La pensée négative répétitive en tant que prédicteur prospectif transdiagnostique des symptômes de dépression et d'anxiété chez des étudiants universitaires neurodivers au cours de leur premier semestre

Titre original en anglais : Repetitive Negative Thinking As a Transdiagnostic Prospective Predictor of Depression and Anxiety Symptoms in Neurodiverse First-Semester College Students

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McKenney, E. E., Brunwasser, S. M., Richards, J. K., Day, T. C., Kofner, B., McDonald, R. G., Williams, Z. J., Gillespie-Lynch, K., Kang, E., Lerner, M. D., & Gotham, K. (2023). Repetitive Negative Thinking As a Transdiagnostic Prospective Predictor of Depression and Anxiety Symptoms in Neurodiverse First-Semester College Students. Autism in Adulthood, 5(4), 374-388. https://doi.org/10.1089/aut.2022.0078

Date de publication: 27/03/2023 Ajout dans AutiHub: 07/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
11
Auteur·ices de la publication identifié·es comme autistes
2 / 11 (18,2 %)
  1. Erin E. McKenney
  2. Steven M. Brunwasser
  3. Jared K. Richards *
  4. Talena C. Day
  1. Bella Kofner
  2. Rachel G. McDonald
  3. Zachary J. Williams *
  4. Kristen Gillespie-Lynch
  1. Erin Kang
  2. Matthew D Lerner
  3. Katherine Gotham

Résumé

Contexte : Améliorer la compréhension et le traitement des problèmes de santé mentale, y compris la dépression et l'anxiété, constitue une priorité importante pour les adultes autistes. Bien que plusieurs théories aient été proposées pour expliquer la forte prévalence des symptômes intériorisés dans les populations autistes, peu de recherches longitudinales ont été menées afin d'étudier les mécanismes causaux potentiels. Des recherches supplémentaires sont nécessaires pour explorer comment les facteurs contribuant à la dépression proposés par la recherche dans la population générale prédisent et/ou modèrent le développement de symptômes intériorisés chez les personnes autistes. Dans cette étude, nous avons examiné la relation entre un facteur de risque établi, la pensée négative répétitive (RNT), et les symptômes intériorisés au cours du premier semestre d'étudiants universitaires, en examinant également si cette association est modérée par une mesure des traits autistiques. Méthodes : Des étudiants ont été recrutés dans 4 universités du nord-est des Etats-Unis : parmi les 144 étudiants participants, 97 étaient non autistes et 47 participants ont soit déclaré un diagnostic formel d'autisme (n = 15), soit indiqué des antécédents selon lesquels eux-mêmes et/ou d'autres personnes pensaient qu'ils pourraient être autistes (n = 32). Les participants ont rempli une série initiale de questionnaires au cours de leurs 2 premières semaines de début de l'université, une brève enquête toutes les deux semaines tout au long de leur premier semestre (jusqu'à 24 fois sur 12 semaines), ainsi qu'un dossier final. Résultats : Une RNT élevée de type trait au départ était associée prospectivement aux évaluations bimensuelles des symptômes de dépression et d'anxiété au cours du semestre. En outre, une RNT plus importante était liée de manière synchrone à une tristesse, une anhédonie et une anxiété élevées tout au long du semestre. Contrairement aux hypothèses, une relation prédictive à plus court terme entre la RNT à un moment donné et les symptômes de l'humeur au moment suivant n'a été que largement non étayée. Bien que ces schémas aient été observés parmi les neurotypes, les étudiants ayant déclaré davantage de traits autistiques étaient plus susceptibles de présenter une RNT, ainsi que des symptômes dépressifs et anxieux. Conclusions : Ces résultats préliminaires mettent en évidence la RNT comme un mécanisme spécifique qui pourrait constituer une cible utile de prévention et/ou d'intervention visant à réduire les taux élevés de dépression et d'anxiété dans la communauté autiste.

Background: Improving the understanding and treatment of mental health concerns, including depression and anxiety, are significant priorities for autistic adults. While several theories have been proposed to explain the high prevalence of internalizing symptoms in autistic populations, little longitudinal research has been done to investigate potential causal mechanisms. Additional research is needed to explore how proposed contributors to depression from general population research predict and/or moderate the development of internalizing symptoms in autistic individuals. In this study, we investigated the relation of one established risk factor, repetitive negative thinking (RNT), to internalizing symptoms over the course of college students' first semester, additionally examining whether this association is moderated by a measure of autistic traits. Methods: Students were recruited from 4 northeastern U.S. universities: 144 participating students included 97 nonautistic students and 47 participants who either reported a formal autism diagnosis (n = 15) or endorsed a history of self and/or others thinking that they may be autistic (n = 32). Participants completed a baseline survey battery within their first 2 weeks of starting college, a brief biweekly survey throughout their first semester (up to 24 times across 12 weeks), and an endpoint packet. Results: Elevated trait-like RNT at baseline was prospectively associated with biweekly ratings of depression and anxiety symptoms across the semester. In addition, greater RNT was synchronously related to elevated sadness, anhedonia, and anxiety throughout the semester. Contrary to hypotheses, a shorter term predictive relationship between RNT at one timepoint and mood symptoms at the next was largely unsupported. While these patterns were observed across neurotypes, students with higher self-reported autistic traits were more likely to experience RNT, as well as depressive and anxiety symptoms. Conclusions: These preliminary findings highlight RNT as a specific mechanism that may be a useful prevention and/or intervention target toward reducing the elevated depression and anxiety rates in the autistic community.

Bibliographie citée par cette référence

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Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
109
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
10 / 109 (9,2 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
15 / 628 (2,4 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 15 / 130 (11,5 %). Auteurices cité·es distinct·es identifié·es comme autistes : 11 / 566 (1,9 %).
Occurrences citées rattachées à la base AutiHub
130 / 628 (20,7 %)
Auteurices cité·es distinct·es rattaché·es : 94 / 566 (16,6 %)
Occurrences rattachées, non identifiées comme autistes
115 / 130 (88,5 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 115 / 628 (18,3 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 83 / 94 (88,3 %).
2 entrées de bibliographie citée n’ont pas pu être entièrement enrichies à partir des métadonnées DOI.
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