{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T19:09:54Z","timestamp":1787598594288,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T00:00:00Z","timestamp":1657497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["K23 HD087472"],"award-info":[{"award-number":["K23 HD087472"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>It has been suggested that the sequelae of trauma are under\u2010recognized in youth on the autism spectrum. We aimed to generate expert consensus regarding important trauma indicators, including but not limited to traumatic stress symptoms, in autistic youth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We recruited 72 experts in autism and\/or childhood trauma. Via a 2\u2010round Delphi survey, experts commented on and rated the importance of 48 potential indicators, drawn from PTSD criteria and a broader literature on traumatic sequelae in autism. A revised list of 51 indicators, 18 clinical guidelines developed from expert comments, and summaries of expert qualifications and ratings from Round 1 were submitted to a second round (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200966; 92% retention) of expert review and rating.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010two indicators reached consensus (&gt;75% round 2 endorsement). Many, but not all, reflected PTSD criteria, including intrusions (e.g., trauma re\u2010enactments in perseverative play\/speech), avoidance of trauma\u2010reminders, and negative alterations in mood\/cognition (e.g., diminished interest in activities) and in arousal\/reactivity (e.g., exaggerated startle). Experts also identified increased reliance on others, adaptive and language regressions, self\u2010injurious behavior, and non\u2010suicidal self\u2010injury as important indicators. Consensus guidelines emphasized the need for tailored measures, developmentally informed criteria, and multiple informants to increase diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Expert consensus emphasizes and informs a need for tailored diagnostic guidelines and measures to more sensitively assess traumatic reactions in autistic youth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13666","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T22:53:05Z","timestamp":1657579985000},"page":"50-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Expert consensus regarding indicators of a traumatic reaction in autistic youth: a Delphi survey"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0832-8329","authenticated-orcid":false,"given":"Connor M.","family":"Kerns","sequence":"first","affiliation":[{"name":"University of British Columbia  Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana L.","family":"Robins","sequence":"additional","affiliation":[{"name":"AJ Drexel Autism Institute  Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul T.","family":"Shattuck","sequence":"additional","affiliation":[{"name":"Mathematica Policy Research  Princeton NJ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig J.","family":"Newschaffer","sequence":"additional","affiliation":[{"name":"Penn State University  State College PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven J.","family":"Berkowitz","sequence":"additional","affiliation":[{"name":"School of Medicine University of Colorado  Denver CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361320908410"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-017-3183-4"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-201004000-00021"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/19315864.2019.1637979"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-018-0966-z"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.17m11675"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2020.12.036"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-019-04331-3"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000390"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-018-03864-3"},{"key":"e_1_2_7_12_1","first-page":"10","article-title":"The Delphi technique: Making sense of consensus","volume":"12","author":"Hsu C.C.","year":"2007","journal-title":"Practical Assessment, Research and Evaluation"},{"key":"e_1_2_7_13_1","unstructured":"Interagency Autism Coordinating Committee. 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