 2001–2016. https://doi.org/10.15585/mmwr.mm6705e1.
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Clawson, A.H., Ruppe, N., Nwankwo, C., Blair, A., Baudino, M., Mehdi, N. (2019). Cognitive Behavioral Therapy for Youth with Asthma: Anxiety as an Example. In: Friedberg, R.D., Paternostro, J.K. (eds) Handbook of Cognitive Behavioral Therapy for Pediatric Medical Conditions. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-030-21683-2_22
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