Exploring the Symptom Profiles of Intolerance of Uncertainty in Autistic Children

J Autism Dev Disord. 2024 Jan;54(1):121-130. doi: 10.1007/s10803-022-05744-3. Epub 2022 Oct 13.

Abstract

Intolerance of uncertainty (IU) is a multidimensional construct involving maladaptive responses to uncertainty. IU is strongly associated with autism and anxiety, yet no studies have examined its symptom profile in autistic children. This study compares IU symptom profiles in autistic and NT children and in autistic children with and without anxiety using the Intolerance of Uncertainty Scale for Children. Compared to NT peers, autistic children exhibited heightened IU symptoms in all domains, affective, behavioral, and cognitive; affective symptoms had the highest association with autism. Autistic children with anxiety also exhibited elevated IU symptoms in all domains compared to those without anxiety; behavioral IU symptoms had the highest association with anxiety. IU symptom profiles should be considered in assessment and treatment.

Keywords: Anxiety; Autism spectrum disorder; Intolerance of uncertainty.

MeSH terms

  • Anxiety / psychology
  • Anxiety Disorders / psychology
  • Autism Spectrum Disorder* / psychology
  • Autistic Disorder* / psychology
  • Child
  • Humans
  • Uncertainty