A Systematic Review of the Assessment and Treatment of Posttraumatic Stress Disorder in Individuals with Autism Spectrum Disorders

Individual differences are known to influence the risk of trauma exposure and development of posttraumatic stress disorder (PTSD). It has been suggested that features of autism spectrum disorder (ASD) may confer such risk. This article provides a systematic review of the assessment and treatment of PTSD in individuals with ASD, in addition to summarising the rates and presentation of PTSD within this population. Twenty-four studies met eligibility criteria. PTSD in children and adolescents was found to co-occur at a similar or greater rate compared to general population estimates, although current estimates come predominantly from treatment-seeking samples. Preliminary findings from case reports suggest traditional assessments and treatments for PTSD can be effective, although there is a shortage of well-controlled research.

• Publication year

  2019

• Venue

  Review Journal of Autism and Developmental Disorders

• Publication date

  2019-09-01

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1007/S40489-018-0133-9
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

• Comparing clinical outcomes of patients with severe lower limb trauma undergoing orthoplastic and orthopedic surgeries: A long-term study protocol

  2024cited by this paper
• Eye Movement Desensitization

  2020influential reference
• Developing an optimal short‐form of the PTSD Checklist for DSM‐5 (PCL‐5)

  2019cited by this paper
• What is social communication?

  2019cited by this paper
• Clinician-Administered PTSD Scale for DSM-5

  2019cited by this paper
• Trauma Symptom Checklist for Young Children

  2018cited by this paper
• Cognitive Behaviour Therapy for Post‐Traumatic Stress Disorder in a person with an Autism Spectrum Condition and Intellectual Disability: A Case Study

  2017influential reference
• Anxiety Disorders Interview Schedule–Autism Addendum: Reliability and Validity in Children With Autism Spectrum Disorder

  2017cited by this paper
• Sensory, Emotional and Cognitive Contributions to Anxiety in Autism Spectrum Disorders

  2017cited by this paper
• The Clinician-Administered PTSD Scale for DSM–5 (CAPS-5): Development and Initial Psychometric Evaluation in Military Veterans

  2017cited by this paper
• The Moving Rubber Hand Illusion Reveals that Explicit Sense of Agency for Tapping Movements Is Preserved in Functional Movement Disorders

  2017cited by this paper
• Barriers and facilitators related to the implementation of a physiological track and trigger system: A systematic review of the qualitative evidence

  2017cited by this paper
• PTSD and autism spectrum disorder: Co-morbidity, gaps in research, and potential shared mechanisms.

  2017cited by this paper
• A Systematic Review of Effective Modifications to Cognitive Behavioural Therapy for Young People with Autism Spectrum Disorders

  2016cited by this paper
• Dual Cognitive and Biological Correlates of Anxiety in Autism Spectrum Disorders

  2016influential reference
• Psychiatric symptoms in children and adolescents with higher functioning autism spectrum disorders on the Development and Well-Being Assessment

  2016influential reference
• Effective public health practice project quality assessment tool

  2016cited by this paper
• Cumulative life events, traumatic experiences, and psychiatric symptomatology in transition-aged youth with autism spectrum disorder

  2016influential reference
• The Effects of Psychological Trauma on Children with Autism Spectrum Disorders: a Research Review

  2015cited by this paper
• Anxiety disorders in children and adolescents with intellectual disability: Prevalence and assessment.

  2015cited by this paper
• Bullying of children and adolescents with autism spectrum conditions: a ‘state of the field’ review

  2015cited by this paper
• Anxiety in youth with and without autism spectrum disorder: examination of factorial equivalence.

  2015cited by this paper
• Traumatic Childhood Events and Autism Spectrum Disorder

  2015influential reference
• Cognitive behavioral therapy for early adolescents with autism spectrum disorders and clinical anxiety: a randomized, controlled trial.

  2015influential reference
• Posttraumatic Stress Disorder

  2015influential reference
• The Effects of Psychological Trauma on Children with Autism Spectrum Disorders: a Research Review

  2015cited by this paper
• Posttraumatic Stress Disorder in a Child with Autism Spectrum Disorder: Challenges in Management

  2015influential reference
• Trauma Treatment in Young Children with Developmental Disabilities: Applications of the Child-Parent Psychotherapy (CPP) Model to the Cases of "James" and "Juan"

  2014cited by this paper
• Group therapy for anxiety in children with autism spectrum disorder

  2014cited by this paper
• Schedule for Affective Disorders and Schizophrenia

  2014cited by this paper
• Systematic Review of the Properties of Tools Used to Measure Outcomes in Anxiety Intervention Studies for Children with Autism Spectrum Disorders

  2014cited by this paper
• Eye Movement Desensitization and Reprocessing in a Patient With Asperger’s Disorder: Case Report

  2014influential reference
• Child-Parent Psychotherapy in the Context of the Developmental Disability and Medical Service Systems

  2014cited by this paper
• A Systematic Review of Treatments for Anxiety in Youth with Autism Spectrum Disorders

  2014cited by this paper
• Victimization of students with autism spectrum disorder: A review of prevalence and risk factors

  2014cited by this paper
• Traditional and Atypical Presentations of Anxiety in Youth with Autism Spectrum Disorder

  2014cited by this paper
• Social‐cognitive, physiological, and neural mechanisms underlying emotion regulation impairments: understanding anxiety in autism spectrum disorder

  2014cited by this paper
• Diagnostic and Statistical Manual of Mental Disorders, 5th ed.

  2014cited by this paper
• Inter-rater Reliability of the Anxiety Disorders Interview Schedule for DSM-IV in High-Functioning Youth with Autism Spectrum Disorder

  2013influential reference
• Diagnostic and Statistical Manual of Mental Disorders

  2013cited by this paper
• The Phenomenology and Clinical Correlates of Suicidal Thoughts and Behaviors in Youth with Autism Spectrum Disorders

  2013influential reference
• Brief Report: The Autism Mental Status Examination: Development of a Brief Autism-Focused Exam

  2012cited by this paper
• Psychiatric Disorders

  2012cited by this paper
• Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement.

  2012influential reference
• Brief Report: The Assessment of Anxiety in High-Functioning Adolescents with Autism Spectrum Disorder

  2012influential reference
• Randomized Controlled Trial: Multimodal Anxiety and Social Skill Intervention for Adolescents with Autism Spectrum Disorder

  2012influential reference
• Bullying Experiences Among Children and Youth with Autism Spectrum Disorders

  2012cited by this paper
• National prevalence rates of bully victimization among students with disabilities in the United States.

  2012cited by this paper
• The Presentation and Classification of Anxiety in Autism Spectrum Disorder

  2012cited by this paper
• Prevalence of autism spectrum disorders - Autism and Developmental Disabilities Monitoring Network, 14 sites, United States, 2008

  2012cited by this paper
• Commentary: Complex Post-Traumatic Stress Disorder. Implications for Individuals with Autism Spectrum Disorders—Part II

  2011cited by this paper
• Posttraumatic Stress Disorder in individuals with diagnosis of Autistic Spectrum Disorders

  2011influential reference
• Adaptive Response of Children and Adolescents with Autism to the 2009 Earthquake in L’Aquila, Italy

  2011cited by this paper
• PTSD in children and adolescents: toward an empirically based algorithm a

  2011cited by this paper
• Anxiety Disorders in Children and Adolescents with Autistic Spectrum Disorders: A Meta-Analysis

  2011cited by this paper
• A Systematic Review of Medical Treatments for Children With Autism Spectrum Disorders

  2011cited by this paper
• Autism Diagnostic Observation Schedule

  2010cited by this paper
• Comorbid Psychiatric Disorders Associated with Asperger Syndrome/High-functioning Autism: A Community- and Clinic-based Study

  2010influential reference
• Group cognitive behaviour therapy for adults with Asperger syndrome and anxiety or mood disorder: a case series.

  2010influential reference
• Psychiatric disorders in adolescents and adults with autism and intellectual disability: a representative study in one county in Norway.

  2010cited by this paper
• EMDR Treatment in People with Mild ID and PTSD: 4 Cases

  2010influential reference
• Exploring the Nature and Function of Anxiety in Youth with Autism Spectrum Disorders

  2010cited by this paper
• Stepping Stones: EMDR Treatment of Individuals With Intellectual and Developmental Disabilities and Challenging Behavior

  2010cited by this paper
• Adult Psychiatric Morbidity in England, 2007: Results of a Household Survey

  2009influential reference
• Psychiatric and psychosocial problems in adults with normal-intelligence autism spectrum disorders

  2009influential reference
• Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial.

  2009influential reference
• Prevalence of Autism Spectrum Disorders: Autism and Developmental Disabilities Monitoring Network, United States, 2006. Morbidity and Mortality Weekly Report. Surveillance Summaries. Volume 58, Number SS-10.

  2009cited by this paper
• Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement

  2009cited by this paper
• Lifetime prevalence and age of onset distributions of mental disorders in the World Mental Health Survey Initiative.

  2008cited by this paper
• Long-term physical and mental health consequences of childhood physical abuse: results from a large population-based sample of men and women.

  2007cited by this paper
• High Rates of Psychiatric Co-Morbidity in PDD-NOS

  2007influential reference
• Intelligence and other predisposing factors in exposure to trauma and posttraumatic stress disorder: a follow-up study at age 17 years.

  2006cited by this paper
• Inter-Rater Reliability

  2005cited by this paper
• Three Diagnostic Approaches to Asperger Syndrome: Implications for Research

  2005cited by this paper
• Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication.

  2005influential reference
• The Children's Revised Impact of Event Scale (CRIES): Validity as a Screening Instrument for PTSD

  2005cited by this paper
• The Adult Asperger Assessment (AAA): A Diagnostic Method

  2005cited by this paper
• The prevalence and correlates of abuse among children with autism served in comprehensive community-based mental health settings.

  2005cited by this paper
• Performance of Children with Autism Spectrum Disorder on Advanced Theory of Mind Tasks

  2004cited by this paper
• Impact of child sexual abuse on mental health

  2004cited by this paper
• Interventions for post-traumatic stress disorder in children and adolescents

  2004influential reference
• The British Child and Adolescent Mental Health Survey 1999: the prevalence of DSM-IV disorders.

  2003cited by this paper
• The Social Communication Questionnaire Manual

  2003cited by this paper
• Cognitive processing, memory, and the development of PTSD symptoms: two experimental analogue studies.

  2002cited by this paper
• People with intellectual disability, sensory impairments and behaviour disorder: a case series.

  2002cited by this paper
• The Child PTSD Symptom Scale: A Preliminary Examination of its Psychometric Properties

  2001cited by this paper
• A cognitive neuroscience account of posttraumatic stress disorder and its treatment.

  2001cited by this paper
• The Asperger Syndrome (and High-Functioning Autism) Diagnostic Interview (ASDI): A Preliminary Study of a New Structured Clinical Interview

  2001cited by this paper
• The Autism Diagnostic Observation Schedule—Generic: A Standard Measure of Social and Communication Deficits Associated with the Spectrum of Autism

  2000cited by this paper
• The Development and Well-Being Assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology.

  2000cited by this paper
• A cognitive model of posttraumatic stress disorder.

  2000cited by this paper
• NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses.

  2000cited by this paper
• A Screening Questionnaire for Asperger Syndrome and Other High-Functioning Autism Spectrum Disorders in School Age Children

  1999cited by this paper
• Exploring the Boundaries of Pervasive Developmental Disorder Not Otherwise Specified: Analyses of Data from the DSM-IV Autistic Disorder Field Trial

  1999cited by this paper
• Posttraumatic stress disorder in abused and neglected children grown up.

  1999influential reference
• PREDICTORS OF ANALOGUE POST-TRAUMATIC INTRUSIVE COGNITIONS

  1998cited by this paper
• A measure of anxiety symptoms among children.

  1998cited by this paper
• The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity.

  1997cited by this paper
• The Screen for Child Anxiety Related Emotional Disorders (SCARED): scale construction and psychometric characteristics.

  1997cited by this paper
• Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data.

  1997cited by this paper

• Exposure to potentially traumatic events and associated mental health problems in children referred for assessment for ADHD and/or autism

  2026cites this paper
• Experiences of Trauma and PTSD Symptoms in Autistic Adolescents: Preliminary Findings.

  2026cites this paper
• Impact of bullying victimization in pathological dissociation among autistic adults

  2026cites this paper
• Autism in children and young people with functional tic-like behaviours: a retrospective cross-sectional study

  2026cites this paper
• Umbrella Review: Mental Health Interventions for Autistic Children and Adolescents: An Overview of Systematic Reviews and Participatory Equity Synthesis

  2026cites this paper
• Exploring the autism and functional neurological disorder association: Considerations from biopsychosocial, neuropsychological and computational models

  2025cites this paper
• A Pilot Proof-of-Concept Study of Telehealth-Based Trauma-Focused Cognitive Behavioral Therapy for Autistic Youth: Initial Evidence of Efficacy and Acceptability

  2025cites this paper
• Recommendations Provided to Families of Neurodivergent Children with Histories of Interpersonal Trauma across Two Clinical Assessment Services within a Major Metropolitan Children’s Hospital in Melbourne, Australia

  2025cites this paper
• Inclusion of Individuals with Autism and Co-Occurring Intellectual Disability or Language Impairment as Research Participants

  2025influential citation
• Imagery Rescripting Therapy for Mental Images About Ritual Abuse During Childhood - A Case Study

  2025influential citation
• Racial and Socioeconomic Disparities in Autism Providers' ACEs Inquiries.

  2025cites this paper
• Prevalence of Post-Traumatic Stress Disorder (PTSD) in autistic children or young people (CYP) and adults: A systematic review and meta-analysis.

  2025cites this paper
• A multicentred two-arm parallel single-blind superiority randomised controlled trial comparing psychological and emotional stabilisation with eye movement desensitisation and reprocessing and treatment-as-usual to treatment-as-usual with adults with intellectual disabilities who have post-traumatic

  2025cites this paper
• Increased risk of acute stress disorder and post-traumatic stress disorder in children and adolescents with autism spectrum disorder: a nation-wide cohort study in Taiwan

  2024cites this paper
• Trauma diagnoses during emergency psychiatric evaluation among youth with and without autism spectrum disorder

  2024influential citation
• The Assessment and Treatment of Post-traumatic Stress Disorder in Autistic People: A Systematic Review

  2024cites this paper
• Treating traumatized children with intellectual disabilities: Tailoring Trauma-Focused Cognitive Behaviour Therapy for a vulnerable population.

  2024cites this paper
• Distinguishing between autism and the consequences of early traumatisation during diagnostic assessment: a clinical case study

  2024cites this paper
• “Resist, Reframe, Redo the Bullying, the Lying, the Harassment”: A Qualitative Investigation of Social Anxiety and Therapy as an Autistic Person

  2024cites this paper
• Neurodivergent Legitimacy in Computing Spaces

  2024cites this paper
• Treating Trauma and PTSD in Children with Autism Spectrum Disorder (ASD): Unique Challenges Call for an Active Role in Psychotherapeutic Interventions— Case Report

  2024cites this paper
• Autistic Adults Experience Higher PTSD Symptoms Relating to Motor Vehicle Accidents than Non-Autistic Adults

  2024cites this paper
• Examining Rates of Traumatic Events and Posttraumatic Stress Disorder Symptoms Among Autistic Adults

  2023cites this paper
• Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

  2023cites this paper
• Evaluation of an adapted version of the International Trauma Questionnaire for use by people with intellectual disabilities.

  2023cites this paper
• Are There Sex Differences in the Prevalence and Severity of Early-Stage Trauma-Related Stress in Mildly Impaired Autistic Children and Adolescents?

  2023cites this paper
• Poly‐victimization of autistic adults: An investigation of individual‐level correlates

  2023cites this paper
• Post-traumatic stress disorder and experiences involving violence or sexual abuse in a clinical sample of autistic adults with intellectual disabilities: Prevalence and clinical correlates

  2023cites this paper
• Research Mapping of Trauma Experiences in Autism Spectrum Disorders: A Bibliometric Analysis

  2023cites this paper
• Therapeutic Supports for Neurodiverse Children Who Have Experienced Interpersonal Trauma: a Scoping Review

  2023cites this paper
• Some observations on remote delivery of eye‐movement desensitisation and reprocessing to people with intellectual disabilities

  2023cites this paper
• A Qualitative Study of Autistic Adults' Quality of Life During the COVID-19 Pandemic and Lockdowns

  2023cites this paper
• Nothing for us, without us: a review of the clinical literature and discursive evidence of interpersonal trauma in autistic women

  2023cites this paper
• Elucidating the presentation and identification of PTSD in autistic adults: a modified Delphi study

  2023cites this paper
• Using eye movement desensitisation and reprocessing (EMDR) with autistic individuals: A qualitative interview study with EMDR therapists

  2022cites this paper
• Diagnostik und Therapie ­Posttraumatischer Belastungsstörungen bei Menschen mit intellektueller Beeinträchtigung

  2022cites this paper
• Exploring potential sources of childhood trauma: A qualitative study with autistic adults and caregivers

  2022cites this paper
• Anxiety and Trauma-Related Disorders in Children on the Autism Spectrum

  2022cites this paper
• Using EMDR with autistic individuals: A Delphi survey with EMDR therapists

  2022cites this paper
• Expert consensus regarding indicators of a traumatic reaction in autistic youth: a Delphi survey.

  2022cites this paper
• A Qualitative Study of Self and Caregiver Perspectives on How Autistic Individuals Cope With Trauma

  2022cites this paper
• Parvalbumin Interneuron Activity Underlies Vulnerability to Post-Traumatic Stress Disorder in Autism

  2021cites this paper
• Co-occurring mental health symptoms and cognitive processes in trauma-exposed ASD adults.

  2021cites this paper
• Heightened risk of posttraumatic stress disorder in adults with autism spectrum disorder: The role of cumulative trauma and memory deficits.

  2021cites this paper
• Intrinsic hippocampal functional connectivity underlying rigid memory in children and adolescents with autism spectrum disorder: A case–control study

  2021cites this paper
• Measuring Psychiatric Symptoms in Individuals With Intellectual and Developmental Disabilities

  2021cites this paper
• Direct and Inverse Correlates of Post-Traumatic Stress Disorder among School-Age Autistic Boys

  2021cites this paper
• The association of adverse life events and parental mental health with emotional and behavioral outcomes in young adults with autism spectrum disorder

  2021cites this paper
• The comorbidity between autism spectrum disorder and post-traumatic stress disorder is mediated by brooding rumination

  2021cites this paper
• Questionnaires used in complex trauma intervention evaluations and consideration of their utility for autistic adults with mild intellectual disability: A systematic review.

  2021cites this paper
• Autism, Adverse Events, and Trauma

  2021cites this paper
• Special Populations: Youth With Developmental Disabilities and Co-occurring Mental Health Conditions

  2021cites this paper
• Tailoring Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for Youth with Intellectual and Developmental Disabilities: A Survey of Nationally Certified TF- CBT Therapists

  2021cites this paper
• Post-traumatic stress disorder symptom manifestations in an autistic man with severe intellectual disability following coercion and scalding

  2021cites this paper
• Traumatic life experiences and post‐traumatic stress symptoms in middle‐aged and older adults with and without autistic traits

  2021cites this paper
• Literacy Skills of Children with Autism Spectrum Disorder

  2021cites this paper
• Autism Spectrum Disorder is a Risk Factor for PTSD-like Memory Formation

  2021cites this paper
• Clinicians’ retrospective perceptions of failure to detect sexual abuse in a young man with autism and mild intellectual disability*

  2020influential citation
• Screening and treatment of trauma-related symptoms in youth with autism spectrum disorder among community providers in the United States

  2020influential citation
• ASD, Trauma, and Coordinated Care

  2020cites this paper
• Potentially traumatic experiences and behavioural symptoms in adults with autism and intellectual disability referred for psychiatric assessment.

  2020cites this paper
• A Systematic Review of Treatment Interventions for Individuals With Intellectual Disability and Trauma Symptoms: A Review of the Recent Literature

  2020cites this paper
• “Driven and Tense, Stressed Out and Anxious”: Clinicians’ Perceptions of Post-Traumatic Stress Disorder Symptom Expressions in Adults with Autism and Intellectual Disability

  2020cites this paper
• Experience of Trauma and PTSD Symptoms in Autistic Adults: Risk of PTSD Development Following DSM‐5 and Non‐DSM‐5 Traumatic Life Events

  2020influential citation
• Editorial: Demand avoidance - pathological, extreme or oppositional?

  2020cites this paper
• "If we do not look for it, we do not see it": Clinicians' experiences and understanding of identifying post-traumatic stress disorder in adults with autism and intellectual disability.

  2020cites this paper
• Autism Spectrum Disorder and Post-Traumatic Stress Disorder: An unexplored co-occurrence of conditions

  2020cites this paper
• Understanding Suicide Risk in Autistic Adults: Comparing the Interpersonal Theory of Suicide in Autistic and Non-autistic Samples

  2020cites this paper
• The Mental and Physical Health of Older Adults With a Genetic Predisposition for Autism

  2020cites this paper
• Editorial: Special Issue on Mental Health Issues in Autism Spectrum Disorder

  2019cites this paper
• Eye Movement Desensitization and Reprocessing (EMDR) Therapy in Children and Adults with Autism

  2019cites this paper
• Neglected causes of post-traumatic stress disorder

  2019cites this paper
• Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review

  2019cites this paper