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Autism Traits, Sensory Over-Responsivity, Anxiety, and Stress: A Test of Explanatory Models

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Abstract

The relationship between autistic traits, stress, and anxiety experienced by the general population was investigated using an adult sample that evaluated the suitability of three theoretical models proposed by Green and Ben-Sasson. Participants completed online questionnaires that were analysed using structural equation modelling and partial correlation analyses. Of the models tested, the model that proposed SOR and stress as mediators of the relationship between autistic traits and anxiety was able to explain the variance in the data better than the other models. Based on these findings, we suggest that sensory neutral environments should be considered for the prevention and management of anxiety and stress symptoms for people in the general population with higher levels of autistic traits.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn.). Arlington: American Psychiatric Publishing.

    Book  Google Scholar 

  • Arbesman, M., & Lieberman, D. (2010). Methodology for the systematic reviews of occupational therapy for children and adolescents with difficulty processing and integrating sensory information. American Journal of Occupational Therapy, 64(3), 368–374.

    Article  Google Scholar 

  • Aron, E. N., Aron, A., & Davies, K. M. (2005). Adult shyness: The interaction of temperamental sensitivity and an adverse childhood environment. Personality and Social Psychology Bulletin, 31(2), 181–197. https://doi.org/10.1177/0146167204271419.

    Article  PubMed  Google Scholar 

  • Bailey, A., Le Couteur, A., Gottesman, I., Bolton, P., Simonoff, E., Yuzda, E., & Rutter, M. (1995). Autism as a strongly genetic disorder: Evidence from a British twin study. Psychological Medicine, 25(1), 63–77.

    Article  Google Scholar 

  • Baranek, G. T. (1999). Autism during infancy: A retrospective video analysis of sensory-motor and social behaviors at 9–12 months of age. Journal of Autism and Developmental Disorders, 29(3), 213–224. https://doi.org/10.1023/A:1023080005650.

    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. https://doi.org/10.1111/j.1469-7610.2005.01546.x.

    Article  PubMed  Google Scholar 

  • Barbosa, J., Tannock, R., & Manassis, K. (2002). Measuring anxiety: Parent-child reporting differences in clinical samples. Depression and Anxiety, 15(2), 61–65. https://doi.org/10.1002/da.10022.

    Article  PubMed  Google Scholar 

  • Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133(1), 1–24. https://doi.org/10.1037/0033-2909.133.1.1.

    Article  Google Scholar 

  • Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5–17. https://doi.org/10.1023/A:1005653411471.

    Article  Google Scholar 

  • Bennetto, L., Kuschner, E. S., & Hyman, S. L. (2007). Olfaction and taste processing in autism. Biological Psychiatry, 62(9), 1015–1021. https://doi.org/10.1016/j.biopsych.2007.04.019.

    Article  PubMed  PubMed Central  Google Scholar 

  • Berman, M. G., Jonides, J., & Kaplan, S. (2008). The cognitive benefits of interacting with nature. Psychological Science, 19(12), 1207–1212. https://doi.org/10.1111/j.1467-9280.2008.02225.x.

    Article  PubMed  Google Scholar 

  • Byrne, B. M. (2016). Structural equation modeling with AMOS: Basic concepts, applications, and programming (3rd edn.). New York: Routledge.

    Google Scholar 

  • Carter, A. S., Briggs-Gowan, M., 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(5), 495–514.

    Article  Google Scholar 

  • Cermak, S. A., Curtin, C., & Bandini, L. G. (2010). Food selectivity and sensory sensitivity in children with autism spectrum disorders. Journal of the American Dietetic Association, 110(2), 238–246. https://doi.org/10.1016/j.jada.2009.10.032.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cheung, G. W., & Lau, R. S. (2008). Testing mediation and suppression effects of latent variables. Organizational Research Methods, 11(2), 296–325.

    Article  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd edn.). Hillsdale: Lawrence Erlbaum Associates, Publishers.

    Google Scholar 

  • Constantino, J. N., & Todd, R. D. (2003). Autistic traits in the general population: A twin study. Archives of General Psychiatry, 60(5), 524–530.

    Article  Google Scholar 

  • Corbett, B. A., Mendoza, S., Abdullah, M., Wegelin, J. A., & Levine, S. (2006). Cortisol circadian rhythms and response to stress in children with autism. Psychoneuroendocrinology, 31(1), 59–68. https://doi.org/10.1016/j.psyneuen.2005.05.011.

    Article  PubMed  Google Scholar 

  • Corbett, B. A., Muscatello, R. A., & Blain, S. D. (2016). Impact of sensory sensitivity on physiological stress response and novel peer interaction in children with and without autism spectrum disorder. Frontiers in Neuroscience, 10, 278.

    Article  Google Scholar 

  • Corbett, B. A., Schupp, C. W., Levine, S., & Mendoza, S. (2009). Comparing cortisol, stress, and sensory sensitivity in children with autism. Autism Research, 2(1), 39–49.

    Article  Google Scholar 

  • Correa, T., Hinsley, A. W., & De Zuniga, H. G. (2010). Who interacts on the Web?: The intersection of users’ personality and social media use. Computers in Human Behavior, 26(2), 247–253.

    Article  Google Scholar 

  • Cox, B. J., Endler, N. S., & Swinson, R. P. (1991). Clinical and nonclinical panic attacks: An empirical test of a panic-anxiety continuum. Journal of Anxiety Disorders, 5(1), 21–34. https://doi.org/10.1016/0887-6185(91)90014-K.

    Article  Google Scholar 

  • Crawford, J., Cayley, C., Lovibond, P. F., Wilson, P. H., & Hartley, C. (2011). Percentile norms and accompanying interval estimates from an Australian general adult population sample for self-report mood scales (BAI, BDI, CRSD, CES-D, DASS, DASS-21, STAI-X, STAI-Y, SRDS, and SRAS). Australian Psychologist, 46(1), 3–14.

    Article  Google Scholar 

  • Derryberry, D., & Reed, M. A. (2002). Anxiety-related attentional biases and their regulation by attentional control. Journal of Abnormal Psychology, 111(2), 225. https://doi.org/10.1037//0021-843X.111.2.225225.

    Article  PubMed  Google Scholar 

  • Elnazer, H. Y., & Baldwin, D. S. (2014). Investigation of cortisol levels in patients with anxiety disorders: A structured review. Current Topics in Behavioral Neurosciences, 1(1), 1866–3370. https://doi.org/10.1007/7854_2014_299.

    Article  Google Scholar 

  • Gaugler, T., Klei, L., Sanders, S. J., Bodea, C. A., Goldberg, A. P., Lee, A. B., … & Ripke, S. (2014). Most genetic risk for autism resides with common variation. Nature Genetics, 46(8), 881.

    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. https://doi.org/10.1007/s10803-010-1007-x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Green, S. A., Ben-Sasson, A., Soto, T. W., & Carter, A. S. (2012). Anxiety and sensory over-responsivity in toddlers with autism spectrum disorders: Bidirectional effects across time. Journal of Autism and Developmental Disorders, 42(6), 1112–1119. https://doi.org/10.1007/s10803-011-1361-3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grinter, E. J., Maybery, M. T., Beek, P. L., Pellicano, E., Badcock, J. C., & Badcock, D. R. (2009). Global visual processing and self-rated autistic-like traits. Journal of Autism and Developmental Disorders, 39(9), 1278–1290. https://doi.org/10.1007/s10803-009-0740-5.

    Article  PubMed  Google Scholar 

  • Happé, F., Briskman, J., & Frith, U. (2001). Exploring the cognitive phenotype of autism: Weak “central coherence” in parents and siblings of children with autism: I. Experimental tests. Journal of Child Psychology and Psychiatry, 42(3), 299–307. https://doi.org/10.1111/1469-7610.00723.

    Article  PubMed  Google Scholar 

  • Haslam, C., Atkinson, S., Brown, S. S., & Haslam, R. A. (2005). Anxiety and depression in the workplace: Effects on the individual and organisation (a focus group investigation). Journal of Affective Disorders, 88(2), 209–215. https://doi.org/10.1016/j.jad.2005.07.009.

    Article  PubMed  Google Scholar 

  • Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(1), 227–239.

    Article  Google Scholar 

  • Herman, J. P., Figueiredo, H., Mueller, N. K., Ulrich-Lai, Y., Ostrander, M. M., Choi, D. C., & Cullinan, W. E. (2003). Central mechanisms of stress integration: Hierarchical circuitry controlling hypothalamo–pituitary–adrenocortical responsiveness. Frontiers in Neuroendocrinology, 24(3), 151–180. https://doi.org/10.1016/j.yfrne.2003.07.001.

    Article  PubMed  Google Scholar 

  • Horder, J., Wilson, C. E., Mendez, M. A., & Murphy, D. G. (2014). Autistic traits and abnormal sensory experiences in adults. Journal of Autism and Developmental Disorders, 44(6), 1461–1469. https://doi.org/10.1007/s10803-013-2012-7.

    Article  PubMed  Google Scholar 

  • Hurley, R. S. E., Losh, M., Parlier, M., Reznick, J. S., & Piven, J. (2007). The Broad Autism Phenotype Questionnaire. Journal of Autism and Developmental Disorders, 37, 1679–1690.

    Article  Google Scholar 

  • IBM Corp. Released 2012. IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.

  • Ingersoll, B., & Hambrick, D. Z. (2011). The relationship between the broader autism phenotype, child severity, and stress and depression in parents of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 337–344. https://doi.org/10.1016/j.rasd.2010.04.017.

    Article  Google Scholar 

  • Ingersoll, B., Hopwood, C. J., Wainer, A., & Donnellan, M. B. (2011). A comparison of three self-report measures of the broader autism phenotype in a non-clinical sample. Journal of Autism and Developmental Disorders, 41(12), 1646–1657.

    Article  Google Scholar 

  • Jones, C. R., Happé, F., Baird, G., Simonoff, E., Marsden, A. J., Tregay, J., & Charman, T. (2009). Auditory discrimination and auditory sensory behaviours in autism spectrum disorders. Neuropsychologia, 47(13), 2850–2858. https://doi.org/10.1016/j.neuropsychologia.2009.06.015.

    Article  PubMed  Google Scholar 

  • Kallen, V. L., Tulen, J. H. M., Utens, E. M. W. J., Treffers, P. D., De Jong, F. H., & Ferdinand, R. F. (2008). Associations between HPA axis functioning and level of anxiety in children and adolescents with an anxiety disorder. Depression and Anxiety, 25(2), 131–141. https://doi.org/10.1002/da.20287.

    Article  PubMed  Google Scholar 

  • Kanner, L. (1943). Autistic disturbance of affective contact. Nervous Child, 2, 217–250.

    Google Scholar 

  • Kern, J. K., Trivedi, M. H., Garver, C. R., Grannemann, B. D., Andrews, A. A., Savla, J. S., Johnson, D. G., Mehta, J. A., & Schroeder, J. L. (2006). The pattern of sensory processing abnormalities in autism. Autism, 10(5), 480–494.

    Article  Google Scholar 

  • Kientz, M. A., & Dunn, W. (1997). A comparison of the performance of children with and without autism on the sensory profile. American Journal of Occupational Therapy, 51(7), 530–537. https://doi.org/10.5014/ajot.51.7.530.

    Article  PubMed  Google Scholar 

  • Kline, R. B. (2010). Principles and practice of structural equation modeling (3rd edn.). In T. D. Little (Ed.), Methodology in the social sciences. New York: Guilford Publications.

    Google Scholar 

  • Krain, A. L., & Kendall, P. C. (2000). The role of parental emotional distress in parent report of child anxiety. Journal of Clinical Child Psychology, 29(3), 328–335. https://doi.org/10.1207/S15374424JCCP2903_4.

    Article  PubMed  Google Scholar 

  • La Vecchia, C., Tavani, A., Franceschi, S., Levi, F., Corrao, G., & Negri, E. (1997). Epidemiology and prevention of oral cancer. Oral Oncology, 33(5), 302–312. https://doi.org/10.1016/S1368-8375(97)00029-8.

    Article  PubMed  Google Scholar 

  • Landry, O., & Chouinard, P. A. (2016). Why we should study the broader autism phenotype in typically developing populations. Journal of Cognition and Development, 17(4), 584–595.

    Article  Google Scholar 

  • Lane, S. J., Reynolds, S., & Dumenci, L. (2012). Sensory overresponsivity and anxiety in typically developing children and children with autism and attention deficit Hyper-responsivityactivity disorder: Cause or coexistence? The American Journal of Occupational Therapy, 66(5), 595–603.

    Article  Google Scholar 

  • Lang, R., O’Reilly, M., Healy, O., Rispoli, M., Lydon, H., Streusand, & Giesbers, S. (2012). Sensory integration therapy for autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 6(3), 1004–1018. https://doi.org/10.1016/j.rasd.2012.01.006.

    Article  Google Scholar 

  • Liss, M., Saulnier, C., Fein, D., & Kinsbourne, M. (2006). Sensory and attention abnormalities in autistic spectrum disorders. Autism, 10(2), 155–172. https://doi.org/10.1177/1362361306062021.

    Article  PubMed  Google Scholar 

  • Lovibond, P. F., & Lovibond, S. H. (1995a). The structure of negative emotional states: Comparison of the depression anxiety and stress scales (DASS-21) with the Beck depression and anxiety inventories. Behavioural Research and Therapy, 33(1), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U.

    Article  Google Scholar 

  • Lovibond, S. H., & Lovibond, P. F. (1995b). Manual for the depression anxiety stress scales (2nd edn.). Sydney: Psychology Foundation.

    Google Scholar 

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

    Article  Google Scholar 

  • Osterling, J., & Dawson, G. (1994). Early recognition of children with autism: A study of first birthday home videotapes. Journal of Autism and Developmental Disorders, 24(3), 247–257.

    Article  Google Scholar 

  • Ouimet, A. J., Gawronski, B., & Dozois, D. J. (2009). Cognitive vulnerability to anxiety: A review and an integrative model. Clinical Psychology Review, 29(6), 459–470.

    Article  Google Scholar 

  • Piven, J. (2001). The broad autism phenotype: A complementary strategy for molecular genetic studies of autism. American Journal of Medical Genetics, 105(1), 34–35.

    Article  Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behaviour Research Methods, 40(1), 879–891. https://doi.org/10.3758/BRM.40.3.879.

    Article  Google Scholar 

  • Robertson, A. E., & Simmons, D. R. (2013). The relationship between sensory sensitivity and autistic traits in the general population. Journal of Autism and Developmental Disorders, 43(4), 775–784. https://doi.org/10.1007/s10803-012-1608-7.

    Article  PubMed  Google Scholar 

  • Robertson, E. E. (2012). Sensory experiences of individuals with autism spectrum disorder and autistic traits: A mixed methods approach (Unpublished doctoral dissertation). University of Glasgow, UK.

  • Ruzich, E., Allison, C., Smith, P., Watson, P., Auyeung, B., Ring, H., & Baron-Cohen, S. (2015). Measuring autistic traits in the general population: A systematic review of the Autism-Spectrum Quotient (AQ) in a nonclinical population sample of 6,900 typical adult males and females. Molecular Autism, 6(1), 2.

    Article  Google Scholar 

  • Schreiber, J. B., Nora, A., Stage, F. K., Barlow, E. A., & King, J. (2006). Reporting structural equation modeling and confirmatory factor analysis results: A Review. The Journal of Educational Research, 99(6), 323–338. https://doi.org/10.3200/JOER.99.6.323-338.

    Article  Google Scholar 

  • Shield, B., Greenland, E., & Dockrell, J. (2010). Noise in open plan classrooms in primary schools: A review. Noise and Health, 12(49), 225.

    Article  Google Scholar 

  • Sindi, S., Fiocco, A. J., Juster, R. P., Pruessner, J., & Lupien, S. J. (2013). When we test, do we stress? Impact of the testing environment on cortisol secretion and memory performance in older adults. Psychoneuroendocrinology, 38(8), 1388–1396. https://doi.org/10.1016/j.psyneuen.2012.12.004.

    Article  PubMed  Google Scholar 

  • Stiff, A. F. (2012). Autism spectrum disorder: Sensory needs in the workplace. Masters Theses & Specialist Projects. Paper 1179.

  • Stone, A. A., Turkkan, J. S., Bachrach, C. A., Jobe, J. B., Kurtzman, H. S., & Cain, V. S. (2000). The science of self-report: Implications for research and practice. London: Lawrence Erlbaum Associates.

    Google Scholar 

  • Sucksmith, E., Roth, I., & Hoekstra, R. A. (2011). Autistic traits below the clinical threshold: Re-examining the broader autism phenotype in the 21st century. Neuropsychology Review, 21(4), 360–389.

    Article  Google Scholar 

  • Tavassoli, T., Miller, L. J., Schoen, S. A., Nielsen, D. M., & Baron-Cohen, S. (2014). Sensory over-responsivity in adults with autism spectrum conditions. Autism, 18(4), 428–432.

    Article  Google Scholar 

  • Tomchek, S. D., & Dunn, W. (2007). Sensory processing in children with and without autism: A comparative study using the short sensory profile. The American Journal of Occupational Therapy, 61(2), 190–200.

    Article  Google Scholar 

  • van Steensel, F. J., Bögels, S.M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child and Family Psychology Review, 14(3), 302–317. https://doi.org/10.1007/s10567-011-0097-0.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wilbarger, P., & Wilbarger, J. L. (1991). Sensory defensiveness in children aged 2–12: An intervention guide for parents and other caretakers. Van Nuys: Avanti Educational Programs.

    Google Scholar 

  • Zimmerman, D. L., Ownsworth, T., O’Donovan, A., Roberts, J., & Gullo, M. J. (2016). Independence of hot and cold executive function deficits in high-functioning adults with autism spectrum disorder. Frontiers in Human Neuroscience, 10, 24.

    PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This work was supported by awards from La Trobe University’s Understanding Disease Research Focus Area to the corresponding author. The authors would also like to thank Elizabeth Sullivan, Nikita Kettlewell, and Jenna Baker in assisting us with data collection.

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GAA and TG conceived and designed the experiments, and contributed to the data collection. GAA, GB, PAC, and TG contributed to the statistical analyses and the preparation of the manuscript.

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Correspondence to Philippe A. Chouinard.

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Amos, G.A., Byrne, G., Chouinard, P.A. et al. Autism Traits, Sensory Over-Responsivity, Anxiety, and Stress: A Test of Explanatory Models. J Autism Dev Disord 49, 98–112 (2019). https://doi.org/10.1007/s10803-018-3695-6

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