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Children with autism spectrum disorders (ASD) experience high rates of anxiety, sensory processing problems, and gastrointestinal (GI) problems; however, the associations among these symptoms in children with ASD have not been previously examined. The current study examined bivariate and multivariate relations among anxiety, sensory over-responsivity, and chronic GI problems in a sample of 2,973 children with ASD enrolled in the Autism Treatment Network (ages 2–17 years, 81.6 % male). Twenty-four percent of the sample experienced at least one type of chronic GI problem (constipation, abdominal pain, bloating, diarrhea, and/or nausea lasting three or more months). Children with each type of GI problem had significantly higher rates of both anxiety and sensory over-responsivity. Sensory over-responsivity and anxiety were highly associated, and each provided unique contributions to the prediction of chronic GI problems in logistic regression analyses. The results indicate that anxiety, sensory over-responsivity and GI problems are possibly interrelated phenomenon for children with ASD, and may have common underlying mechanisms.
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Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA school-age forms & profiles: an integrated system of multi-informant assessment. Burlington: University of Vermont, Research Center for Children, Youth & Families.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders - fourth edition, text revision. Washington, DC: American Psychiatric Association. CrossRef
Ayres, A. J. (1979). Sensory integration and the child. Los Angeles: Western Psychological Services.
Beidel, D. C., & Turner, S. M. (2005). Childhood anxiety disorders. New York: Routledge.
Ben Shalom, D. B., Mostofsky, S. H., Hazlett, R. L., Goldberg, M. C., Landa, R. J., Faran, Y., & Hoehn-Saric, R. (2006). Normal physiological emotions but differences in expression of conscious feelings in children with high-functioning autism. Journal of Autism and Developmental Disorders, 36, 395–400. PubMedCrossRef
Ben-Sasson, A., Cermak, S. A., Orsmond, G. I., Carter, A. S., & Fogg, L. (2007a). Can we differentiate sensory over-responsivity from anxiety symptoms in toddlers? Perspectives of occupational therapists and psychologists. Infant Mental Health Journal, 28, 536–558. CrossRef
Brock, M., Freuler, A., Baranek, G., Watson, L., Poe, M., & Sabatino, A. (2012). Temperament and sensory features of children with autism. Journal of Autism and Neurodevelopmental Disorders.
Dinan, T. G., Clarke, G., Quigley, E. M. M., Scott, L. V., Shanahan, F., Cryan, J., & Keeling, P. W. (2008). Enhanced cholinergic-mediated increase in the pro-inflammatory cytokine IL-6 in irritable bowel syndrome: role of muscarinic receptors. American Journal of Gastroenterology, 103, 2570–2576. PubMedCrossRef
Dunn, W. (1997). The impact of sensory processing abilities on the daily lives of young children and their families: a conceptual model. Infants and Young Children, 9, 23–35. CrossRef
Dunn, W. (1999). The sensory profile: user’s manual. San Antonio: Psychological Corporation.
Goldsmith, H., Van Hulle, C., Arneson, C., Schreiber, J., & Gernsbacher, M. (2006). A population-based twin study of parentally reported tactile and auditory defensiveness in young children. Journal of Abnormal Child Psychology, 34, 378–392. CrossRef
Kinnealey, M., & Fuiek, M. (1999). The relationship between sensory defensiveness, anxiety, depression and perception of pain in adults. Occupational Therapy International, 6, 195–206. CrossRef
Koloski, N.A., Jones, M., Kalantar, J., Weltman, M., Zaguirre, J., & Talley, N.J. (2012). The brain-gut pathway in functional gastrointestinal disorders is bidirectional: a 12-year prospective population-based study. Gut.
Lane, S.J., Reynolds, S., & Thacker, L. (2010). Sensory over-responsivity and ADHD: differentiating using electrodermal responses, cortisol, and anxiety. Frontiers in Integrative Neuroscience, 4.
Lord, C., DiLavorne, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services.
Mazefsky, C. A., Kao, J., & Oswald, D. P. (2011). Preliminary evidence suggesting caution in the use of psychiatric self-report measures with adolescents with high-functioning autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 164–174. CrossRef
McIntosh, D. N., Miller, L. J., & Shyu, V. (1999). Development and validation of the short sensory profile. In W. Dunn (Ed.), Sensory profile manual (pp. 59–73). San Antonio: Psychological Corporation.
Mullen, E. M. (1995). Mullen scales of early learning. Circle Pines: American Guidance Service, Inc.
Myers, B., & Greenwood-Van Meerveld, B. (2009). Role of anxiety in the pathophysiology of irritable bowel syndrome: importance of the amygdala. Frontiers in Neuroscience, 3.
Ollendick, T. H., King, N. J., & Muris, P. (2002). Fears and phobias in children: phenomenology, epidemiology, and aetiology. Child and Adolescent Mental Health, 7, 98–106. CrossRef
Roid, G. H. (2003). Stanford Binet intelligence scales (5th Edition) (5th ed.). Itasca: Riverside Publishing.
Rothbart, M. K., & Derryberry, D. (1981). Development of individual differences in temperament. In M. Lamb & A. Brown (Eds.), Advances in developmental psychology (Vol. 1, pp. 37–86). Hillsdale: Erlbaum.
SAS Institute. (2008). SAS version 9.2. Cary: SAS Institute.
Zald, D. H., & Pardo, J. V. (1997). Emotion, olfaction, and the human amygdala: amygdala activation during aversive olfactory stimulation. Proceedings of the National Academy of Sciences, 94, 4119–4124. CrossRef
- Anxiety, Sensory Over-Responsivity, and Gastrointestinal Problems in Children with Autism Spectrum Disorders
Micah O. Mazurek
Roma A. Vasa
Luther G. Kalb
Stephen M. Kanne
Donna S. Murray
Lea Ann Lowery
- Springer US