Our research group has done work in different aspects of the ASC and ED comorbidity.
Edited by Kate Tchanturia (2021)
This book explores the link between autism and eating disorders through testimonies from practitioners, service users and carers. Combining research findings, case studies and first-hand accounts, it provides insights into how individuals on the autism spectrum can be supported towards full recovery from an eating disorder.
Jessica Kingsley Publishers
Kinnaird, E., & Tchanturia, K. (2020)
This paper compares the clinical features between autism and anorexia nervosa, outlining the similarities and potential differences in presentation. Building on this, the article then discusses the implications for diagnosing and treating co-occurring autism and anorexia nervosa.
Journal of Behavioral and Cognitive Therapy
Kinnaird E, Norton C, Stewart C, Tchanturia K (2019)
This study interviewed women with anorexia nervosa (AN) and high levels of autistic traits to understand how standard eating disorders treatment programmes could be adapted to better suit their needs. Potential adaptations include improving clinician’s understanding of autism related behaviours, introducing cognitive remediation to address the rigid thought patterns associated with autism, introducing emotion skills training, and adapting refeeding programmes to accommodate patient’s sensory sensitivities.
International Review of Psychiatry
Adamson J, Kinnaird E, Glennon D, Oakley M, Tchanturia K (2020)
This study interviewed 10 carers of individuals diagnosed with autism and anorexia nervosa (AN). All of the carers felt that autism played a significant role in the development and maintenance of their daughters’ AN. Other difficulties included problems with getting an autism diagnosis and the perception that eating disorder services did not accept or adapt around the condition. As a result, families expressed feelings of frustration and isolation especially because they also perceived a lack of support and specific resources from clinical services. It was suggested that future research should investigate the best way to improve clinician awareness and knowledge in this area.
Tchanturia K, Larsson E, Adamson J, Westwood H (2019)
Anorexia nervosa (AN) patients with higher autistic traits are more likely to have more severe eating disorder and depressive symptoms, and poorer work and social functioning. This suggests that individuals with autistic characteristics may require longer or more intensive treatment for AN.
Adamson J, Leppanen J, Murin M, Tchanturia K (2018)
Cognitive remediation and emotional skills training (CREST) targets social-emotional difficulties. The training aims to help patients identify and describe their own emotions and express their needs in a safe way, as this could be very difficult for patients with anorexia and autistic traits. This study shows that CREST in both individual and group formats was effective in improving patients’ motivation. Individual CREST led to an improvement in both confidence and description of emotions. Both patients with and without autistic traits were shown to benefit from the treatment.
European Eating Disorder Review
Sedgewick F, Kerr- Gaffney J, Leppanen J, Tchanturia K (2019)
The Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) has been the "gold-standard" tool for diagnosing autism traits. Its diagnostic algorithm has been revised lately. As a result, the algorithm now identifies more women as potentially being on the autism spectrum than the old version. This paper points out that more anorexia nervosa (AN) patients and recovered individuals scored above cut-off on the new algorithm, suggesting that women who experience AN may have more persisting autistic traits.
Frontiers in Psychiatry
Westwood H, Eisler I, Mandy W, Leppanen J, Treasure J, Tchanturia K (2016)
A review of studies that used the Autism-Spectrum Quotient (AQ) (a 50-item questionnaire consisting of five domains: social skills; attention switching; attention to detail; communication and imagination) or abbreviated version (AQ-10) to examine whether patients with anorexia nervosa (AN) have higher levels of autistic traits. This analysis offers strong evidence that individuals with AN tend to score higher on the AQ and AQ-10, suggesting significant difficulties with social skills, communication and flexibility.
Journal of Autism and Developmental Disorders