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Associations between theory of mind and conduct problems in autistic and nonautistic youth

Leno, Virginia Carter, Chandler, Susie, Whte, Phillipa, Yorke, Isabel, Charman, Tony, Jones, Catherine R. G. ORCID:, Happe, Francesca, Baird, Gillian, Pickels, Andrew and Siminoff, Emily 2021. Associations between theory of mind and conduct problems in autistic and nonautistic youth. Autism Research 14 (2) , pp. 276-288. 10.1002/aur.2346

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Many autistic young people exhibit co‐occurring behavior difficulties, characterized by conduct problems and oppositional behavior. However, the causes of these co‐occurring difficulties are not well understood. Impairments in theory of mind (ToM) are often reported in autistic individuals and have been linked to conduct problems in nonautistic individuals. Whether an association between ToM ability and conduct problems exists in autistic populations, whether this association is similar between individuals who are autistic versus nonautistic, and whether these associations are specific to conduct problems (as opposed to other domains of psychopathology) remains unclear. ToM ability was assessed using the Frith–Happé Triangles task in a pooled sample of autistic (N = 128; mean age 14.78 years) and nonautistic youth (N = 50; mean age 15.48 years), along with parent‐rated psychiatric symptoms of conduct problems, hyperactivity/inattention and emotional problems. Analyses tested ToM ability between autistic versus nonautistic participants, and compared associations between ToM performance and conduct problems between the two groups. Where no significant group differences in associations were found, the pooled association between ToM and conduct problems was estimated in the combined sample. Results showed no evidence of moderation in associations by diagnostic status, and an association between poorer ToM ability and higher levels of conduct problems, hyperactivity/inattention and emotional problems across the total sample. However, these associations became nonsignificant when adjusting for verbal IQ. Results provide support for theoretical models of co‐occurring psychopathology in autistic populations, and suggest targets for intervention for conduct problems in autistic youth.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Additional Information: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Publisher: Wiley
ISSN: 1939-3792
Date of First Compliant Deposit: 1 June 2020
Date of Acceptance: 24 May 2020
Last Modified: 07 Nov 2023 06:44

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