Longitudinal Relationships Between Depressive Attributional Style and Internalizing Symptoms in an Autism-Enriched Sample of Incoming College Students

Terroso, S. R., McKenney, E. E., Brunwasser, S. M., Richards, J. K., Day, T. C., Kofner, B., McDonald, R. G., Gillespie-Lynch, K., Kang, E., Lerner, M. D., & Gotham, K. (2024). Longitudinal Relationships Between Depressive Attributional Style and Internalizing Symptoms in an Autism-Enriched Sample of Incoming College Students. Autism in Adulthood, 7(2), 185-200. https://doi.org/10.1089/aut.2024.0090

Publication date: 26 Jun 2024 Added to AutiHub: 8 Aug 2026 Type: Article Article language: English

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Authors

Publication authors
11
Publication authors identified as autistic
1 / 11 (9.1%)

Abstract

Background: Anxiety and depression are among the most common psychiatric conditions reported in first-year college students. Autistic adults are estimated to face double the rate of anxiety and depression compared with non-autistic peers, influencing quality of life, social success, and academic performance. One potential avenue to understand and address internalizing symptoms in autistic adults beginning their college careers is depressive attributional style, a biased causal explanatory style in which negative life events are attributed to internal, stable, and global causes. The current study evaluates the relationship between depressive attributional style and symptoms of anxiety and depression across the first semester of college, as moderated by autistic traits. We also explore baseline depressive attributional style across additional marginalized aspects of identity based on race/ethnicity, gender, and sexual orientation, and examine potential interaction effects of autistic traits on these relationships. Methods: Undergraduate students were recruited from four northeastern universities. Our sample (n = 144) includes 47 participants who self-identified or reported a formal autism diagnosis, and 97 non-autistic participants. Participants completed baseline and endpoint questionnaires, as well as a 2-minute biweekly survey, tracking changes in sadness, anhedonia, and anxiety throughout their first semester. Results: Longitudinal analyses demonstrate that elevated depressive attributional style at baseline predicted biweekly anxiety, sadness, and anhedonia symptoms across the semester. This pattern extended across (was not moderated by) levels of autistic traits, however, participants who reported higher autistic traits endorsed a significantly greater depressive attributional style at baseline, and greater anxiety, sadness, and anhedonia throughout the semester. The relationship between autistic traits and depressive attributional style was strongest for participants with a nonheterosexual orientation. Conclusion: This study underscores the autistic community-identified need for mental health research, with attention to intersecting identities, and suggests depressive attributional style for further investigation as a potential treatment target. Community Brief Why is this an important issue? In the first year of college, many students face challenges with anxiety and depression. Autistic students report even higher mental health concerns than non-autistic students. One way to understand why this happens is by looking at how college students explain negative events in their lives. Autistic students may have a more depressive attributional style, in which they see themselves as a cause of negative events and believe that bad things will persist. This outlook is known to contribute to anxiety and depression. What was the purpose of this study? We wanted to see how a depressive attributional style might relate to anxiety and depression over the first semester of college, and whether this is affected by autistic traits and stress. We also looked at how autistic traits influence the relationship between depressive attributional style and the marginalized aspects of identity based on race/ethnicity, gender, and sexual orientation. What did the researchers do? We gave surveys to college students about their attributional style and experiences with depression and anxiety. Participants completed several surveys both before and after their first semester at college. They also completed a brief survey two times per week during the semester. What were the results of the study? We found that a depressive attributional style at baseline (presemester) was related to depression and anxiety symptoms across the semester. Participants with higher levels of autistic traits reported a more depressive attributional style and greater depression and anxiety during the semester. Individuals with higher autistic traits who identify as LGBTQIA+ were more likely than heterosexual individuals with high autistic traits to have a more depressive attributional style. What do these findings add to what was already known? This study helps us understand that a depressive attributional style might be related to anxiety and depression in both autistic and non-autistic students. In addition, a depressive attributional style may be more common in autistic individuals. These findings could mean that helping people develop a more adaptive thinking about negative events could help prevent or treat anxiety and depression in college students. What are potential weaknesses in the study? Because we wanted our study to be accessible for autistic students without a formal diagnosis, we were unable to look at how the social identity of being autistic related to anxiety and depression throughout the semester. How will these findings help autistic adults now or in the future? These findings give us first evidence that a depressive attributional style appears to be related to anxiety and depression in autistic students. This suggests that interventions designed to address the depressive attributional style in non-autistic individuals could potentially benefit autistic individuals as well, which may support access to mental health treatment for the autistic community.

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Bibliography inclusion overview

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Cited references
134
Total cited references integrated for this publication.
Cited references with an identified autistic author
13 / 134 (9.7%)
Cited author occurrences identified as autistic
20 / 550 (3.6%)
Among occurrences linked to AutiHub author records: 20 / 147 (13.6%). Distinct cited authors identified as autistic: 15 / 502 (3.0%).
Cited author occurrences linked to AutiHub author records
147 / 550 (26.7%)
Distinct linked cited authors: 117 / 502 (23.3%)
Linked cited-author occurrences not identified as autistic
127 / 147 (86.4%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 127 / 550 (23.1%). Distinct linked cited authors not identified as autistic: 102 / 117 (87.2%).
1 cited bibliography entry could not be fully enriched from DOI metadata.
Crossref: not found (1)
  1. Lauren B. Alloy , Caroline M. Clements (1998). Hopelessness Theory of Depression: Tests of the Symptom Component . Cognitive Therapy and Research, 22(4), 303-335. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  2. Matthew J Hollocks , Jian Wei Lerh , Iliana Magiati , Richard Meiser-Stedman , Traolach Brugha (2019). Anxiety and depression in adults with autism spectrum disorder: a systematic review and meta-analysis . Psychological Medicine, 49(4), 559-572. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  3. Jennifer Crocker , Brenda Major (1989). Social stigma and self-esteem: The self-protective properties of stigma. Psychological Review, 96(4), 608-630. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  4. Nancy Borkowski (2008). Organizational Behavior, Theory, and Design in Health Care .
    Type: Book OpenAlex: https://openalex.org/W655895870
    OpenAlex
  5. Chloe C. Hudson , Layla Hall , Kate L. Harkness (2019). Prevalence of Depressive Disorders in Individuals with Autism Spectrum Disorder: a Meta-Analysis . Journal of Abnormal Child Psychology, 47(1), 165-175. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  6. Varun Warrier , David M. Greenberg , Elizabeth M Weir , Clara Buckingham , Paula Smith , Meng-Chuan Lai et al. (2020). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals . Nature Communications, 11(1), 3959-3959. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  7. David S. Mandell , Lisa D. Wiggins , Laura Arnstein Carpenter , Julie Daniels , Carolyn DiGuiseppi , Maureen S. Durkin et al. (2009). Racial/Ethnic Disparities in the Identification of Children With Autism Spectrum Disorders . American Journal of Public Health, 99(3), 493-498. American Public Health Association.
    Crossref OpenAlex OpenCitations
  8. Victoria Nimmo-Smith , Hein Heuvelman , Christina Dalman , Michael Lundberg , Selma Idring , Peter Carpenter et al. (2020). Anxiety Disorders in Adults with Autism Spectrum Disorder: A Population-Based Study . Journal of Autism and Developmental Disorders, 50(1), 308-318. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  9. Clive J. Robins , Paul Block (1989). Cognitive theories of depression viewed from a diathesis-stress perspective: Evaluations of the models of Beck and of Abramson, Seligman, and Teasdale . Cognitive Therapy and Research, 13(4), 297-313. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  10. Heather J. Nuske , Giacomo Vivanti , Kristelle Hudry , Cheryl Dissanayake (2014). Pupillometry reveals reduced unconscious emotional reactivity in autism . Biological Psychology, 101, 24-35. Elsevier BV.
    Crossref OpenAlex OpenCitations
  11. Yuko Kawanishi (1995). The effects of culture on beliefs about stress and coping: Causal attribution of Anglo-American and Japanese persons . Journal of Contemporary Psychotherapy, 25(1), 49-60. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  12. Tianqiang Hu , Dajun Zhang , Zhengzhong Yang (2015). The Relationship Between Attributional Style for Negative Outcomes and Depression: A Meta-Analysis . Journal of Social and Clinical Psychology, 34(4), 304-321. Guilford Publications.
    Crossref OpenAlex OpenCitations
  13. Neal Halfon , Christopher B. Forrest , Richard M. Lerner , Elaine M. Faustman (2018). Erratum to: Handbook of Life Course Health Development . Handbook of Life Course Health Development, E1-E1. Springer International Publishing.
    Crossref OpenAlex OpenCitations
  14. Wenzhen Li , Zhiya Zhao , Dajie Chen , Ying Peng , Zuxun Lu (2022). Prevalence and associated factors of depression and anxiety symptoms among college students: a systematic review and meta‐analysis . Journal of Child Psychology and Psychiatry, 63(11), 1222-1230. Wiley.
    Crossref OpenAlex OpenCitations
  15. Shelly P. Harrell (2000). A multidimensional conceptualization of racism-related stress: Implications for the well-being of people of color. American Journal of Orthopsychiatry, 70(1), 42-57. American Psychological Association (APA).
    Type: Article DOI: 10.1037/h0087722 OpenAlex: https://openalex.org/W1986274834
    Crossref OpenAlex OpenCitations
  16. Eric W. Leppink , Brian L. Odlaug , Katherine Lust , Gary Christenson , Jon E. Grant (2016). The Young and the Stressed . Journal of Nervous & Mental Disease, 204(12), 931-938. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  17. Aaron T. Beck , R. A. Steer , G. Brown (2011). Beck Depression Inventory–II . PsycTESTS Dataset. American Psychological Association (APA).
    Crossref OpenCitations
  18. John F. Strang , Lauren Kenworthy , Peter Daniolos , Laura Case , Meagan C. Wills , Alex Martin et al. (2012). Depression and anxiety symptoms in children and adolescents with autism spectrum disorders without intellectual disability . Research in Autism Spectrum Disorders, 6(1), 406-412. Elsevier BV.
    Crossref OpenAlex OpenCitations
  19. Daniel J. Laxman , Julie Lounds Taylor , Leann S. DaWalt , Jan S. Greenberg , Marsha R. Mailick (2019). Loss in services precedes high school exit for teens with autism spectrum disorder: A longitudinal study . Autism Research, 12(6), 911-921. Wiley.
    Type: Article DOI: 10.1002/aur.2113 OpenAlex: https://openalex.org/W2943778318
    Crossref OpenAlex OpenCitations
  20. Xiaomei Wang , Sudeep Hegde , Changwon Son , Bruce Keller , Alec Smith , Farzan Sasangohar (2020). Investigating Mental Health of US College Students During the COVID-19 Pandemic: Cross-Sectional Survey Study . Journal of Medical Internet Research, 22(9), e22817. JMIR Publications Inc..
    Type: Article DOI: 10.2196/22817 OpenAlex: https://openalex.org/W3084167506
    Crossref OpenAlex OpenCitations
  21. Paola Pedrelli , Maren Nyer , Albert Yeung , Courtney Zulauf , Timothy Wilens (2015). College Students: Mental Health Problems and Treatment Considerations . Academic Psychiatry, 39(5), 503-511. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  22. Béibhinn Walsh , Rhona Dempsey , Margaret Lawler (2021). Family perspectives on educational experiences, post-school needs, and quality of life of young autistic adults . Irish Educational Studies, 40(3), 571-588. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  23. Julie Lorah (2018). Effect size measures for multilevel models: definition, interpretation, and TIMSS example . Large-scale Assessments in Education, 6(1). Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  24. Wim Vanden Berghe , Alexis Dewaele , Nele Cox , John Vincke (2010). Minority‐Specific Determinants of Mental Well‐Being Among Lesbian, Gay, and Bisexual Youth . Journal of Applied Social Psychology, 40(1), 153-166. Wiley.
    Crossref OpenAlex OpenCitations
  25. Stephanie Pinder-Amaker (2014). Identifying the Unmet Needs of College Students on the Autism Spectrum . Harvard Review of Psychiatry, 22(2), 125-137. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  26. Brenda Major , Cheryl R. Kaiser , Shannon K. McCoy (2003). It's Not My Fault: When and Why Attributions to Prejudice Protect Self-Esteem . Personality and Social Psychology Bulletin, 29(6), 772-781. SAGE Publications.
    Crossref OpenAlex OpenCitations
  27. Valeria Khudiakova , Alison L. Chasteen (2022). The Experiences of Stigmatization and Discrimination in Autistic People of Different Genders and Sexualities . Journal of Interpersonal Relations, Intergroup Relations and Identity, 15, 15. JIRIRI.
    Crossref OpenAlex OpenCitations
  28. Paul Shattuck , Mary Wagner , Sarah Narendorf , Paul Sterzing , Melissa Hensley (2011). Post–High School Service Use Among Young Adults With an Autism Spectrum Disorder . Archives of Pediatrics & Adolescent Medicine, 165(2), 141-6. American Medical Association (AMA).
    Crossref OpenAlex OpenCitations
  29. Alison Blodorn , Brenda Major , Cheryl Kaiser (2016). Perceived discrimination and poor health: Accounting for self-blame complicates a well-established relationship . Social Science & Medicine, 153, 27-34. Elsevier BV.
    Crossref OpenAlex OpenCitations
  30. Melanie O. Burns , Martin E. Seligman (1989). Explanatory style across the life span: Evidence for stability over 52 years. Journal of Personality and Social Psychology, 56(3), 471-477. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  31. Jill Cornelius Underhill , Victoria Ledford , Hillary Adams (2019). Autism stigma in communication classrooms: exploring peer attitudes and motivations toward interacting with atypical students . Communication Education, 68(2), 175-192. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  32. Angeline S Ferdinand , Yin Paradies , Margaret Kelaher (2015). Mental health impacts of racial discrimination in Australian culturally and linguistically diverse communities: a cross-sectional survey . BMC Public Health, 15(1), 401-401. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  33. Randy P. Auerbach , WHO WMH-ICS Collaborators , Philippe Mortier , Ronny Bruffaerts , Jordi Alonso , Corina Benjet et al. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623-638. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  34. Kashia A Rosenau , Emily Hotez , Priyanka Fernandes , Christopher Gomez , Kevin Eagan , Lindsay Shea et al. (2023). Anxiety and Depression in Autistic College Students: The Freshman Survey Results . Cureus, 15(3), e35820-e35820. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  35. Steven F. Maier , Martin E. Seligman (1976). Learned helplessness: Theory and evidence. Journal of Experimental Psychology: General, 105(1), 3-46. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  36. Justin A. Chen , Courtney Stevens , Sylvia H. M. Wong , Cindy H. Liu (2019). Psychiatric Symptoms and Diagnoses Among U.S. College Students: A Comparison by Race and Ethnicity . Psychiatric Services, 70(6), 442-449. American Psychiatric Association Publishing.
    Crossref OpenAlex OpenCitations
  37. Donna M. Werling , Daniel H. Geschwind (2013). Sex differences in autism spectrum disorders . Current Opinion in Neurology, 26(2), 146-153. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  38. Daniel Eisenberg , Justin Hunt , Nicole Speer (2013). Mental Health in American Colleges and Universities . Journal of Nervous & Mental Disease, 201(1), 60-67. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  39. Elyse D'nn Lovell (2014). College Students Who are Parents Need Equitable Services for Retention . Journal of College Student Retention: Research, Theory & Practice, 16(2), 187-202. SAGE Publications.
    Crossref OpenAlex OpenCitations
  40. Paul Shattuck , Tamara Garfield , Anne M. Roux , Jessica E. Rast , Kristy A. Anderson , Elizabeth McGhee Hassrick et al. (2020). Services for Adults With Autism Spectrum Disorder: a Systems Perspective . Current Psychiatry Reports, 22(3), 13-13. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  41. Lyn Y. Abramson , Martin E. Seligman , John D. Teasdale (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87(1), 49-74. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  42. R. Beiter , R. Nash , M. McCrady , D. Rhoades , M. Linscomb , M. Clarahan et al. (2015). The prevalence and correlates of depression, anxiety, and stress in a sample of college students . Journal of Affective Disorders, 173, 90-96. Elsevier BV.
    Crossref OpenAlex OpenCitations
  43. Scott L. J. Jackson , Logan Hart , Jane Thierfeld Brown , Fred R. Volkmar (2018). Brief Report: Self-Reported Academic, Social, and Mental Health Experiences of Post-Secondary Students with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 48(3), 643-650. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  44. Thomas M. Achenbach , Craig Edelbrock , Catherine T. Howell (1987). Empirically based assessment of the behavioral/emotional problems of 2- and 3- year-old children . Journal of Abnormal Child Psychology, 15(4), 629-650. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  45. Teresa Lopez-Castro , Laura Brandt , Nishanthi Anthonipillai , Adriana Espinosa , Robert Melara (2020). Experiences, impacts and mental health functioning during a COVID-19 outbreak and lockdown: Data from a diverse New York City sample of college students . Experiences, Impacts and Mental Health Functioning during a COVID-19 Outbreak and Lockdown: Data from a Diverse New York City Sample of College Students. Center for Open Science.
    Crossref OpenAlex OpenCitations
  46. Robert L. Spitzer , Kurt Kroenke , Janet B. W. Williams , Bernd Löwe (2006). A Brief Measure for Assessing Generalized Anxiety Disorder . Archives of Internal Medicine, 166(10), 1092. American Medical Association (AMA).
    Crossref OpenAlex OpenCitations
  47. David M. Fresco , Lauren B. Alloy , Noreen Reilly–Harrington (2006). Association of Attributional Style for Negative and Positive Events and the Occurrence of Life Events with Depression and Anxiety . Journal of Social and Clinical Psychology, 25(10), 1140-1160. Guilford Publications.
    Crossref OpenAlex OpenCitations
  48. Isaac C. Smith , Thomas H. Ollendick , Susan W. White (2019). Anxiety moderates the influence of ASD severity on quality of life in adults with ASD . Research in Autism Spectrum Disorders, 62, 39-47. Elsevier BV.
    Crossref OpenAlex OpenCitations
  49. Désirée Gonzalo , Birgit Kleim , Catherine Donaldson , Stirling Moorey , Anke Ehlers (2012). How Disorder-Specific are Depressive Attributions? A Comparison of Individuals with Depression, Post-Traumatic Stress Disorder and Healthy Controls . Cognitive Therapy and Research, 36(6), 731-739. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  50. Nathan V. Mallipeddi , Rachel A. VanDaalen (2022). Intersectionality Within Critical Autism Studies: A Narrative Review . Autism in Adulthood, 4(4), 281-289. SAGE Publications.
    Crossref OpenAlex OpenCitations
  51. Shi Min Liew , Nishta Thevaraja , Ryan Y. Hong , Iliana Magiati (2015). The Relationship Between Autistic Traits and Social Anxiety, Worry, Obsessive–Compulsive, and Depressive Symptoms: Specific and Non-specific Mediators in a Student Sample . Journal of Autism and Developmental Disorders, 45(3), 858-872. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  52. Liza M. Rubenstein , Rachel D. Freed , Benjamin G. Shapero , Robert L. Fauber , Lauren B. Alloy (2016). Cognitive attributions in depression: Bridging the gap between research and clinical practice. Journal of Psychotherapy Integration, 26(2), 103-115. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  53. Nicole N. Capriola-Hall , Alexis M. Brewe , Josh Golt , Susan W. White (2021). Anxiety and Depression Reduction as Distal Outcomes of a College Transition Readiness Program for Adults with Autism . Journal of Autism and Developmental Disorders, 51(1), 298-306. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  54. Michelle Nicole Burns , Charles Kamen , Kenneth A. Lehman , Steven R. H. Beach (2012). Minority Stress and Attributions for Discriminatory Events Predict Social Anxiety in Gay Men . Cognitive Therapy and Research, 36(1), 25-35. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  55. Tegan Cruwys , Erica I. South , Katharine H. Greenaway , S. Alexander Haslam (2015). Social Identity Reduces Depression by Fostering Positive Attributions . Social Psychological and Personality Science, 6(1), 65-74. SAGE Publications.
    Crossref OpenAlex OpenCitations
  56. White, Susan W. ca. 20./21. Jh. , Maddox, Brenna ca. 20./21. Jh. , Mazefsky, Carla ca. 20./21. Jh. (2020). The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions . Oxford University Press.
    Crossref OpenAlex OpenCitations
  57. Paul A. Harris , Robert Taylor , Robert Thielke , Jonathon Payne , Nathaniel Gonzalez , Jose G. Conde (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support . Journal of Biomedical Informatics, 42(2), 377-381. Elsevier BV.
    Crossref OpenAlex OpenCitations
  58. Jing Yuan , Minghui Li , Z. Kevin Lu (2021). Racial/Ethnic Disparities in the Prevalence and Trends of Autism Spectrum Disorder in US Children and Adolescents . JAMA Network Open, 4(3), e210771. American Medical Association (AMA).
    Crossref OpenAlex OpenCitations
  59. Brenna B. Maddox , Valerie L. Gaus (2019). Community Mental Health Services for Autistic Adults: Good News and Bad News . Autism in Adulthood, 1(1), 15-19. SAGE Publications.
    Crossref OpenAlex OpenCitations
  60. Martin E. Seligman , Lyn Y. Abramson , Amy Semmel , Carl von Baeyer (1979). Depressive attributional style. Journal of Abnormal Psychology, 88(3), 242-247. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  61. Ian Russell , Beth Pearson , Una Masic (2021). A Longitudinal Study of Features Associated with Autism Spectrum in Clinic Referred, Gender Diverse Adolescents Accessing Puberty Suppression Treatment . Journal of Autism and Developmental Disorders, 51(6), 2068-2076. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  62. Naa Oyo A. Kwate , Melody S. Goodman (2015). Cross-Sectional and Longitudinal Effects of Racism on Mental Health Among Residents of Black Neighborhoods in New York City . American Journal of Public Health, 105(4), 711-718. American Public Health Association.
    Crossref OpenAlex OpenCitations
  63. Susan W. White , Grace Lee Simmons , Katherine Gotham , Caitlin M. Conner , Isaac C. Smith , Kelly B. Beck et al. (2018). Psychosocial Treatments Targeting Anxiety and Depression in Adolescents and Adults on the Autism Spectrum: Review of the Latest Research and Recommended Future Directions . Current Psychiatry Reports, 20(10), 82-82. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  64. Gena P. Barnhill , Brenda Smith Myles (2001). Attributional Style and Depression in Adolescents with Asperger Syndrome . Journal of Positive Behavior Interventions, 3(3), 175-182. SAGE Publications.
    Crossref OpenAlex OpenCitations
  65. Thomas Frazier , Géraldine Dawson , Donna S. Murray , Andy Shih , Jessica Snyder Sachs , Angela Geiger (2018). Brief Report: A Survey of Autism Research Priorities Across a Diverse Community of Stakeholders . Journal of Autism and Developmental Disorders, 48(11), 3965-3971. Springer Science and Business Media LLC.
    AutiHub · Documentation center Crossref OpenAlex OpenCitations
  66. Ella Perry , Will Mandy , Laura Hull , Eilidh Cage (2022). Understanding Camouflaging as a Response to Autism-Related Stigma: A Social Identity Theory Approach . Journal of Autism and Developmental Disorders, 52(2), 800-810. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  67. Demetria Ennis-Cole , Beth A. Durodoye , Henry L. Harris (2013). The Impact of Culture on Autism Diagnosis and Treatment . The Family Journal, 21(3), 279-287. SAGE Publications.
    Crossref OpenAlex OpenCitations
  68. Gifford Weary , Melinda A. Stanley , John H. Harvey (1989). Attribution . Springer New York.
    Crossref OpenAlex OpenCitations
  69. Matthew J. Maenner , Zachary Warren , Ashley Robinson Williams , Esther Amoakohene , Amanda V. Bakian , Deborah A. Bilder et al. (2023). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020 . MMWR. Surveillance Summaries, 72(2), 1-14. Centers for Disease Control MMWR Office.
    Crossref OpenAlex OpenCitations
  70. Susan W. White , Thomas H. Ollendick , Bethany C. Bray (2011). College students on the autism spectrum . Autism, 15(6), 683-701. SAGE Publications.
    Crossref OpenAlex OpenCitations
  71. Harvey P (2009). Organizational Behavior, Theory and Design in Health Care . Organizational Behavior, Theory and Design in Health Care, 143.
    Type: Other
    Crossref
  72. Laura Hull , Lily Levy , Meng-Chuan Lai , K. V. Petrides , Simon Baron-Cohen , Carrie Allison et al. (2021). Is social camouflaging associated with anxiety and depression in autistic adults? Molecular Autism, 12(1), 13-13. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  73. Wai Chan , Leann E. Smith , Jinkuk Hong , Jan S. Greenberg , Marsha R. Mailick (2017). Validating the social responsiveness scale for adults with autism . Autism Research, 10(10), 1663-1671. Wiley.
    Type: Article DOI: 10.1002/aur.1813 OpenAlex: https://openalex.org/W2639258924
    Crossref OpenAlex OpenCitations
  74. Michael T. Schmitt , Nyla R. Branscombe , Diane Kobrynowicz , Susan Owen (2002). Perceiving Discrimination Against One’s Gender Group has Different Implications for Well-Being in Women and Men . Personality and Social Psychology Bulletin, 28(2), 197-210. SAGE Publications.
    Crossref OpenAlex OpenCitations
  75. Monique Botha *Autistic author. Learn more… (2020). Autistic community connectedness as a buffer against the effects of minority stress. Surrey Research Insight Open Access (The University of Surrey). University of Surrey.
    AutiHub · Autistic Scholars OpenAlex OpenCitations
  76. Ken Kelley , Kristopher J. Preacher (2012). On effect size. Psychological Methods, 17(2), 137-152. American Psychological Association (APA).
    Type: Article DOI: 10.1037/a0028086 OpenAlex: https://openalex.org/W2154516913
    Crossref OpenAlex OpenCitations
  77. Nicholas C. Borgogna , Ryon C. McDermott , Stephen L. Aita , Matthew M. Kridel (2019). Anxiety and depression across gender and sexual minorities: Implications for transgender, gender nonconforming, pansexual, demisexual, asexual, queer, and questioning individuals. Psychology of Sexual Orientation and Gender Diversity, 6(1), 54-63. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  78. Birgit Kleim , Désirée Gonzalo , Anke Ehlers (2011). The Depressive Attributions Questionnaire (DAQ): Development of a Short Self-Report Measure of Depressogenic Attributions . Journal of Psychopathology and Behavioral Assessment, 33(3), 375-385. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  79. Pamela M. Seeds , David J.A. Dozois (2010). Prospective evaluation of a cognitive vulnerability‐stress model for depression: the interaction of schema self‐structures and negative life events . Journal of Clinical Psychology, 66(12), 1307-1323. Wiley.
    Crossref OpenAlex OpenCitations
  80. Richard T. Liu , Evan M. Kleiman , Bridget A. Nestor , Shayna M. Cheek (2015). The Hopelessness Theory of Depression: A Quarter-Century in Review . Clinical Psychology: Science and Practice, 22(4), 345-365. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  81. Jenna Sandler Eilenberg , Madison Paff , Ashley Johnson Harrison , Kristin A. Long (2019). Disparities Based on Race, Ethnicity, and Socioeconomic Status Over the Transition to Adulthood Among Adolescents and Young Adults on the Autism Spectrum: a Systematic Review . Current Psychiatry Reports, 21(5), 32-32. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  82. Jolynn L. Haney (2016). Autism, females, and the DSM-5: Gender bias in autism diagnosis . Social Work in Mental Health, 14(4), 396-407. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  83. Devon W. Carbado , Kimberlé Williams Crenshaw , Vickie M. Mays , Barbara Tomlinson (2013). INTERSECTIONALITY . Du Bois Review: Social Science Research on Race, 10(2), 303-312. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  84. Rebecca Maymon , Nathan C. Hall (2021). A Review of First-Year Student Stress and Social Support . Social Sciences, 10(12), 472. MDPI AG.
    Crossref OpenAlex OpenCitations
  85. Alan Santinele Martino , Ann Fudge Schormans (2018). When Good Intentions Backfire: University Research Ethics Review and the Intimate Lives of People Labeled with Intellectual Disabilities . Social Science Open Access Repository (GESIS – Leibniz Institute for the Social Sciences), 19(3). Forum Qualitative Sozialforschung / Forum: Qualitative Social Research.
    Type: Article DOI: 10.17169/fqs-19.3.3090 OpenAlex: https://openalex.org/W2895371034 Crossref: not found
    Crossref OpenAlex OpenCitations
  86. Bethany G. Everett , Jarron Saint Onge , Stefanie Mollborn (2016). Effects of Minority Status and Perceived Discrimination on Mental Health . Population Research and Policy Review, 35(4), 445-469. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  87. Paul D. Sweeney , Karen Anderson , Scott Bailey (1986). Attributional style in depression: A meta-analytic review. Journal of Personality and Social Psychology, 50(5), 974-991. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  88. Gabriela L. Stein , Andrew J. Supple , Nadia Huq , Angel S. Dunbar , Mitchell J. Prinstein (2016). A longitudinal examination of perceived discrimination and depressive symptoms in ethnic minority youth: The roles of attributional style, positive ethnic/racial affect, and emotional reactivity. Developmental Psychology, 52(2), 259-271. American Psychological Association (APA).
    Type: Article DOI: 10.1037/a0039902 OpenAlex: https://openalex.org/W2429896203
    Crossref OpenAlex OpenCitations
  89. Shana R. Cohen , Kohrissa Joseph , Sarah Levinson , Jan Blacher , Abbey Eisenhower (2022). “My Autism Is My Own”: Autistic Identity and Intersectionality in the School Context . Autism in Adulthood, 4(4), 315-327. SAGE Publications.
    Crossref OpenAlex OpenCitations
  90. Ruth Hilsman , Judy Garber (1995). A test of the cognitive diathesis-stress model of depression in children: Academic stressors, attributional style, perceived competence, and control. Journal of Personality and Social Psychology, 69(2), 370-380. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  91. Brandon L. Velez , Laurel B. Watson , Robert Cox , Mirella J. Flores (2017). Minority stress and racial or ethnic minority status: A test of the greater risk perspective. Psychology of Sexual Orientation and Gender Diversity, 4(3), 257-271. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  92. M. Ariel Cascio , Jonathan A. Weiss , Éric Racine (2021). Making Autism Research Inclusive by Attending to Intersectionality: a Review of the Research Ethics Literature . Review Journal of Autism and Developmental Disorders, 8(1), 22-36. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  93. Rachel Loomes , Laura Hull , Will Mandy (2017). What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis . Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 466-474. Elsevier BV.
    Crossref OpenAlex OpenCitations
  94. Nicky Falkof , Oliver Cashman-Brown (2012). On Whiteness . BRILL.
    Crossref OpenAlex OpenCitations
  95. Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium , L Colodro-Conde , B Couvy-Duchesne , G Zhu , W L Coventry , E M Byrne et al. (2018). A direct test of the diathesis–stress model for depression . Molecular Psychiatry, 23(7), 1590-1596. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  96. John E. Pachankis , Conor P. Mahon , Skyler D. Jackson , Benjamin K. Fetzner , Richard Bränström (2020). Sexual orientation concealment and mental health: A conceptual and meta-analytic review. Psychological Bulletin, 146(10), 831-871. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  97. R. George , Mark A. Stokes (2018). Sexual Orientation in Autism Spectrum Disorder . Autism Research, 11(1), 133-141. Wiley.
    Type: Article DOI: 10.1002/aur.1892 OpenAlex: https://openalex.org/W2770766969
    Crossref OpenAlex OpenCitations
  98. Sierra H. Feasel , Tessa L. Dover , Payton A. Small , Brenda Major (2022). Effects of discrimination versus self-blame attributions on health: A longitudinal study. Stigma and Health, 7(3), 289-299. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  99. Hoangmai H. Pham , Neil Sandberg , Jeff Trinkl , Johnston Thayer (2022). Racial and Ethnic Differences in Rates and Age of Diagnosis of Autism Spectrum Disorder . JAMA Network Open, 5(10), e2239604. American Medical Association (AMA).
    Crossref OpenAlex OpenCitations
  100. LaVeist TA (2001). Perceived racism and self and system blame attribution: Consequences for longevity . Ethn Dis, 11(4), 711.
    Type: Other
    Crossref
  101. Sarah Ketchen Lipson , Adam Kern , Daniel Eisenberg , Alfiee M. Breland-Noble (2018). Mental Health Disparities Among College Students of Color . Journal of Adolescent Health, 63(3), 348-356. Elsevier BV.
    Crossref OpenAlex OpenCitations
  102. Twentyman J (2017). Effects of race and ethnicity on mental health and help-seeking amongst undergraduate university students . J Undergrad Ethn Minor Psychol, 3(6).
    Type: Other
    Crossref
  103. (n.d.). Botha M. Autistic community connectedness as a buffer against the effects of minority stress. 2020; doi: 10. 15126/THESIS. 00854098
    Type: Other
    Crossref
  104. Amy L. Gunty (2021). Rethinking resilience in families of children with autism spectrum disorders. Couple and Family Psychology: Research and Practice, 10(2), 87-102. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  105. Karson T. F. Kung (2024). Autistic Traits, Gender Minority Stress, and Mental Health in Transgender and Non-Binary Adults . Journal of Autism and Developmental Disorders, 54(4), 1389-1397. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  106. Robert Chapman *Autistic author. Learn more… , Monique Botha *Autistic author. Learn more… (2023). Neurodivergence‐informed therapy . Developmental Medicine & Child Neurology, 65(3), 310-317. Wiley.
    AutiHub · Autistic Scholars Crossref OpenAlex OpenCitations
  107. José C. Pinheiro , Douglas M. Bates (2000). Mixed-Effects Models in Sand S-PLUS . Springer New York.
    Crossref OpenAlex OpenCitations
  108. Alice Turnock , Kate Langley , Catherine R.G. Jones (2022). Understanding Stigma in Autism: A Narrative Review and Theoretical Model . Autism in Adulthood, 4(1), 76-91. SAGE Publications.
    Crossref OpenAlex OpenCitations
  109. Paul A. Harris , Robert Taylor , Brenda L. Minor , Veida Elliott , Michelle Fernandez , Lindsay O'Neal et al. (2019). The REDCap consortium: Building an international community of software platform partners . Journal of Biomedical Informatics, 95, 103208. Elsevier BV.
    Crossref OpenAlex OpenCitations
  110. J. Gauthier , Q. V. Wu , T. A. Gooley (2020). Cubic splines to model relationships between continuous variables and outcomes: a guide for clinicians . Bone Marrow Transplantation, 55(4), 675-680. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  111. Yani Hamdani , Caroline Kassee , Meaghan Walker , Yona Lunsky , Brenda Gladstone , Amanda Sawyer et al. (2023). Roadblocks and detours on pathways to a clinical diagnosis of autism for girls and women: A qualitative secondary analysis . Women's Health, 19, 17455057231163761-17455057231163761. SAGE Publications.
    Crossref OpenAlex OpenCitations
  112. Giorgia Sala , Laura Pecora , Merrilyn Hooley , Mark A. Stokes (2020). As Diverse as the Spectrum Itself: Trends in Sexuality, Gender and Autism . Current Developmental Disorders Reports, 7(2), 59-68. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  113. Maj‐Britt Posserud , Berit Skretting Solberg , Anders Engeland , Jan Haavik , Kari Klungsøyr (2021). Male to female ratios in autism spectrum disorders by age, intellectual disability and attention‐deficit/hyperactivity disorder . Acta Psychiatrica Scandinavica, 144(6), 635-646. Wiley.
    Crossref OpenAlex OpenCitations
  114. John N. Constantino (2013). Social Responsiveness Scale . In Social Responsiveness Scale, (pp. 2919-2929). Springer New York.
    Crossref OpenAlex
  115. Sharon G. Horne , Mallaigh McGinley , Nedim Yel , Meredith R. Maroney (2022). The stench of bathroom bills and anti-transgender legislation: Anxiety and depression among transgender, nonbinary, and cisgender LGBQ people during a state referendum. Journal of Counseling Psychology, 69(1), 1-13. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  116. (n.d.). Lunsford JM. Negative Emotion Differentiation and Related Processes: A Qualitative Approach (Order No. 29991559). Available from ProQuest Dissertations & Theses Global. (2771848379).; 2022. http://ezproxy.rowan.edu/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fdissertations-theses%2Fnegative-emotion-differentiation-related%2Fdocview%2F2771848379%2Fse-2%3Faccountid%3D13605 .
    Type: Other
    Crossref
  117. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders . Diagnostic and Statistical Manual of Mental Disorders.
    Type: Other
    Crossref
  118. (n.d.). Harrell FE. rms: Regression Modeling Strategies. May 8 2023. https://cran.r-project.org/web/packages/rms/index.html [Last accessed: July27 2023].
    Type: Other
    Crossref
  119. Yunhe Huang , Julian N Trollor , Kitty‐Rose Foley , Samuel R. C. Arnold (2023). “I've Spent My Whole Life Striving to Be Normal”: Internalized Stigma and Perceived Impact of Diagnosis in Autistic Adults . Autism in Adulthood, 5(4), 423-436. SAGE Publications.
    Crossref OpenAlex OpenCitations
  120. (n.d.). Pinheiro J Bates D DebRoy S Sarkar D et al. nlme: Linear and nonlinear mixed effects models. Published online January 31 2023. https://cran.r-project.org/web/packages/nlme/index.html [Last accessed: July27 2023].
    Type: Other
    Crossref
  121. Sue DW (2013). Microaggressions in Everyday Life: Race, Gender, and Sexual Orientation . Microaggressions in Everyday Life: Race, Gender, and Sexual Orientation.
    Type: Other
    Crossref
  122. Lawrence J. Siegel , Elaine Fletcher‐Janzen (2014). Diagnostic and Statistical Manual of Mental Disorders . Encyclopedia of Special Education. Wiley.
    OpenAlex
  123. Bouke de Vries (2024). Microaggressions in everyday life: Race, gender, and sexual orientation . The Southern Journal of Philosophy, 62(3), 391-401. Wiley.
    OpenAlex