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Understanding the Contributions of Trait Autism and Anxiety to Extreme Demand Avoidance in the Adult General Population

Rhianna White, Lucy A. Livingston, Emily C. Taylor, Scarlett A.D. Close, Punit Shah, Mitchell J. Callan

Research output: Contribution to journalArticlepeer-review

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Abstract

Autism and anxiety are thought to be related to extreme demand avoidance (EDA), which is characterised by intense avoidance of everyday demands. However, the relative importance of autism and anxiety to EDA has yet to be investigated, and little is known about EDA in adulthood. We conducted two online survey studies (Ns = 267 and 549) with adults in the general population to establish the relative importance of autistic traits and anxiety as predictors of demand avoidance, using dominance analysis. Both autistic traits and anxiety were unique and equally important predictors of demand avoidance. These findings suggest EDA is linked to autism and are consistent with the theory that demand avoidance behaviours are potentially anxiety-driven in adults.

Original languageEnglish
Pages (from-to)2680-2688
Number of pages9
JournalJournal of Autism and Developmental Disorders
Volume53
Issue number7
Early online date18 Apr 2022
DOIs
Publication statusPublished - 31 Jul 2023

Bibliographical note

Publisher Copyright:
© 2022, The Author(s).

Acknowledgements

RW, LAL, and PS conceived of the study, RW, LAL, ECT, SADC, and PS collected the data, RW, PS, and MJC analysed the data, and all authors drafted, read, and approved the final version of the manuscript.

Funding

RW and ECT are supported by doctoral studentships from the Economic and Social Research Council and the Whorrod Foundation, respectively. PS and MJC are joint senior authors. All authors declare no conflict of interest.

Keywords

  • Adults
  • Anxiety
  • Autism
  • Extreme demand avoidance
  • Pathological demand avoidance

ASJC Scopus subject areas

  • Developmental and Educational Psychology

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