Cross-cultural differences in comorbid symptoms of children with autism spectrum disorders: An international examination between Israel, South Korea, the United Kingdom and the United States of America

Ditza Zachor, Jae Won Yang, Esther Ben Itzchak, Frederick Furniss, Elinor Pegg, Johnny L. Matson, Max Horovitz, Megan Sipes, Kyong Mee Chung, Woohyun Jung

Research output: Contribution to journalArticle

16 Citations (Scopus)


Objective: To examine the relationship between culture and symptoms of comorbid psychopathology in those with autism spectrum disorders (ASD). Design: Multivariate analyses of variance (MANOVAs) for each country and each sub-scale of the Autism Spectrum Disorders-Comorbid for Children (ASD-CC). Follow-up independent univariate analyses and post-hoc tests as needed. Methods: Separate samples from South Korea, the UK and Israel were compared to a sample from the US in order to examine cultural contributions, using the ASD-CC. Results: Overall, few differences were found. Significantly, the US had significantly higher scores than South Korea on the avoidant sub-scale. Additionally, the US had significantly higher scores than Israel on the over-eating and tantrum sub-scales. No significant differences were found between the US and the UK. Conclusion: Cultural factors, such as views of typical behaviour, should be taken into account when examining symptoms of comorbidity in children with ASD.

Original languageEnglish
Pages (from-to)215-220
Number of pages6
JournalDevelopmental Neurorehabilitation
Issue number4
Publication statusPublished - 2011 Aug 1


All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Rehabilitation
  • Developmental Neuroscience

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