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Journal of Autism and Developmental Disorders

, Volume 42, Issue 6, pp 1112–1119 | Cite as

Anxiety and Sensory Over-Responsivity in Toddlers with Autism Spectrum Disorders: Bidirectional Effects Across Time

  • Shulamite A. Green
  • Ayelet Ben-Sasson
  • Timothy W. Soto
  • Alice S. CarterEmail author
Original Paper

Abstract

This report focuses on the emergence of and bidirectional effects between anxiety and sensory over-responsivity (SOR) in toddlers with autism spectrum disorders (ASD). Participants were 149 toddlers with ASD and their mothers, assessed at 2 annual time points. A cross-lag analysis showed that anxiety symptoms increased over time while SOR remained relatively stable. SOR positively predicted changes in anxiety over and above child age, autism symptom severity, NVDQ, and maternal anxiety, but anxiety did not predict changes in SOR. Results suggest that SOR emerges earlier than anxiety, and predicts later development of anxiety.

Keywords

Autism spectrum disorders Anxiety Sensory over-responsivity 

Notes

Acknowledgments

This research was conducted as part of the Studies to Advance Autism Research and Treatment (STAART) center at Boston University. Funding was provided by National Institute of Mental Health grant U54 MH 66398 (Helen Tager-Flusberg, Center Principal Investigator, Alice S. Carter, Project Principal Investigator) as well as grants from the National Alliance for Autism Research (Alice S. Carter, Principal Investigator) and the Boston University General Clinical Research Center. We are grateful to the families of the children in this study, whose participation in our project inspires this work and makes it possible.

References

  1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM-IV). Washington, DC: American Psychiatric Association.Google Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV-TR) (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
  3. Baranek, G. T., David, F. J., Poe, M. D., Stone, W. L., & Watson, L. R. (2006). Sensory experience questionnaire: Discriminating sensory features in young children with autism, developmental delays, and typical development. Journal of Child Psychology and Psychiatry, 47(6), 591–601.PubMedCrossRefGoogle Scholar
  4. Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897.PubMedCrossRefGoogle Scholar
  5. Bellini, S. (2004). Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19(2), 78–86.CrossRefGoogle Scholar
  6. Ben-Sasson, A., Carter, A. S., & Briggs-Gowan, M. J. (2009). Prevalence and correlates of sensory over-responsivity from infancy to elementary school. Journal of Abnormal Child Psychology, 37(5), 705–716.PubMedCrossRefGoogle Scholar
  7. Ben-Sasson, A., Carter, A. S., & Briggs-Gowan, M. J. (2010). The development of sensory over-responsivity from infancy to elementary school. Journal of Abnormal Child Psychology, 38(8), 1193–1202.PubMedCrossRefGoogle Scholar
  8. Ben-Sasson, A., Cermak, S. A., Orsmond, G. I., Carter, A. S., Kadlec, M. B., & Dunn, W. (2007). Extreme sensory modulation behaviors in toddlers with autism. American Journal of Occupational Therapy, 61(5), 584–592.Google Scholar
  9. Ben-Sasson, A., Cermak, S. A., Orsmond, G. I., Tager-Flusberg, H., Kadlec, M. B., & Carter, A. S. (2008). Sensory clusters of toddlers with autism spectrum disorders: Differences in affective symptoms. Journal of Child Psychology and Psychiatry, 49(8), 817–825.PubMedCrossRefGoogle Scholar
  10. Briggs-Gowan, M. J., Carter, A. S., & Schwab-Stone, M. (1996). Discrepancies among mother, child, and teacher reports: Examining the contributions of maternal depression and anxiety. Journal of Abnormal Child Psychology, 24(6), 749–765.PubMedCrossRefGoogle Scholar
  11. Carter, A. S., Black, D., Tewani, S., Connolly, C., Kadlec, M. B., & Tager-Flusberg, H. (2007). Sex differences in toddlers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(1), 86–97.Google Scholar
  12. Carter, A. S., & Briggs-Gowan, M. J. (2005). The infant-toddler social and emotional assessment (ITSEA) manual. San Antonio, TX: Harcourt Assessment.Google Scholar
  13. Carter, A. S., Briggs-Gowan, M. J., Jones, S. M., & Little, T. D. (2003). The infant-toddler social and emotional assessment (ITSEA): Factor structure, reliability, and validity. Journal of Abnormal Child Psychology, 31, 495–514.PubMedCrossRefGoogle Scholar
  14. 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(4), 23–35.CrossRefGoogle Scholar
  15. Dunn, W. (1999). Sensory profile user’s manual. San Antonio, TX: Psychological Corporation.Google Scholar
  16. Dunn, W. (2002). The infant/toddler sensory profile: User’s manual. New York: Psychological Corporation.Google Scholar
  17. Edelson, S. M., Edelson, M. G., Kerr, D. C. R., & Grandin, T. (1999). Behavioral and physiological effects of deep pressure on individuals with autism: A pilot study investigating the efficacy of Grandin’s ‘Hug Machine’. American Journal of Occupational Therapy, 53, 145–152.PubMedCrossRefGoogle Scholar
  18. Gadow, K. D., DeVincent, C. J., Pomeroy, J., & Azizian, A. (2004). Psychiatric symptoms in preschool children with PDD and clinic and comparison samples. Journal of Autism and Developmental Disorders, 34(4), 379–393.PubMedCrossRefGoogle Scholar
  19. 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.PubMedCrossRefGoogle Scholar
  20. Hardan, A. Y., Minshew, N. J., Melhem, N. M., Srihari, S., Jo, B., Bansal, R., et al. (2008). An MRI and proton spectroscopy study of the thalamus in children with autism. Psychiatry Research: Neuroimaging, 163(2), 97–105.PubMedCrossRefGoogle Scholar
  21. Hitoglou, M., Ververi, A., Antoniadis, A., & Zafeiriou, D. (2010). Childhood autism and auditory system abnormalities. Pediatric Neurology, 42(5), 309–314.PubMedCrossRefGoogle Scholar
  22. Interdisciplinary Council on Developmental, Learning Disorders. (2005). Diagnostic manual for infancy and early childhood. Bethesda: ICDL.Google Scholar
  23. Kern, J. K., Trivedi, M. H., Grannemann, B. D., Garver, C. R., Johnson, D. G., Andrews, A. A., et al. (2007). Sensory correlations in autism. Autism, 11(2), 123–134.PubMedCrossRefGoogle Scholar
  24. Kim, J. A., Szatmari, P., Bryson, S. E., Streiner, D. L., & Wilson, F. J. (2000). The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism, 4(2), 117–132.CrossRefGoogle Scholar
  25. Kinnealey, M., & Fuiek, M. (1999). The relationship between sensory defensiveness, anxiety, depression and perception of pain in adults. Occupational Therapy International, 6(3), 195–206.CrossRefGoogle Scholar
  26. Lane, S. J. (2002). Sensory modulation. In A. C. Bundy, S. J. Lane, & E. A. Murray (Eds.), Sensory integration: Theory and practice (2nd ed., pp. 101–122). Philadelphia: FA. Davis.Google Scholar
  27. Lecavalier, L. (2006). Behavioral and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism and Developmental Disorders, 36(8), 1101–1114.PubMedCrossRefGoogle Scholar
  28. Liss, M., Saulnier, C., Fein, D., & Kinsbourne, M. (2006). Sensory and attention abnormalities in autistic spectrum disorders. Autism, 10(2), 155–172.PubMedCrossRefGoogle Scholar
  29. Lord, C., Risi, S., DiLavore, P. S., Shulman, C., Thurm, A., & Pickles, A. (2006). Autism from 2 to 9 years of age. Archives of General Psychiatry, 63, 694–701.PubMedCrossRefGoogle Scholar
  30. Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.PubMedCrossRefGoogle Scholar
  31. Lord, C., Rutter, M., & Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.PubMedCrossRefGoogle Scholar
  32. Miller, L., Anzalone, M., Lane, S., Cermak, S., & Osten, E. (2007). Concept evolution in sensory integration: A proposed nosology for diagnosis. American Journal of Occupational Therapy, 61, 135–140.PubMedCrossRefGoogle Scholar
  33. Mullen, E. M. (1995). Mullen scales of early learning (AGS Ed.). Los Angeles: Western Psychological Corp.Google Scholar
  34. Muris, P., Steerneman, P., Merckelbach, H., Holdrinet, I., & Meesters, C. (1998). Comorbid anxiety symptoms in children with pervasive developmental disorders. Journal of Anxiety Disorders, 12(4), 387–393.PubMedCrossRefGoogle Scholar
  35. Parham, L. D., & Mailloux, Z. (2005). Sensory integration. In: J. Case-Smith (Ed.). Occupational therapy for children (5th ed., pp. 356–409). St. Louis, MO: Elsevier Mosby (Original work published 1985).Google Scholar
  36. Pfeiffer, B., & Kinnealey, M. (2006). Treatment of sensory defensiveness in adults. Occupational Therapy International, 10(3), 175–184.CrossRefGoogle Scholar
  37. Pfeiffer, B., Kinnealey, M., Reed, C., & Herzberg, G. (2005). Sensory modulation and affective disorders in children and adolescents with Asperger’s disorder. The American Journal of Occupational Therapy, 59, 335–345.PubMedCrossRefGoogle Scholar
  38. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
  39. Reynolds, S., & Lane, S. J. (2008). Diagnostic validity of sensory over-responsivity: A review of the literature and case reports. Journal of Autism and Developmental Disorders, 38(3), 516–529.PubMedCrossRefGoogle Scholar
  40. Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., et al. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1094–1103.PubMedCrossRefGoogle Scholar
  41. 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(29), 1–11.Google Scholar
  42. Sparrow, S., Balla, D., & Cicchetti, D. (1984). Vineland adaptive behavior scales. Circle Pines, MN: American Guidance Service.Google Scholar
  43. Stagnitti, K., Raison, P., & Ryan, P. (1999). Sensory defensiveness syndrome: A paediatric perspective and case study. Australian Occupational Therapy Journal, 46(4), 175–187.CrossRefGoogle Scholar
  44. Sukhodolsky, D. G., Scahill, L., Gadow, K. D., Arnold, L. E., Aman, M. G., McDougle, C. J., et al. (2008). Parent-rated anxiety symptoms in children with pervasive developmental disorders: Frequency and association with core autism symptoms and cognitive functioning. Journal of Abnormal Child Psychology, 36, 117–128.PubMedCrossRefGoogle Scholar
  45. Talay-Ongan, A., & Wood, K. (2000). Unusual sensory sensitivities in autism: A possible crossroads. International Journal of Disability, Development and Education, 47(2), 201–212.CrossRefGoogle Scholar
  46. Weisbrot, D. M., Gadow, K. D., DeVincent, C. J., & Pomeroy, J. (2005). The presentation of anxiety in children with pervasive developmental disorders. Journal of Child and Adolescent Psychopharmacology, 15(3), 477–496.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Shulamite A. Green
    • 1
  • Ayelet Ben-Sasson
    • 2
  • Timothy W. Soto
    • 3
  • Alice S. Carter
    • 4
    Email author
  1. 1.Department of PsychologyUniversity of California, Los AngelesLos AngelesUSA
  2. 2.Department of Occupational Therapy, Faculty of Social Welfare and Health SciencesUniversity of HaifaHaifaIsrael
  3. 3.Department of PsychologyUniversity of Massachusetts, BostonBostonUSA
  4. 4.Department of PsychologyUniversity of Massachusetts, BostonBostonUSA

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