Exploring cognitive flexibility as a key moderator in anxiety and repetitive behavior dynamics

Presentation Type

Abstract

Faculty Advisor

Erin Kang

Access Type

Event

Start Date

25-4-2025 1:30 PM

End Date

25-4-2025 2:29 PM

Description

Autistic individuals commonly experience anxiety (Williams et al., 2021). Repetitive behaviors (RBs), including repeated motor mannerisms, focused interests, or an insistence on sameness, are a core feature of autism, and are often exacerbated by anxiety (Williams et al., 2021). Cognitive flexibility (CF) is defined as an individual's ability to adjust to different situations and respond accordingly (Dajani & Uddin, 2015). Autistic individuals often experience difficulties with task-switching, an aspect of CF, which may contribute to other challenges like increased anxiety (Lacroix et al., 2024). It is thus important to explore the role of CF in the relationship between anxiety and RBs, which can help us understand how to better clinically serve autistic adolescents experiencing anxiety. In a sample of 102 youth between the ages of 6-17 (58% autistic), parent-reported anxiety and parent-reported RBs were correlated (r = .581, p < .001), as were anxiety and parent-reported CF (r = .543, p < .001). RBs and CF were also positively correlated (r = .738, p < .001). Moderation analysis indicated a significant main effect between CF and RBs (b = 0.02, p < .001), as well as a significant interaction effect between anxiety and CF in predicting RBs (b = 0.28, p = .0011). Probing indicated that CF moderated the relationship between anxiety and RBs only for those with medium (b = 0.22, p = .024) to high (b = 0.44, p = < .001) levels of CF. This data may be useful in planning treatment for autistic adolescents experiencing anxiety.

Comments

Poster presentation at the 2025 Student Research Symposium.

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Apr 25th, 1:30 PM Apr 25th, 2:29 PM

Exploring cognitive flexibility as a key moderator in anxiety and repetitive behavior dynamics

Autistic individuals commonly experience anxiety (Williams et al., 2021). Repetitive behaviors (RBs), including repeated motor mannerisms, focused interests, or an insistence on sameness, are a core feature of autism, and are often exacerbated by anxiety (Williams et al., 2021). Cognitive flexibility (CF) is defined as an individual's ability to adjust to different situations and respond accordingly (Dajani & Uddin, 2015). Autistic individuals often experience difficulties with task-switching, an aspect of CF, which may contribute to other challenges like increased anxiety (Lacroix et al., 2024). It is thus important to explore the role of CF in the relationship between anxiety and RBs, which can help us understand how to better clinically serve autistic adolescents experiencing anxiety. In a sample of 102 youth between the ages of 6-17 (58% autistic), parent-reported anxiety and parent-reported RBs were correlated (r = .581, p < .001), as were anxiety and parent-reported CF (r = .543, p < .001). RBs and CF were also positively correlated (r = .738, p < .001). Moderation analysis indicated a significant main effect between CF and RBs (b = 0.02, p < .001), as well as a significant interaction effect between anxiety and CF in predicting RBs (b = 0.28, p = .0011). Probing indicated that CF moderated the relationship between anxiety and RBs only for those with medium (b = 0.22, p = .024) to high (b = 0.44, p = < .001) levels of CF. This data may be useful in planning treatment for autistic adolescents experiencing anxiety.