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An Examination of Heart Rate During Challenging Behavior in Autism Spectrum Disorder

  • Sinéad Lydon
  • Olive Healy
  • Martina Dwyer
ORIGINAL ARTICLE

Abstract

Many researchers have proposed that challenging behaviors emitted by individuals with Autism Spectrum Disorder are related to abnormal physiological arousal. It has been suggested that behaviors such as stereotypy and self-injury function to regulate arousal and to reduce the discomfort associated with hypo- or hyper-arousal. Little empirical research has tested these theories. The current study investigated heart rate during challenging behavior in three children diagnosed with Autism Spectrum Disorder. Heart rate before, during, and after challenging behaviors was analysed. Specific heart rate patterns were found to co-occur with challenging behaviors. Abnormal heart rate responses to stressors were also noted. These findings offer little support for the arousal modulation theories of challenging behavior. We suggest that, for some individuals with Autism Spectrum Disorder, these behaviors serve to increase arousal and to allow, or sustain, access to a preferred state of heightened arousal. These findings, which are not wholly in line with previous research, may have implications for the assessment and treatment of challenging behavior.

Keywords

Physiological arousal Heart rate Physiology Autism spectrum disorder Challenging behavior Self-injurious behavior Stereotypy Behavior analysis Psychophysiology 

References

  1. Barrera, F. J., Violo, R. A., & Graver, E. E. (2007). On the form and function of severe self-injurious behavior. Behavioral Interventions, 22, 5–33. doi: 10.1002/bin.228.CrossRefGoogle Scholar
  2. Bolte, S., Feineis-Matthews, S., & Poustka, F. (2008). Brief report: emotional processing in high-functioning autism—physiological reactivity and affective report. Journal of Autism and Developmental Disorders, 38, 776–781. doi: 10.1007/s10803-007-0443-8.PubMedCrossRefGoogle Scholar
  3. Brain, K. L., Haines, J., & Williams, C. L. (1998). The psychophysiology of self-mutilation: evidence of tension reduction. Archives of Suicide Research, 4, 227–242. doi: 10.1023/A:1009692507987.Google Scholar
  4. Chok, J. T., Demanche, J., Kennedy, A., & Studer, L. (2010). Utilizing physiological measures to facilitate phobia treatment with individuals with autism and intellectual disability: a case study. Behavioral Interventions, 25, 325–337. doi: 10.1002/bin.312.CrossRefGoogle Scholar
  5. Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46. doi: 10.1177/001316446002000104.CrossRefGoogle Scholar
  6. Delaney, J. P. A., & Brodie, D. A. (2000). Effects of short-term psychological stress on the time and frequency domains of heart-rate variability. Perceptual and Motor Skills, 91, 515–524. doi: 10.2466/pms.2000.91.2.515.PubMedCrossRefGoogle Scholar
  7. Edelson, S. M. (1984). Implications of sensory stimulation in self-destructive behavior. American Journal of Mental Deficiency, 2, 140–145.Google Scholar
  8. Freeman, R. L., Horner, R. H., & Reichle, J. (1999). Relation between heart rate and problem behaviors. American Journal on Mental Retardation, 104, 330–345. doi:10.1352/0895-8017(1999)104<0330:RBHRAP>2.0.CO;2.PubMedCrossRefGoogle Scholar
  9. Goodwin, M. S., Groden, J., Velicer, W. F., Lipsitt, L. P., Baron, M. G., Hofmann, S. G., & Groden, G. (2006). Cardiovascular arousal in individuals with autism. Focus on Autism and Other Developmental Disorders, 21, 100–123. doi: 10.1177/10883576060210020101.CrossRefGoogle Scholar
  10. Graveling, R. A., & Brooke, J. D. (1978). Hormonal and cardiac response of autistic children to changes in environmental stimulation. Journal of Autism and Developmental Disorders, 8, 441–455. doi: 10.1007/BF01538049.CrossRefGoogle Scholar
  11. Healy, O., Brett, D., & Leader, G. (2013). A comparison of experimental functional analysis and the questions about behavioral function (QABF) to identify functions of challenging behavior in individuals with autism. Research in Autism Spectrum Disorders, 7, 66–81. doi: 10.1016/j.rasd.2012.05.006.CrossRefGoogle Scholar
  12. Helt, M., Kelley, E., Kinsbourne, M., Pandey, J., Boorstein, H., Herbert, M., & Fein, D. (2008). Can children with autism recover? If so, how? Neuropsychology Review, 18, 339–366. doi: 10.1007/s11065-008-9075-9.PubMedCrossRefGoogle Scholar
  13. Hoch, J., Moore, T., McComas, J., & Symons, F. J. (2010). Arousal and activity choice in autism: a single case assessment integrating autonomic and behavioral analysis. Journal of Applied Biobehavioral Research, 15, 119–133. doi: 10.1111/j.1751-9861.2010.00056.x.PubMedCrossRefGoogle Scholar
  14. Humphreys, M. S., & Revelle, W. (1984). Personality, motivation, and performance: a theory of the relationship between individual differences and information processing. Psychological Review, 91, 153–184. doi: 10.1037//0033-295X.91.2.153.PubMedCrossRefGoogle Scholar
  15. Hutt, C., & Hutt, S. J. (1965). Effects of environmental complexity on stereotyped behaviors of children. Animal Behavior, 13, 1–4. doi: 10.1016/0003-3472(65)90064-3.CrossRefGoogle Scholar
  16. Hutt, C., Hutt, S. J., Lee, D., & Ounsted, C. (1964). Arousal and childhood autism. Nature, 204, 908–909. doi: 10.1038/204908a0.PubMedCrossRefGoogle Scholar
  17. Hutt, C., Forrest, S. J., & Richer, J. (1975). Cardiac arrhythmia and behavior in autistic children. Acta Psychiatrica Scandinavica, 51, 361–372. doi: 10.1111/j.1600-0447.1975.tb00014.x.PubMedCrossRefGoogle Scholar
  18. Jansen, L. M. C., Gispen-de Wied, C., Wiegant, V. M., Westenberg, H. G. M., Lahuis, B. E., & van Engeland, H. (2006). Autonomic and neuroendocrine responses to a psychosocial stressor in adults with autistic spectrum disorder. Journal of Autism and Developmental Disorders, 36, 891–899. doi: 10.1007/s10803-006-0124-z.PubMedCrossRefGoogle Scholar
  19. Kootz, J. P., Marinelli, B., & Cohen, D. J. (1982). Sensory receptor sensitivity in autistic children: Response times to proximal and distal stimulation. Archives of General Psychiatry, 38, 271–273. doi: 10.1007/BF01531308.CrossRefGoogle Scholar
  20. Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174. doi: 10.2307/2529310.PubMedCrossRefGoogle Scholar
  21. Lang, R., Koegel, L., Ashbaugh, K., Regester, A., Ence, W., & Smith, W. (2010). Physical exercise and individuals with autism spectrum disorders: a systematic review. Research in Autism Spectrum Disorders, 4, 565–576. doi: 10.1016/j.rasd.2010.01.006.CrossRefGoogle Scholar
  22. Laukkanen, R. M. T., & Virtanen, P. K. (1998). Heart rate monitors: state of the art. Journal of Sports Sciences, 16, S3–S7. doi: 10.1080/026404198366920.PubMedGoogle Scholar
  23. Leekam, S. R., Prior, M. R., & Uljarevic, M. (2011). Restricted and repetitive behaviors in autism spectrum disorders: a review of research in the last decade. Psychological Bulletin, 137, 562–593. doi: 10.1037/a0023341.PubMedCrossRefGoogle Scholar
  24. Lewis, M. H., & Bodfish, J. W. (1998). Repetitive behavior disorders in autism. Mental Retardation and Developmental Disabilities Research Reviews, 4, 80–89. doi: 10.1007/BF01531308.CrossRefGoogle Scholar
  25. Lewis, M., MacLean, W. E. J., Bryson-Brockmann, W., Arendt, R., Beck, B., Fidler, P. S., & Baumeister, A. A. (1984). Time-series analysis of stereotyped movements: relationship of body-rocking to cardiac activity. American Journal of Mental Deficiency, 89, 287–294.PubMedGoogle Scholar
  26. Matson, J. L., & Vollmer, T. (1995). Questions about behavioral function (QABF). Baton Rouge: Scientific Publishers Inc.Google Scholar
  27. Matson, J. L., Tureck, K., & Rieske, R. (2012). The questions about behavioral function (QABF): current status as a method of functional assessment. Research in Developmental Disabilities, 33, 630–634. doi: 10.1016/j.ridd.2011.11.006.PubMedCrossRefGoogle Scholar
  28. Mayes, L. C. (2000). A developmental perspective on the regulation of arousal states. Seminars in Perinatology, 24, 267–279. doi: 10.1053/sper.2000.9121.PubMedCrossRefGoogle Scholar
  29. Moltner, A., Holzl, R., & Strian, F. (1990). Heart rate changes as an autonomic component of the pain response. Pain, 43, 81–89. doi: 10.1016/0304-3959(90)90052-F.PubMedCrossRefGoogle Scholar
  30. Nesse, R. M., & Young, E. A. (2000). Evolutionary origins and functions of the stress response. In G. Fink (Ed.), Encyclopedia of stress (pp. 79–84). Waltham: Academic.Google Scholar
  31. Palatini, P. (2009). Recommendations on how to measure resting heart rate. Medicographia, 31, 414–419. Retrieved fromhttp://www.medicographia.com/2010/07/ recommendations-on-how-to-measure-resting-heart-rate/.Google Scholar
  32. Rogers, S. J., & Ozonoff, S. (2005). Annotation: what do we know about sensory dysfunction in autism? A critical review of the empirical evidence. Journal of Child Psychology and Psychiatry, 46, 1255–1268. doi: 10.1111/j.1469-7610.2005.01431.PubMedCrossRefGoogle Scholar
  33. Romanczyk, R. G., & Matthews, A. L. (1998). Physiological state as antecedent. In J. K. Luiselli & M. J. Cameron (Eds.), Antecedent control: Innovative approaches to behavioral support. Baltimore: Paul H Brookes Publishing Company.Google Scholar
  34. Romanczyk, R. G., Lockshin, S., & O’Connor, J. (1992). Psychophysiology and issues of anxiety and arousal. In J. K. Luiselli, J. L. Matson, & N. N. Singh (Eds.), Self- injurious behavior: Analysis, assessment and treatment (pp. 93–121). New York: Springer.CrossRefGoogle Scholar
  35. Schoen, S. A., Miller, L. J., Brett-Green, B., & Hepburn, S. L. (2008). Psychophysiology of children with autism spectrum disorder. Research in Autism Spectrum Disorders, 2, 417–429. doi: 10.1016/j.rasd.2007.09.002.CrossRefGoogle Scholar
  36. Sigman, M., Dissanayake, C., Corona, R., & Espinosa, M. (2003). Social and cardiac responses of young children with autism. Autism, 7, 205–216. doi: 10.1177/1362361303007002007.PubMedCrossRefGoogle Scholar
  37. Svebak, S., & Stoyva, J. (1980). High arousal can be pleasant and exciting: the theory of psychological reversals. Applied Psychophysiology and Biofeedback, 5, 439–444. doi: 10.1007/BF01001359.Google Scholar
  38. Terbizan, D. J., Dolezal, B. A., & Albano, C. (2002). Validity of seven commercially available heart rate monitors. Measurement in Physical Education and Exercise Science, 6, 243–247. doi: 10.1207/S15327841MPEE0604_3.CrossRefGoogle Scholar
  39. Toichi, M., & Kamio, Y. (2003). Paradoxical autonomic response to mental tasks in autism. Journal of Autism and Developmental Disorders, 33, 417–426.PubMedCrossRefGoogle Scholar
  40. Willemsen-Swinkels, S. H. N., Buitelaar, J. K., Dekker, M., & van Engeland, H. (1998). Subtyping stereotypic behavior in children: the association between stereotypic behavior, mood, and heart rate. Journal of Autism and Developmental Disorders, 28, 547–557. doi: 10.1023/A:1026008313284.PubMedCrossRefGoogle Scholar
  41. Wolf, S. (1979). Anatomical and physiological basis for biofeedback. In J. V. Basmajian (Ed.), Biofeedback principles for clinicians (pp. 5–30). Baltimore: Williams & Wilkins.Google Scholar
  42. Woodard, C. R., Goodwin, M. S., Zelazo, P. R., Aube, D., Scrimgeour, M., Ostholthoff, T., & Brickley, M. (2012). A comparison of autonomic, behavioral, and parent-report measures of sensory sensitivity in young children with autism. Research in Autism Spectrum Disorders, 6, 1234–1246. doi: 10.1016/j.rasd.2012.03.012.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.School of PsychologyNational University of Ireland GalwayGalwayIreland

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