Abstract
Autism spectrum disorder (ASD) and obsessive–compulsive disorder (OCD) share similar clinical features (e.g., obsessions, compulsions, restricted interests, repetitive behaviors), making accurate differential diagnosis challenging. Fairly high rates of comorbidity between the disorders further complicate the assessment procedures and present additional clinical concerns (e.g., increased psychosocial impairment). Given the clinical implications of their co-occurrence and similar symptom presentations, differentiating obsessive–compulsive symptoms from symptoms of ASD is essential. This chapter provides information on OCD and ASD individually and jointly. Diagnostic criteria for each disorder are reviewed, along with explanations of symptom overlap between OCD and ASD. Clinical examples of overlapping symptoms of OCD and ASD requiring a differential diagnosis are presented, and recommendations for techniques and queries within assessments are included. Commonly utilized measures to aid in the assessment of OCD and ASD symptoms are summarized, though there is still a paucity of measures that have been validated for concurrent use in both populations. A brief overview of treatment in individuals with OCD and ASD is presented, as well as a description of the Diagnostic and Statistical Manual of Mental Disorders—Fifth Edition (DSM-5) changes and associated implications. For each section, clinical implications of the overlap between OCD and ASD are discussed.
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References
AACAP (2012). Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51(1), 98–113.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.
Amir, N., Freshman, M., Ramsey, B., Neary, E., & Brigidi, B. (2001). Thought-action fusion in individuals with OCD symptoms. Behaviour Research and Therapy, 39(7), 765–776.
Anholt, G. E., Cath, D. C., van Oppen, P., Eikelenboom, M., Smit, J. H., van Megen, H., & van Balkom, A. J. (2010). Autism and ADHD symptoms in patients with OCD: Are they associated with specific OC symptom dimensions or OC symptom severity? Journal of Autism and Developmental Disorders, 40(5), 580–589. doi:10.1007/s10803-009-0922-1.
Baron-Cohen, S. (1989). Do autistic children have obsessions and compulsions? The British Journal of Clinical Psychology, 28(3), 193–200.
Barrett, P. M., Healy-Farrell, L., Piacentini, J., & March, J. S. (2004). Obsessive-compulsive disorder in childhood and adolescence: Description and treatment. In P. M. Barrett & T. H. Ollendick (Eds.), Handbook of interventions that work with children and adolescents: Prevention and treatment (pp. 187–216). Hoboken: Wiley.
Bartz, J. A., & Hollander, E. (2006). Is obsessive-compulsive disorder an anxiety disorder? Progress in Neuro-Psychopharmacology & Biological Psychiatry, 30, 338–352.
Bejerot, S. (2007). An autistic dimension: A proposed subtype of obsessive-compulsive disorder. Autism, 11(2), 101–110. doi: 10.1177/1362361307075699.
Bishop, S. L., Richler, J., & Lord, C. (2006). Association between restricted and repetitive behaviors and nonverbal IQ in children with autism spectrum disorders. Child Neuropsychology, 12(4–5), 247–267. doi:10.1080/09297040600630288.
Brown-Jacobsen, A. M., Wallace, D. P., & Whiteside, S. P. (2011). Multimethod, multi-informant agreement, and positive predictive value in the identification of child anxiety disorders using the SCAS and ADIS-C. Assessment, 18(3), 382–392. doi:10.1177/1073191110375792.
Brown, T. A., DiNardo, P. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV—Adult version. New York: Oxford University Press.
Brown, T. A., Di Nardo, P. A., Lehman, C. L., & Campbell, L. A. (2001). Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology, 110(1), 49–58. doi:10.1037//0021-843x.110.1.49.
Brugha, T. S., McManus, S., Bankart, J., Scott, F., Purdon, S., Smith, J., et al. (2011). Epidemiology of autism spectrum disorders in adults in the community in England. Archives of General Psychiatry, 68(5), 459–465. doi:10.1001/archgenpsychiatry.2011.38.
Cath, D. C., Ran, N., Smit, J. H., van Balkom, A. J., & Comijs, H. C. (2008). Symptom overlap between autism spectrum disorder, generalized social anxiety disorder and obsessive-compulsive disorder in adults: A preliminary case-controlled study. Psychopathology, 41(2), 101–110. doi:10.1159/000111555.
Centers for Disease Control and Prevention. (2012, Mar 30). Prevalence of autism spectrum disorders—Autism and Developmental Disabilities Monitoring Network, 14 Sites, United States, 2008. Morbidity and mortality weekly report, surveillance summaries, 61(3). US Department of Health and Human Services.
Cohen, L. L., La Greca, A. M., Blount, R. L., Kazak, A. E., Holmbeck, G. N., & Lemanek, K. L. (2008). Introduction to special issue: Evidence-based assessment in pediatric psychology. Journal of Pediatric Psychology, 33(9), 911–915. doi:10.1093/jpepsy/jsj115.
Coles, M. E., Frost, R. O., Heimberg, R. G., & Rhéaume, J. (2003). Not just right experiences: Perfectionism, obsessive-compulsive features and general psychopathology. Behaviour Research and Therapy, 41(6), 681–700. doi:10.1016/s0005-7967(02)00044-x.
Constantino, J. N., & Gruber, C. P. (2005). Social Responsiveness Scale (SRS). Los Angeles, CA: Western Psychological Services.
Coury, D. L., Anagnostou, E., Manning-Courtney, P., Reynolds, A., McCoy, R., Witaker, A., & Perrin, J. M. (2012). Use of psychotropic medication in children and adolescents with autism spectrum disorders. Pediatrics, 130, 69–76.
Cunningham, A. B., & Schreibman, L. (2008). Stereotypy in autism: The importance of function. Research in Autism Spectrum Disorders, 2(3), 469–479. doi:10.1016/j.rasd.2007.09.006.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Patient Edition (SCID-I/P). New York: New York State Psychiatric Institute.
Fischer-Terworth, C., & Probst, P. (2009). Obsessive-compulsive phenomena and symptoms in Asperger’s disorder and high-functioning autism: An evaluative literature review. Life Span and Disability, 12, 5–27.
Frazier, T. W., Youngstrom, E. A., Speer, L., Embacher, R., Law, P., Constantino, J., et al. (2012). Validation of proposed DSM-5 criteria for autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51(1), 28–40.e23. doi:10.1016/j.jaac.2011.09.021.
Freeman, J. B., Garcia, A. M., Coyne, L., Ale, C., Przeworski, A., Himle, M., et al. (2008). Early childhood OCD: Preliminary findings from a family-based cognitive-behavioral approach. Journal of the American Academy of Child and Adolescent Psychiatry, 47(5), 593–602. doi:10.1097/CHI.0b013e31816765f9.
Geller, D. A. (2006). Obsessive-compulsive and spectrum disorders in children and adolescents. The Psychiatric Clinics of North America, 29(2), 353–370. doi:10.1016/j.psc.2006.02.012.
Geller, D. A., Hoog, S. L., Heiligenstein, J. H., Ricardi, R. K., Tamura, R., Kluszynski, S., et al. (2001). Fluoxetine treatment for obsessive-compulsive disorder in children and adolescents: A placebo-controlled clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 40(7), 773–779.
Geller, D. A., Biederman, J., Stewart, S. E., Mullin, B., Martin, A., Spencer, T., & Faraone, S. V. (2003). Which SSRI? A meta-analysis of pharmacotherapy trials in pediatric obsessive-compulsive disorder. American Journal of Psychiatry, 160(11), 1919–1928.
Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Delgado, P., Heninger, G. R., & Charney, D. S. (1989a). The Yale-Brown Obsessive Compulsive Scale. II. Validity. Archives of General Psychiatry, 46(11), 1012–1016.
Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989b). The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Archives of General Psychiatry, 46(11), 1006–1011.
Groden, J., Goodwin, M. S., Baron, M. G., Groden, G., Velicer, W. F., Lipsitt, L. P., et al. (2005). Assessing cardiovascular responses to stressors in individuals with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 20(4), 244–252.
Helverschou, S. B., Bakken, T. L., & Martinsen, H. (2011). Psychiatric disorders in people with autism spectrum disorders: Phenomenology and recognition. In J. L. Matson & P. Sturmey (Eds.), International handbook of autism and pervasive developmental disorders (pp. 53–74). New York: Springer.
Irfan, U., Khalid, S., & Waqar, S. (2011). Effectiveness of psychological and pharmacological treatments for obsessive-compulsive disorder: A qualitative review. Pakistan Journal of Pharmacology, 28(2), 65–74.
Ivarsson, T., & Melin, K. (2008). Autism spectrum traits in children and adolescents with obsessive-compulsive disorder (OCD). Journal of Anxiety Disorders, 22(6), 969–978. doi:10.1016/j.janxdis.2007.10.003.
Jacob, S., Landeros-Weisenberger, A., & Leckman, J. F. (2009). Autism spectrum and obsessive-compulsive disorders: OC behaviors, phenotypes and genetics. Autism Research, 2(6), 293–311. doi:10.1002/aur.108.
Jakubovski, E., Pittenger, C., Torres, A. R., Fontenelle, L. F., do Rosario, M. C., Ferrao, Y. A., et al. (2011). Dimensional correlates of poor insight in obsessive-compulsive disorder. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 35(7), 1677–1681. doi:10.1016/j.pnpbp.2011.05.012.
Joosten, A. V., Bundy, A. C., & Einfeld, S. L. (2009). Intrinsic and extrinsic motivation for stereotypic and repetitive behavior. Journal of Autism and Developmental Disorders, 39(3), 521–531. doi:10.1007/s10803-008-0654-7.
Joshi, G., Petty, C., Wozniak, J., Henin, A., Fried, R., Galdo, M., et al. (2010). The heavy burden of psychiatric comorbidity in youth with autism spectrum disorders: A large comparative study of a psychiatrically referred population. Journal of Autism and Developmental Disorders, 40(11), 1361–1370. doi:10.1007/s10803-010-0996-9.
Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627. doi:10.1001/archpsyc.62.6.617.
King, B. H., Hollander, E., Sikich, L., McCracken, J. T., Scahill, L., Bregman, J. D., et al. (2009). Lack of efficacy of citalopram in children with autism spectrum disorders and high levels of repetitive behavior: Citalopram ineffective in children with autism. Archives of General Psychiatry, 66(6), 583–590. doi:10.1001/archgenpsychiatry.2009.30.
Leckman, J. F., Denys, D., Simpson, H. B., Mataix-Cols, D., Hollander, E., Saxena, S., et al. (2010). Obsessive-compulsive disorder: A review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V. Depression and Anxiety, 27(6), 507–527. doi:10.1002/da.20669.
Lehmkuhl, H. D., Storch, E. A., Bodfish, J. W., & Geffken, G. R. (2008). Brief report: Exposure and response prevention for obsessive compulsive disorder in a 12-year-old with autism. Journal of Autism and Developmental Disorders, 38, 977–981.
Lewin, A. B., & Piacentini, J. (2009). Obsessive-compulsive disorder in children. In B. J. Sadock, V. A. Sadock & P. Ruiz (Eds.), Kaplan & Sadock’s comprehensive textbook of psychiatry (9th ed., Vol. 2, pp. 3671–3678). Philadelphia: Lippincott Williams & Wilkins.
Lewin, A. B., Storch, E. A., Adkins, J., Murphy, T. K., & Geffken, G. R. (2005). Current directions in pediatric obsessive-compulsive disorder. Pediatric Annals, 34(2), 128–134.
Lewin, A. B., Wood, J. J., Gunderson, S., Murphy, T. K., & Storch, E. A. (2011). Phenomenology of comorbid autism spectrum and obsessive-compulsive disorders among children. Journal of Developmental and Physical Disabilities, 23(6), 543–553. doi:10.1007/s10882-011-9247-z.
Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861. doi:10.1007/s10803-006-0123-0.
Mack, H., Fullana, M. A., Russell, A. J., Mataix-Cols, D., Nakatani, E., & Heyman, I. (2010). Obsessions and compulsions in children with Asperger’s syndrome or high-functioning autism: A case-control study. Australian and New Zealand Journal of Psychiatry, 44, 1082–1088.
Mancebo, M. C., Greenberg, B., Grant, J. E., Pinto, A., Eisen, J. L., Dyck, I., & Rasmussen, S. A. (2008). Correlates of occupational disability in a clinical sample of obsessive-compulsive disorder. Comprehensive Psychiatry, 49(1), 43–50. doi:10.1016/j.comppsych.2007.05.016.
March, J. S., & Mulle, K. (1998). OCD in children and adolescents: A cognitive-behavioral treatment manual. New York: The Guilford Press.
Masi, G., Millepiedi, S., Mucci, M., Bertini, N., Milantoni, L., & Arcangeli, F. (2005). A naturalistic study of referred children and adolescents with obsessive-compulsive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 44(7), 673–681. doi:10.1097/01.chi.0000161648.82775.ee.
Matson, J. L., & Boisjoli, J. A. (2008). Autism spectrum disorders in adults with intellectual disability and comorbid psychopathology: Scale development and reliability of the ASD-CA. Research in Autism Spectrum Disorders, 2(2), 276–287. doi:10.1016/j.rasd.2007.07.002.
Matson, J. L., & Wilkins, J. (2008). Reliability of the Autism Spectrum Disorders-Comorbid for Children (ASD-CC). Journal of Developmental and Physical Disabilities, 20(4), 327–336. doi:10.1007/s10882-008-9100-1.
Matson, J. L., Dempsey, T., Lovullo, S. V., & Wilkins, J. (2008). The effects of intellectual functioning on the range of core symptoms of autism spectrum disorders. Research in Developmental Disabilities, 29(4), 341–350. doi:10.1016/j.ridd.2007.06.006.
Matsunaga, H. (2012). Current and emerging features of obsessive-compulsive disorder: Trends for the revision of DSM-5. Seisbin Shinkeigaku Zasshi, 114, 1023–1030.
Mayes, S. D., Black, A., & Tierney, C. D. (2013). DSM-5 under-identifies PDDNOS: Diagnostic agreement between the DSM-5, DSM-IV, and checklist for autism spectrum disorder. Research in Autism Spectrum Disorders, 7, 298–306.
McDougle, C. J., Kresch, L. E., Goodman, W. K., Naylor, S. T., Volkmar, F. R., Cohen, D. J., & Price, L. H. (1995). A case-controlled study of repetitive thoughts and behavior in adults with autistic disorder and obsessive-compulsive disorder. American Journal of Psychiatry, 152(5), 772–777.
McGuire, J. F., Kugler, B. B., Park, J. M., Horng, B., Lewin, A. B., Murphy, T. K., & Storch, E. A. (2012). Evidence-based assessment of compulsive skin picking, chronic tic disorders and trichotillomania in children. Child Psychiatry and Human Development, 43(6), 855–883. doi:10.1007/s10578-012-0300-7.
Militerni, R., Bravaccio, C., Falco, C., Fico, C., & Palermo, M. T. (2002). Repetitive behaviors in autistic disorder. European Child & Adolescent Psychiatry, 11(5), 210–218. doi:10.1007/s00787-002-0279-x.
Moore, P. S., Mariaskin, A., March, J., & Franklin, M. E. (2007). Obsessive-compulsive disorder in children and adolescents: Diagnosis, comorbidity, and developmental factors. In E. A. Storch, G. R. Geffkin, & T. K. Murphy (Eds.), Handbook of child and adolescent obsessive-compulsive disorder (pp. 17–46). Mahwah: Lawrence Erlbaum.
Muris, P., Steerneman, P., Merckelbach, H., Holdrinet, I., & Meesters, C. (1998). Comorbid anxiety symptoms in children with pervasive developmental disorders. Journal of Anxiety Disorders, 12(4), 387–393.
O’Neill, M., & Jones, R. S. P. (1997). Sensory-perceptual abnormalities in autism: A case for more research? Journal of Autism and Developmental Disorders, 27(3), 283–293.
Pertusa, A., Bejerot, S., Eriksson, J., Fernandez de la Cruz, L., Bonde, S., Russell, A., & Mataix-Cols, D. (2012). Do patients with hoarding disorder have autistic traits? Depression and Anxiety, 29(3), 210–218. doi:10.1002/da.20902.
Piacentini, J., Bergman, R. L., Keller, M., & McCracken, J. (2003). Functional impairment in children and adolescents with obsessive-compulsive disorder. Journal of Child and Adolescent Psychopharmacology, 13, S61–S69. doi:10.1089/104454603322126359.
Piacentini, J., Langley, A., & Roblek, T. (2007a). Cognitive-behavioral treatment of childhood OCD: It’s only a false alarm. New York: Oxford University Press.
Piacentini, J., Peris, T. S., Bergman, R. L., Chang, S., & Jaffer, M. (2007b). Functional impairment in childhood OCD: Development and psychometrics properties of the Child Obsessive-Compulsive Impact Scale-Revised (COIS-R). Journal of Clinical Child and Adolescent Psychology, 36(4), 645–653. doi:10.1080/15374410701662790.
Piacentini, J., Bergman, R. L., Chang, S., Langley, A., Peris, T. S., Wood, J. J., et al. (2011). Controlled comparison of family cognitive behavioral therapy and psychoeducation/relaxation training for child obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 50(11), 1149–1161.
Rahman, O., Reid, J. M., Parks, A. M., McKay, D., & Storch, E. A. (2011). Obsessive-compulsive disorder. In D. McKay & E. A. Storch (Eds.), Handbook of child and adolescent anxiety disorders (pp. 323–338). New York: Springer.
Reaven, J., & Hepburn, S. (2003). Cognitive-behavioral treatment of obsessive-compulsive disorder in a child with Asperger syndrome: A case report. Autism: The International Journal of Research and Practice, 7, 145–164.
Rudy, B. M., Lewin, A. B., & Storch, E. A. (2013). Managing anxiety comorbidity in youth with autism spectrum disorders. Neuropsychiatry, 3(4), 411–421. doi:10.2217/npy.13.53.
Russell, A. J., Mataix-Cols, D., Anson, M., & Murphy, D. G. (2005). Obsessions and compulsions in Asperger syndrome and high-functioning autism. British Journal of Psychiatry, 186, 525–528. doi:10.1192/bjp.186.6.525.
Russell, A. J., Jassi, A., Fullana, M. A., Mack, H., Johnston, K., Heyman, I., et al. (2013). Cognitive behavior therapy for comorbid obsessive-compulsive disorder in high-functioning autism spectrum disorders: A randomized controlled trial. Depression and Anxiety, 30(8), 697–708. doi:10.1002/da.22053.
Rydén, E., & Bejerot, S. (2008). Autism spectrum disorders in an adult psychiatric population. A naturalistic cross-sectional controlled study. Clinical Neuropsychiatry, 5(1), 13–21.
Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., et al. (1997). Children’s Yale-Brown Obsessive Compulsive Scale: Reliability and validity. Journal of the American Academy of Child & Adolescent Psychiatry, 36(6), 9.
Scahill, L., McDougle, C. J., Williams, S. K., Dimitropoulos, A., Aman, M. G., McCracken, J. T., et al. (2006). Children’s Yale-Brown Obsessive Compulsive Scale modified for pervasive developmental disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1114–1123. doi:10.1097/01.chi.0000220854.79144.e7.
Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV—Child and parent versions. San Antonio: Graywind.
South, M., Ozonoff, S., & McMahon, W. M. (2005). Repetitive behavior profiles in Asperger syndrome and high-functioning autism. Journal of Autism and Developmental Disorders, 35(2), 145–158. doi:10.1007/s10803-004-1992-8.
Storch, E. A., Murphy, T. K., Geffken, G. R., Soto, O., Sajid, M., Allen, P., et al. (2004). Psychometric evaluation of the Children’s Yale-Brown Obsessive-Compulsive Scale. Psychiatry Research, 129(1), 91–98. doi:10.1016/j.psychres.2004.06.009.
Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., et al. (2007a). Family accommodation in pediatric obsessive-compulsive disorder. Journal of Clinical Child and Adolescent Psychology, 36(2), 207–216. doi: 10.1080/15374410701277929.
Storch, E. A., O’Brien, K., Adkins, J., Merlo, L. J., Murphy, T. K., & Geffken, G. R. (2007b). Cognitive-behavioral treatment of pediatric obsessive-compulsive disorder. In E. A. Storch, G. R. Geffken, & T. K. Murphy (Eds.), Handbook of child and adolescent obsessive-compulsive disorder. Mahwah: Lawrence Erlbaum.
Storch, E. A., Abramowitz, J., & Goodman, W. K. (2008). Where does obsessive-compulsive disorder belong in DSM-V? Depression and Anxiety, 25(4), 336–347. doi:10.1002/da.20488.
Storch, E. A., Lehmkuhl, H. D., Ricketts, E., Geffken, G. R., Marien, W., & Murphy, T. K. (2010). An open trial of intensive family based cognitive-behavioral therapy in youth with obsessive-compulsive disorder who are medication partial responders or nonresponders. Journal of Clinical Child and Adolescent Psychology, 39(2), 260–268. doi:10.1080/15374410903532676.
Storch, E. A., Caporino, N. E., Morgan, J. R., Lewin, A. B., Rojas, A., Brauer, L., et al. (2011a). Preliminary investigation of web-camera delivered cognitive-behavioral therapy for youth with obsessive-compulsive disorder. Psychiatry Research, 189(3), 407–412. doi:10.1016/j.psychres.2011.05.047.
Storch, E. A., Rahman, O., Park, J. M., Reid, J., Murphy, T. K., & Lewin, A. B. (2011b). Compulsive hoarding in children. Journal of Clinical Psychology, 67(5), 507–516. doi:10.1002/jclp.20794.
Storch, E. A., Ehrenreich May, J., Wood, J. J., Jones, A. M., De Nadai, A. S., Lewin, A. B., et al. (2012). Multiple informant agreement on the Anxiety Disorders Interview Schedule in youth with autism spectrum disorders. Journal of Child and Adolescent Psychopharmacology, 22(4), 292–299. doi:10.1089/cap.2011.0114.
Storch, E. A., Arnold, E. B., Lewin, A. B., Nadeau, J. M., Jones, A. M., De Nadai, A. S., et al. (2013). The effect of cognitive-behavioral therapy versus treatment as usual for anxiety in children with autism spectrum disorders: a randomized, controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 52(2), 132–142.e2. doi:10.1016/j.jaac.2012.11.007.
Swedo, S. E., Rapoport, J. L., Leonard, H., Lenane, M., & Cheslow, D. (1989). Obsessive-compulsive disorder in children and adolescents. Clinical phenomenology of 70 consecutive cases. Archives of General Psychiatry, 46(4), 335–341.
The Pediatric OCD Treatment Study (POTS) Team (2004). Cognitive-behavior therapy, sertraline, and their combination with children and adolescents with obsessive-compulsive disorder: The Pediatric OCD Treatment Study (POTS) randomized controlled trial. Journal of the American Medical Association, 292(16), 1969–1976.
Turner-Brown, L. M., Lam, K. S., Holtzclaw, T. N., Dichter, G. S., & Bodfish, J. W. (2011). Phenomenology and measurement of circumscribed interests in autism spectrum disorders. Autism: the international journal of research and practice, 15(4), 437–456. doi:10.1177/1362361310386507.
van Steensel, F. J., Bogels, S. M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child and Family Psychology Review, 14(3), 302–317. doi:10.1007/s10567-011-0097-0.
Vitiello, B., & Waslick, B. (2010). Pharmacotherapy for children and adolescents with anxiety disorders. Psychiatric Annals, 40(4), 185–191.
White, S. W., Albano, A. M., Johnson, C. R., Kasari, C., Ollendick, T., Klin, A., et al. (2010). Development of a cognitive-behavioral intervention program to treat anxiety and social deficits in teens with high-functioning autism. Clinical Child and Family Psychology Review, 13(1), 77–90. doi:10.1007/s10567-009-0062-3.
Wood, J. J., & Drahota, A. (2005). Behavioral Interventions for Anxiety in Children with Autism (BIACA). Los Angeles: University of California Press.
Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009). Cognitive-behavioral therapy for anxiety in children with autism spectrum disorders: A randomized, controlled trial. Journal of Clinical Psychology and Psychiatry, 50(3), 224–234.
Worley, J. A., & Matson, J. L. (2012). Comparing symptoms of autism spectrum disorders using the current DSM-IV-TR diagnostic criteria and the proposed DSM-V diagnostic criteria. Research in Autism Spectrum Disorders, 6, 965–970.
Wu, M. S., McGuire, J. F., Arnold, E. B., Lewin, A. B., Murphy, T. K., & Storch, E. A. (2013). Psychometric properties of the Children’s Yale-Brown Obsessive Compulsive Scale in youth with autism spectrum disorders and obsessive-compulsive symptoms. Child Psychiatry and Human Development, 45(2), 201–211. doi:10.1007/s10578-013-0392-8.
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Wu, M., Rudy, B., Storch, E. (2014). Obsessions, Compulsions, and Repetitive Behavior: Autism and/or OCD. In: Davis III, T., White, S., Ollendick, T. (eds) Handbook of Autism and Anxiety. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-319-06796-4_8
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