From risk to resilience: a narrative overview of modifiable factors influencing anxiety in children with autism spectrum disorder (part II) - Report - MDSpire

From risk to resilience: a narrative overview of modifiable factors influencing anxiety in children with autism spectrum disorder (part II)

  • By

  • Emanuela Elena Mihai

  • Ileana Ciobanu

  • Matei Teodorescu

  • Andreea Georgiana Marin

  • Koushik Maharatna

  • Mihai Berteanu

  • July 17, 2026

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Clinical Report: Transforming Vulnerability into Strength in ASD Anxiety

Overview

This review highlights the prevalence of anxiety disorders in children with Autism Spectrum Disorder (ASD) and identifies modifiable risk and protective factors.

Background

Anxiety disorders significantly impact children and adolescents with ASD, contributing to functional impairment and reduced quality of life. Understanding the interplay of risk and protective factors is crucial for developing effective interventions.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

  • Anxiety in ASD is linked to factors such as sensory hypersensitivity and intolerance of uncertainty.
  • Protective factors include cognitive-behavioral therapy (CBT), structured physical activity, and supportive environments.
  • Variability in study designs limits the generalizability of findings related to anxiety in ASD.
  • Shared mechanisms exist between anxiety and depression in children with ASD.

Clinical Implications

A multidisciplinary approach is essential for managing anxiety in children with ASD.

Conclusion

This review supports a transdiagnostic approach to mental health in children and adolescents.

Related Resources & Content

  1. American Academy of Pediatrics, Pediatrics, 2025 -- Promoting Optimal Development: Screening for Mental Health, Emotional, and Behavioral Problems
  2. NICE, Guidance, 2024 -- Recommendations | Autism spectrum disorder in under 19s: support and management
  3. JAMA Network, Psychiatry and Behavioral Health, 2020 -- Cognitive Behavioral Treatments for Anxiety in Children With Autism Spectrum Disorder: A Randomized Clinical Trial
  4. PubMed, 2025 -- A cognitive help or hindrance? A systematic review of cognitive behavioural therapy to treat anxiety in young people with autism spectrum disorder
  5. Frontiers in Psychiatry — Barriers to Autonomy: Investigating the Impact of Self-Determination and Anxiety on Daily Living Abilities in Autistic Youth Transitioning to Adulthood
  6. Frontiers in Psychiatry — The relationship between autistic camouflaging mental health: a scoping review
  7. Frontiers in Psychiatry — The Long-Term Psychological Processing of an Autism Spectrum Disorder Diagnosis in Parents
  8. Frontiers in Psychiatry — Adverse outcomes for autistic people: an umbrella review of mental health, physical health, social and lifestyle domains
  9. Promoting Optimal Development: Screening for Mental Health, Emotional, and Behavioral Problems: Clinical Report | Pediatrics | American Academy of Pediatrics
  10. Recommendations | Autism spectrum disorder in under 19s: support and management | Guidance | NICE
  11. Cognitive Behavioral Treatments for Anxiety in Children With Autism Spectrum Disorder: A Randomized Clinical Trial | Psychiatry and Behavioral Health | JAMA Psychiatry | JAMA Network
  12. A cognitive help or hindrance? A systematic review of cognitive behavioural therapy to treat anxiety in young people with autism spectrum disorder - PubMed
  13. Frontiers | Comparative effectiveness of non-pharmacological interventions for anxiety, depression, and quality of life in individuals with autism spectrum disorder: A systematic review and network meta-analysis
  14. The relationships between restrictive/repetitive behaviours, intolerance of uncertainty, and anxiety in autism: A systematic review and meta-analysis - ScienceDirect
  15. Selective Serotonin Reuptake Inhibitors for Children with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis - PMC

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