{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T17:05:32Z","timestamp":1790442332881,"version":"4.1.0"},"reference-count":60,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T00:00:00Z","timestamp":1656979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Up to 37% of patients with anorexia nervosa score above cut\u2010off on autism screening measures. These individuals typically have poorer outcomes from standard eating disorder interventions and could therefore benefit from adaptations. Accurately identifying these individuals is important for improving autism referral processes and clinical pathway decisions. This study's aim was to identify subscales of questionnaires measuring constructs associated with either autism or eating disorders that, when combined with traditional autism screening measures, would improve the ability to identify women with restrictive eating disorders who might benefit from a full autism assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>One hundred and sixty women with restrictive eating disorders, with (<jats:italic>n<\/jats:italic>\u00a0=\u00a042) or without (<jats:italic>n<\/jats:italic>\u00a0=\u00a0118) an autism diagnosis completed a battery of questionnaires. Using conditional stepwise binary logistic regression, we attempted to improve the autism spectrum quotient 10 item's (AQ\u201010) ability to discriminate between autistic and non\u2010autistic women in a restrictive eating disorder sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In a binary logistic regression model, the AQ\u201010 reliably discriminated between autistic and non\u2010autistic women with an accuracy rate of 85% but had relatively low (69%) sensitivity, reflecting a high rate of false negatives. Adding three subscales to the model (Glasgow Sensory Questionnaire Auditory, Camouflaging Autistic Traits Questionnaire Compensation and Toronto Alexithymia Scale Externally Orientated Thinking) significantly improved its differentiating ability (accuracy\u00a0=\u00a088%, sensitivity\u00a0=\u00a076%, specificity\u00a0=\u00a092%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We have identified three subscales that, when used in combination with the AQ\u201010, may help clinicians understand the pattern of autistic traits in their patients with a restrictive eating disorder. This can inform clinical decisions about whether to refer for a full autism assessment and whether to adapt standard eating disorder treatments to accommodate autistic traits. Future studies are needed to test the model in samples where participants have undergone a full autism assessment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2918","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T07:06:10Z","timestamp":1657091170000},"page":"592-603","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Towards identifying a method of screening for autism amongst women with restrictive eating disorders"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1153-9680","authenticated-orcid":false,"given":"James","family":"Adamson","sequence":"first","affiliation":[{"name":"Research Department of Clinical, Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janina","family":"Brede","sequence":"additional","affiliation":[{"name":"Research Department of Clinical, Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charli","family":"Babb","sequence":"additional","affiliation":[{"name":"School of Psychology Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Serpell","sequence":"additional","affiliation":[{"name":"Research Department of Clinical, Educational and Health Psychology University College London  London UK"},{"name":"Eating Disorders Service North East London Foundation NHS Trust  Barking Essex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine R. G.","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Psychology Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3039-8024","authenticated-orcid":false,"given":"John","family":"Fox","sequence":"additional","affiliation":[{"name":"School of Psychology Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3564-5808","authenticated-orcid":false,"given":"Will","family":"Mandy","sequence":"additional","affiliation":[{"name":"Research Department of Clinical, Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.36"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2594"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044\u20108260.1997.tb01255.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2011.11.003"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010108x(199507)18:1<79::Aid\u2010eat2260180109>3.0.Co;2\u2010v"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716001082"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361321991257"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103999(94)90005\u20101"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/2040\u20102392\u20104\u201024"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13229\u2010018\u20100242\u20104"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2021.114271"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010020\u201004479\u20103"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010020\u201004425\u20103"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467\u20108721.ep10768783"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.4.379"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102080"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361315573636"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2707"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/2040\u20102392\u20104\u201049"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.1988"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010018\u20103600\u20103"},{"issue":"38","key":"e_1_2_9_24_1","first-page":"34","article-title":"Missed diagnosis or misdiagnosis? Girls and women on the autism spectrum","volume":"12","author":"Gould J.","year":"2011","journal-title":"Good Autism Practice"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2244"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010018\u20103792\u20106"},{"key":"e_1_2_9_27_1","unstructured":"JASP Team. (2022).JASP. Version 0.16.2. Retrieved fromhttps:\/\/jasp\u2010stats.org\/"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361315588200"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540261.2018.1531831"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010017\u20101455\u20103"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.00388"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/0146167283093007"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2875"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2017.03.013"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010019\u201003906\u20104"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107967(03)00161\u2010X"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/15298860309027"},{"key":"e_1_2_9_38_1","volume-title":"Key priorities for implementation | autism spectrum disorder in adults: Diagnosis and management | guidance | NICE","author":"NICE","year":"2021"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.081356"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13229\u2010015\u20100013\u20104"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699931.2012.762900"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000113"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010017\u20103413\u20109"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010010\u20101133\u20105"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010012\u20101608\u20107"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010017\u20103422\u20108"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000742"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00507"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13255"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0895\u20104356(98)00102\u20104"},{"key":"e_1_2_9_51_1","volume-title":"Supporting autistic people with eating disorders: A guide to adapting treatment and supporting recovery","author":"Tchanturia K.","year":"2021"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361317722431"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/2040\u20102392\u20104\u201044"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10257"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.5539\/ijps.v7n2p195"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2016.10.002"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040297"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13229\u2010017\u20100128\u2010x"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010017\u20100791\u20109"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361317748245"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100447.1983.tb09716.x"}],"container-title":["European Eating Disorders Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/erv.2918","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/erv.2918","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/erv.2918","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T23:00:14Z","timestamp":1692486014000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/erv.2918"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,5]]},"references-count":60,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1002\/erv.2918"],"URL":"https:\/\/doi.org\/10.1002\/erv.2918","archive":["Portico"],"relation":{},"ISSN":["1072-4133","1099-0968"],"issn-type":[{"value":"1072-4133","type":"print"},{"value":"1099-0968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,5]]},"assertion":[{"value":"2022-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}