{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:33:19Z","timestamp":1791469999406,"version":"4.3.4"},"reference-count":57,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003125","name":"Suomen Kulttuurirahasto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>In anorexia nervosa (AN), the traits of autism spectrum disorder (ASD) are associated with poor outcomes. However, the subtle nature of these characteristics remains poorly understood. We investigated the in\u2010depth patterns of ASD traits using Autism Diagnostic Observation Schedule\u2010Second Edition (ADOS\u20102) in women with AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Of 28 women with ICD\u201010 AN, 16 (age 19\u201330 years) participated in the ADOS\u20102, a video\u2010recorded, semistructured diagnostic assessment for social communication and interaction and restricted, repetitive behaviors and interests related to ASD. None of the participants had previously been diagnosed with ASD. Other measurements included the Eating Disorder Examination Questionnaire and the Wechsler Abbreviated Scale of Intelligence\u2010IV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five individuals (18% of all, 31% of those assessed) scored above the cutoff for autism in ADOS\u20102. They had challenges in social communication and interaction, manifesting as sustained difficulties in social relationships and deficits in conversation skills. Few described being frequently misunderstood by others, including in the eating disorder treatment settings. Three individuals showed prominent restricted and repetitive behaviors such as ritual seeking, eating\u2010related routines, sensory sensitivity related to food texture and selective eating, and intense interest in specific topics. The mean duration of AN in women above the cutoff was twice as long compared with those below (12.3 vs. 6.2 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The ASD\u2010related characteristics and behavior appear to contribute to the manifestation and duration of AN in a subgroup of women. Among these women, the traits of ASD appear to be mixed with eating disorder symptoms, which should be taken into account in the treatment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23700","type":"journal-article","created":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T10:58:17Z","timestamp":1715079497000},"page":"1901-1916","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Social communication and restricted, repetitive behavior as assessed with a diagnostic tool for autism (ADOS\u20102) in women with anorexia nervosa"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4061-554X","authenticated-orcid":false,"given":"Emma","family":"Saure","sequence":"first","affiliation":[{"name":"Department of Psychology and Logopedics, Faculty of Medicine University of Helsinki Helsinki Finland"},{"name":"Department of Psychiatry, Division of Adolescent Psychiatry Helsinki University 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