Self-Esteem, Internalizing Symptoms, and Theory of Mind in Youth With Autism Spectrum Disorder

Self-esteem is a potent indicator of mental health in typically developing (TYP) individuals. It is surprising that there have been few comprehensive investigations of self-esteem in children and adolescents with autism spectrum disorder (ASD), given that they are at high risk for comorbid mental he...

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Bibliographic Details
Published in:Journal of clinical child and adolescent psychology 2019-05, Vol.48 (3), p.400-411
Main Authors: McCauley, James B., Harris, Michelle A., Zajic, Matthew C., Swain-Lerro, Lindsay E., Oswald, Tasha, McIntyre, Nancy, Trzesniewski, Kali, Mundy, Peter, Solomon, Marjorie
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Anxiety
Anxiety - psychology
Autism
Autism Spectrum Disorder - psychology
Autism Spectrum Disorders
Autistic adolescents
Autistic children
Child
Comorbidity
Defense Mechanisms
Depression - psychology
Female
Health problems
High risk
Humans
Internalization
Male
Mental depression
Mental disorders
Mental health
Psychopathology
Questionnaires
Self Concept
Self esteem
Selfawareness
Selfworth
Surveys and Questionnaires
Symptoms
Theory of mind
Theory of Mind - physiology
Youth
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Summary:Self-esteem is a potent indicator of mental health in typically developing (TYP) individuals. It is surprising that there have been few comprehensive investigations of self-esteem in children and adolescents with autism spectrum disorder (ASD), given that they are at high risk for comorbid mental health problems, such as depression and anxiety. The objectives of the current study were to assess how youth with ASD rate their self-esteem compared to age-matched TYP youth and to examine how self-esteem relates to internalizing psychopathology and theory of mind in the two groups. Seventy-three children and adolescents, ages 9 to 17, were administered a battery of questionnaires assessing self-esteem and internalizing symptoms, as well as tasks designed to measure theory of mind. Results indicated that youth with ASD rated their self-esteem significantly lower than did TYP youth. Self-esteem was strongly related to depression in both groups but was negatively related to theory of mind only for youth with ASD. These results may provide important insights into how individuals with ASD form evaluations of their own self-worth and illustrate how increasing self-awareness in individuals with ASD is not without risks.
ISSN:1537-4416
1537-4424
DOI:10.1080/15374416.2017.1381912