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Autism Spectrum Disorder and Specific Phobia: the Role of Sensory Sensitivity: Brief Review

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Abstract

Autism spectrum disorder (ASD) is a common neurodevelopmental disorder affecting approximately 1 in 59 children (Baio et al. MMWR Surveillance Summaries, 67(6), 1, 2018). A commonly experienced psychiatric comorbidity in ASD is anxiety. Although this is known, little research has been done on the specific issues concerning specific phobia in ASD, even though specific phobias (SPs) are present in up to 40% of children with ASD. As one of the leading treatments for anxiety, cognitive behavioral therapy (CBT) has been adapted for many different populations, including children with ASD. However, the work that has been done on treatment of SP in ASD has been mostly case studies from an operant perspective. These case studies have not, to our knowledge, utilized CBT; however, they suggest that behaviorally based treatments may be effective. Still, they do not explore potential mechanisms associated with the co-occurrence of these disorders, such as sensory sensitivity, that may be responsible for these differences. Within the context of ASD, Green and Ben-Sasson (Journal of autism and developmental disorders, 40(12), 1495-1504, 2010) suggest a model of SP based on classical fear conditioning theory, which suggests sensory sensitivities cause anxieties by conditioning children to associate aversive sensations with certain objects that consequently come to elicit fear and anxiety. Here, we suggest three potential modifications of CBT to address sensory sensitivity in youth with ASD. In offering these modifications, we attempt to address explicitly the potential mechanisms underlying the development of SP in youth with ASD.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.

    Book  Google Scholar 

  • Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., et al. (2018). Prevalence of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2014. MMWR Surveillance Summaries, 67(6), 1.

    Article  PubMed Central  Google Scholar 

  • Baranek, G. T. (2002). Efficacy of sensory and motor interventions for children with autism. Journal of Autism and Developmental Disorders, 32(5), 397–422.

    Article  PubMed  Google Scholar 

  • Baranek, G. T., David, F. J., Poe, M. D., Stone, W. L., & Watson, L. R. (2006). Sensory Experiences Questionnaire: discriminating sensory features in young children with autism, developmental delays, and typical development. Journal of Child Psychology and Psychiatry, 47(6), 591–601.

    Article  PubMed  Google Scholar 

  • Case-Smith, J., Weaver, L. L., & Fristad, M. A. (2015). A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism, 19(2), 133–148.

    Article  PubMed  Google Scholar 

  • Daluwatte, C., Miles, J. H., Christ, S. E., Beversdorf, D. Q., Takahashi, T. N., & Yao, G. (2013). Atypical pupillary light reflex and heart rate variability in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(8), 1910–1925.

    Article  PubMed  PubMed Central  Google Scholar 

  • Davis, T. E., Kurtz, P. F., Gardner, A. W., & Carman, N. B. (2007). Cognitive-behavioral treatment for specific phobias with a child demonstrating severe problem behavior and developmental delays. Research in Developmental Disabilities, 28(6), 546–558.

    Article  PubMed  Google Scholar 

  • Essau, C. A., & Petermann, F. (Eds.). (2013). Anxiety disorders in children and adolescents: Epidemiology, risk factors and treatment. Routledge.

  • Evans, D. W., Canavera, K., Kleinpeter, F. L., Maccubbin, E., & Taga, K. (2005). The fears, phobias and anxieties of children with autism spectrum disorders and down syndrome: comparisons with developmentally and chronologically age matched children. Child Psychiatry & Human Development, 36(1), 3–26.

    Article  Google Scholar 

  • Goldsmith, H. H., Van Hulle, C. A., Arneson, C. L., Schreiber, J. E., & Gernsbacher, M. A. (2006). A population-based twin study of parentally reported tactile and auditory defensiveness in young children. Journal of Abnormal Child Psychology, 34(3), 378–392.

    Article  Google Scholar 

  • Green, S. A., & Ben-Sasson, A. (2010). Anxiety disorders and sensory over-responsivity in children with autism spectrum disorders: is there a causal relationship? Journal of Autism and Developmental Disorders, 40(12), 1495–1504.

    Article  PubMed  PubMed Central  Google Scholar 

  • Koegel, R. L., Openden, D., & Koegel, L. K. (2004). A systematic desensitization paradigm to treat hypersensitivity to auditory stimuli in children with autism in family contexts. Research and Practice for Persons with Severe Disabilities, 29(2), 122–134.

    Article  Google Scholar 

  • Kreslins, A., Robertson, A. E., & Melville, C. (2015). The effectiveness of psychosocial interventions for anxiety in children and adolescents with autism spectrum disorder: a systematic review and meta-analysis. Child and Adolescent Psychiatry and Mental Health, 9(1), 22.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kushki, A., Brian, J., Dupuis, A., & Anagnostou, E. (2014). Functional autonomic nervous system profile in children with autism spectrum disorder. Molecular autism, 5(1), 39.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lietz, P., Kos, J., Dix, K., Trevitt, J., Uljarevic, M., & O’Grady, E. (2018). Protocol for a systematic review: Interventions for anxiety in school-aged children with autism spectrum disorder (ASD): A mixed-methods systematic review.

  • Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861.

    Article  PubMed  Google Scholar 

  • Lydon, S., Healy, O., O’Callaghan, O., Mulhern, T., & Holloway, J. (2015). A systematic review of the treatment of fears and phobias among children with autism spectrum disorders. Review Journal of Autism and Developmental Disorders, 2(2), 141–154.

    Article  Google Scholar 

  • May-Benson, T. A., & Koomar, J. A. (2010). Systematic review of the research evidence examining the effectiveness of interventions using a sensory integrative approach for children. American Journal of Occupational Therapy, 64(3), 403–414.

    Article  PubMed  Google Scholar 

  • Mayes, S. D., Calhoun, S. L., Aggarwal, R., Baker, C., Mathapati, S., Molitoris, S., & Mayes, R. D. (2013). Unusual fears in children with autism. Research in Autism Spectrum Disorders, 7(1), 151–158.

    Article  Google Scholar 

  • Mazefsky, C. A., Herrington, J., Siegel, M., Scarpa, A., Maddox, B. B., Scahill, L., & White, S. W. (2013). The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 52(7), 679–688.

    Article  Google Scholar 

  • Mazurek, M. O., Vasa, R. A., Kalb, L. G., Kanne, S. M., Rosenberg, D., Keefer, A., et al. (2013). Anxiety, sensory over-responsivity, and gastrointestinal problems in children with autism spectrum disorders. Journal of Abnormal Child Psychology, 41(1), 165–176.

    Article  PubMed  Google Scholar 

  • Mineka, S., & Zinbarg, R. (2006). A contemporary learning theory perspective on the etiology of anxiety disorders: it's not what you thought it was. American psychologist, 61(1), 10.

  • Moree, B. N., & Davis, T. E. (2010). Cognitive-behavioral therapy for anxiety in children diagnosed with autism spectrum disorders: modification trends. Research in Autism Spectrum Disorders, 4(3), 346–354.

    Article  Google Scholar 

  • Ollendick, T. H., & Davis, T. E. (2013). One-session treatment for specific phobias: a review of Öst’s single-session exposure with children and adolescents. Cognitive Behaviour Therapy, 42, 275–283.

    Article  PubMed  Google Scholar 

  • Ollendick, T. H., & King, N. J. (1991). Origins of childhood fears: an evaluation of Rachman's theory of fear acquisition. Behaviour Research and Therapy, 29(2), 117–123.

    Article  PubMed  Google Scholar 

  • Ollendick, T. H., King, N. J., & Muris, P. (2002). Fears and phobias in children: phenomenology, epidemiology, and aetiology. Child and Adolescent Mental Health, 7(3), 98–106.

    Article  Google Scholar 

  • Ollendick, T. H., & Muris, P. (2015). The scientific legacy of Little Hans and Little Albert: future directions for research on specific phobias in youth. Journal of Clinical Child and Adolescent Psychology, 44, 689–706.

    Article  PubMed  Google Scholar 

  • Öst, L. G. (1989). One-session treatment for specific phobias. Behaviour Research and Therapy, 27(1), 1–7.

    Article  PubMed  Google Scholar 

  • Ricciardi, J. N., Luiselli, J. K., & Camare, M. (2006). Shaping approach responses as intervention for specific phobia in a child with autism. Journal of Applied Behavior Analysis, 39(4), 445–448.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schoen, S. A., Miller, L. J., Brett-Green, B. A., & Nielsen, D. M. (2009). Physiological and behavioral differences in sensory processing: a comparison of children with autism spectrum disorder and sensory modulation disorder. Frontiers in Integrative Neuroscience, 3.

  • South, M., & Rodgers, J. (2017). Sensory, emotional and cognitive contributions to anxiety in autism spectrum disorders. Frontiers in Human Neuroscience, 11.

  • Watling, R., & Hauer, S. (2015). Effectiveness of Ayres Sensory Integration® and sensory-based interventions for people with autism spectrum disorder: a systematic review. American Journal of Occupational Therapy, 69(5), 6905180030p1-6905180030p12.

  • White, S. W., Ollendick, T., Albano, A. M., Oswald, D., Johnson, C., Southam-Gerow, M. A., et al. (2013). Randomized controlled trial: multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(2), 382–394.

    Article  PubMed  PubMed Central  Google Scholar 

  • White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wood, J. J., Ehrenreich-May, J., Alessandri, M., Fujii, C., Renno, P., Laugeson, E., et al. (2015). Cognitive behavioral therapy for early adolescents with autism spectrum disorders and clinical anxiety: a randomized, controlled trial. Behavior Therapy, 46(1), 7–19.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Virginia Tech, Blacksburg, VA, 24061, USA

    A. Muskett, S. Radtke, S. White & T. Ollendick

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  1. A. Muskett
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  2. S. Radtke
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  3. S. White
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  4. T. Ollendick
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Correspondence to A. Muskett.

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Muskett, A., Radtke, S., White, S. et al. Autism Spectrum Disorder and Specific Phobia: the Role of Sensory Sensitivity: Brief Review. Rev J Autism Dev Disord 6, 289–293 (2019). https://doi.org/10.1007/s40489-019-00159-w

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  • DOI: https://doi.org/10.1007/s40489-019-00159-w

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