Correlations Between the Development of Social Anxiety and Individuals With Autism Spectrum Disorder: A Systematic Review

• Published in: Curēus (Palo Alto, CA) CA), 2023-09, Vol.15 (9), p.e44841
• Main Authors: Montaser, Jamal, Umeano, Lotanna, Pujari, Hari Priya, Nasiri, Syed Muhammad Zain, Parisapogu, Anusha, Shah, Anuj, Khan, Safeera
• Format: Article
• Language: English
• Subjects: Anxiety disorders; Autism; Cognition & reasoning; Cognitive ability; Comorbidity; Emotional regulation; Fear & phobias; Mental disorders; Mental health; Psychiatry; Psychology; Social anxiety; Systematic review
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.44841

It is well established that people with autism spectrum disorder (ASD) have significantly higher rates of social anxiety, given that most autistic individuals experience socio-communication impairments, a deficit in social competence, and their experience in social engagement situations often leads to discomfort in social settings. Literature also finds that individuals on the spectrum are often at a higher risk of developing social anxiety, which is often misinterpreted as social anxiety disorder (SAD) leading to delays in the clinical diagnosis of ASD. Hence, an improved understanding of specific factors that put ASD individuals at risk of developing social anxiety will aid research to differentiate between social anxiety among individuals with ASD compared to non-ASD individuals facing social anxiety in general. This systematic review study focuses on empirical literature that provides evidence for reasons contributing to social anxiety among individuals with ASD. Following the systematic review methodology, the study evaluates 10 research papers. The results revealed several correlations that can be useful in helping explain why individuals with ASD are at a higher risk of developing SAD. Individuals with ASD often suffer severe social anxiety because they struggle to understand social cues, maintain eye contact, interpret non-verbal cues like facial expressions or body language, or participate in reciprocal conversation. Other cognitive factors include a preference toward predictable situations, intolerance for uncertainty, and a tendency toward rigid thinking patterns. Unpredictability in social settings often heightens anxiety levels in ASD individuals, making them avoid such situations. Other risk factors include emotional recognition impairments and reduced social competence. These findings serve as a guide to developing better intervention strategies to help individuals with ASD to overcome social anxiety.