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The social responsiveness scale is an efficient screening tool for autism spectrum disorder traits in adults with anorexia nervosa

Kerr-Gaffney, J; Harrison, A; Tchanturia, K; (2020) The social responsiveness scale is an efficient screening tool for autism spectrum disorder traits in adults with anorexia nervosa. European Eating Disorders Review 10.1002/erv.2736. (In press). Green open access

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Abstract

OBJECTIVE: A significant proportion of individuals with anorexia nervosa (AN) show high levels of autism spectrum disorder (ASD) traits, a factor associated with poorer treatment outcomes. An important question for both researchers and clinicians relates to how ASD traits should be assessed in individuals with AN. This study aimed to examine scores on the Social Responsiveness Scale adult self-report version (SRS-2) in individuals in the acute (AN) and recovered stages (REC) of illness compared to healthy controls (HCs). We also aimed to examine associations between the SRS-2 and an observational diagnostic measure, the Autism Diagnostic Observation Schedule - second edition (ADOS-2). METHOD: The SRS-2 and ADOS-2 were administered to 142 adults with AN, REC, and HCs. Eating disorder (ED) psychopathology and functional impairment were also assessed. RESULTS: AN and REC scored significantly higher than HCs on the SRS-2. SRS-2 scores significantly predicted ADOS-2 classification and were positively associated with ED psychopathology and functional impairment. SRS-2 scores were not associated with BMI or illness duration. CONCLUSIONS: The SRS-2 may be a useful tool in screening for ASD traits in individuals with AN. Although cross-sectional, the results also suggest ASD symptoms are independent of BMI and persist in individuals recovered from AN.

Type: Article
Title: The social responsiveness scale is an efficient screening tool for autism spectrum disorder traits in adults with anorexia nervosa
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/erv.2736
Publisher version: https://doi.org/10.1002/erv.2736
Language: English
Additional information: © 2020 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: anorexia nervosa, autism spectrum disorder, clinical interview, comorbidity, self-report
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10094710
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