Skip to main content
Log in

The Role of Sensory Features in Mediating Associations Between Autism Symptoms and Anxiety in Boys with Autism Spectrum Disorder

  • OriginalPaper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

To investigate possible correlates of generalised anxiety disorder (GAD) in young males with ASD, a test of the mediation effects of sensory features (SF) upon the association between ASD symptoms and GAD was conducted with 150 males aged 6 to 18 years. GAD data were obtained from parents of the boys and from the boys themselves; SF and ASD data were obtained from parents. Symptoms of ASD were found to influence elevated levels of parent-rated GAD indirectly through greater levels of sensory avoiding, and auditory-specific sensory behaviours correlated with parent-rated anxiety more strongly than other sensory modalities. There were no significant effects for the boys’ self-rated GAD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Achenbach, T., McConaughty, S., & Howell, C. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232.

    PubMed  Google Scholar 

  • APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.)). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Armstrong, R. (2014). When to use the Bonferroni correction. Ophthalmic & Physiological Optics, 34, 502–508.

    Google Scholar 

  • Bauminger, N., & Kasari, C. (2000). Loneliness and friendship in high-functioning children with autism. Child Development, 71, 447–456.

    PubMed  Google Scholar 

  • Bellini, S. (2004). Social skills deficits and anxiety in high-functioning adolescents with autism spectrum disorder. Focus on Autism and Other Developmental Disabilities, 19, 78–88.

    Google Scholar 

  • Bellini, S. (2006). The development of social anxiety in adolescents with autism spectrum disorders. Focus on autism and other developmental disorders, 21, 138–145.

    Google Scholar 

  • Bitsika, V., & Sharpley, C. (2016). Which aspects of Challenging Behaviour are associated with Anxiety across two age groups of young males with an Autism Spectrum Disorder? Journal of Developmental and Physical Disabilities, 28, 685–701.

    Google Scholar 

  • Bitsika, V., Sharpley, C., & Mills, R. (2016). How are sensory features associated with seven anxiety disorders in boys with Autism Spectrum Disorder? International Journal of Developmental Neuroscience, 50, 47–54.

    PubMed  Google Scholar 

  • Bitsika, V., Sharpley, C., Sweeney, J., & McFarlane, J. (2014). HPA and SAM axis responses as correlates of self- vs parental ratings of anxiety in boys with an Autistic Disorder. Physiology & Behaviour, 127, 1–7.

    Google Scholar 

  • Boulter, C., Freeston, M., South, M., & Rodgers, J. (2014). Intolerance of uncertainty as a framework for understanding anxiety in children and adolescents with autism spectrum disorders. Journal of Autism and Developmental Disabilities, 44, 1391–1402.

    Google Scholar 

  • Brown, C., & Dunn, W. (2006). The adolesent/adult sensory profile. New York: NCS Pearson.

    Google Scholar 

  • Capps, L., Sigman, M., & Yirmiya, N. (1995). Self-competence and emotional understanding in high-functioning children with autism. Development and Psychopathology, 7, 137–149.

    Google Scholar 

  • Chang, Y.-C., Quan, J., & Wood, J. (2012). Effects of anxiety disorder severity on social functioning in children with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 24(3), 235–245. https://doi.org/10.1007/s10882-012-9268-2.

    Article  Google Scholar 

  • Constantino, J., & Gruber, C. (2012). Social responsiveness scale second edition (SRS-2). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Dunn, W. (1999). Sensory profile. San Antonia: Psychological Corporation.

    Google Scholar 

  • Dunn, W. (2001). The sensations of everyday life: Empirical, theoretical, and pragmatic considerations. American Journal of Occupational Therapy, 55, 608–620.

    Google Scholar 

  • Duvekot, J., Ende, J., Verhulst, F., & Greaves-Lord, K. (2018). Examining bidirectional effects between the autism spectrum disorder (ASD) core symptom domains and anxiety in children with ASD. Journal of Child Psychology and Psychiatry, 59, 277–284.

    PubMed  Google Scholar 

  • Duvekot, J., van der Ende, J., Verhulst, F., & Greaves-Lord, K. (2014). The screening accuracy of the parent and teacher-reported social responsiveness scale (SRS): Comparison with the 3Di and ADOS. Journal of Autism and Developmental Disorders, 45, 1658–1672. https://doi.org/10.1007/s10803-014-2323-3.

    Article  Google Scholar 

  • Filipek, P., Accardo, P., Baranek, G., Cook, E., Dawson, G., Gordon, B.,.. . Volkmar, F. (1999). The screening and diagnosis of autistic spectrum disorders. Journal of Autism and Developmental Disabilities, 29, 439–484.

    Google Scholar 

  • Gadow, K., Devincent, C., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-age children with PDD versus clinic and community samples. Autism, 9, 392–415.

    PubMed  Google Scholar 

  • Gadow, K., & Sprafkin, J. (2010). Child and adolescent symptom inventory 4R: Screening and norms manual. Stony Brook: Checkmate Plus.

    Google Scholar 

  • Gadow, K., Sprafkin, J., Carlson, G., Schneider, J. A., Nolan, E., Mattison, R., & Rundberg-Rivera, V. (2002). A DSM-IV-referenced adolescent self-reporting scale. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 671–679.

    Google Scholar 

  • Gould, J., & Ashton-Smith, J. (2011). Missed diagnosis or misdiagnosis? Girls and women on the autism spectrum. GAP, 12, 34–41.

    Google Scholar 

  • Green, S., & 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, 1495–1504.

    PubMed  PubMed Central  Google Scholar 

  • Green, S., Ben-Sasson, A., Soto, T., & Carter, A. (2012). Anxiety and sensory over-responsiveness in toddlers with autism spectrum disorders: Bidiretional effects across time. Journal of Autism and Developmental Disorders, 42, 1112–1119.

    PubMed  PubMed Central  Google Scholar 

  • Hayes, A. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420.

    Google Scholar 

  • Hayes, A. (2013). Introduction to mediation, moderation and conditional process analysis. New York: Guilford Press.

    Google Scholar 

  • Insel, T. (2013). Transforming diagnosis. Retrieved from http://www.nimh.nih.gov/about/director/2013/transforming-diagnosis-shtml.

  • Kim, J., Szatmari, P., Bryson, S., Streiner, D., & Wilson, F. (2000). The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism, 4, 117–132.

    Google Scholar 

  • Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A., Mattila, M.-L., Ebeling, H.,.. . Moilanen, I. (2008). Social anxiety in high-functioning children and adolescents with Autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 38, 1697–1709.

    PubMed  Google Scholar 

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

    Google Scholar 

  • Lecavalier, L., Gadow, K., DeVincent, C., & Edwards, M. (2009). Validation of DSM-IV model of psychiatric syndromes in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 278–289.

    PubMed  Google Scholar 

  • Lidstone, J., Uljarevic, M., Sullivan, J., Rodgers, J., McConachie, H., Freeston, M.,.. . Leekam, S. R. (2014). Relations among restricted and repetitive behaviors, anxiety and sensory features in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 8, 82–92.

    Google Scholar 

  • Lopata, C., Volker, M., Putnam, S., Thomeer, M., & Nida, R. (2008). Effect of social familiarity on salivary cortisol and self-reports of social anxiety and stress in children with high-functioning autism spectrum disorders. Journal of Autism and Developmental Disorders, 38, 1866–1877.

    PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule, second edition (ADOS-2). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Matson, J., & Nebel-Schwalm, M. (2007). Comorbid psychopathology with autism spectrum disorder in children: An overview. Research in Developmental Disabilities, 28, 341–352.

    PubMed  Google Scholar 

  • Meyer, J., Mundy, P., Van Hecke, V., & Durocher, J. (2006). Social attribution processes and comorbid psychiatric symptoms in children with Asperger syndrome. Autism, 10, 383–402.

    PubMed  PubMed Central  Google Scholar 

  • Minshew, N., Turner, C., & Goldstein, G. (2005). The application of short forms of the Wechsler intelligence scales in adults and children with high functioning autism. Journal of Autism and Developmental Disorders, 35, 45–52.

    PubMed  Google Scholar 

  • Myles, B., Hagiwara, T., Dunn, W., Rinner, L., & Reese, M. (2004). Sensory issues in children with Asperger syndrome. Education and Training in Mental Retardation and Developmental Disabilities, 39, 282–290.

    Google Scholar 

  • National Research Council. (2001). Educating children with autism. Washington, DC: National Academy Press.

    Google Scholar 

  • Ozsivadjian, A., Hibberd, C., & Hollocks, M. (2014). Brief report: The use of self-report measures in young people with autism spectrum disorder to access symptoms of anxiety, depression and negative thoughts. Journal of Autism and Developmental Disorders, 44(4), 969–974. https://doi.org/10.1007/s10803-013-1937-1.

    Article  PubMed  Google Scholar 

  • Preacher, K., & Hayes, A. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.

    PubMed  Google Scholar 

  • PsychCorp. (1999). Wechsler abbreviated scale of intelligence (WASI). San Antonio: Psychological Corporation.

    Google Scholar 

  • Rodgers, J., Glod, M., Connoly, B., & McConachie, H. (2012). The relationship between anxiety and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 42, 2404–2409.

    PubMed  Google Scholar 

  • Sainato, D., Goldstein, H., & Strain, P. (1992). Effects of self-evaluation on preschool children’s use of social interaction strategies with their classmates with autism. Journal of Applied Behavior Analysis, 25, 127–141.

    PubMed  PubMed Central  Google Scholar 

  • Skuse, D., Warrington, R., Bishop, D., Chowdhury, U., Lau, J., & Mandy, W. (2004). The developmental, dimensional and diagnostic interview (3di): A novel computerized assessment for autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 548–558.

    PubMed  Google Scholar 

  • Stahmer, A., & Schreibman, L. (1992). Teaching children with autism appropriate play in unsupervised environments using a self-management treatment package. Journal of Applied Behavior Analysis, 25, 447–459.

    PubMed  PubMed Central  Google Scholar 

  • Streiner, D., & Norman, G. (2011). Correction for multiple testing. Chest, 140, 16–18.

    PubMed  Google Scholar 

  • van Steensel, F., Bogels, S., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child and Family Psychology Review, 14, 302–317.

    PubMed  PubMed Central  Google Scholar 

  • van Wijngaarden-Cremers, P., van Eeten, E., Broen, W., van Deurzen, P., Oosterling, I., & Van der Gaag, R. (2014). Gender and age differences in the core triad of impairments in autism spectrum disorders: A systematic review and meta-analysis. Journal of Autism and Developmental Disabilities, 44, 627–635.

    Google Scholar 

  • Vickerstaff, S., Heriot, S., Wong, M. L., Lopes, A., & Dossetor, D. (2007). Intellectual ability, self-perceived social competence, and depressive symptomatology in children with high-functioning autistic spectrum disorders. Journal of Autism and Developmental Disorders, 37, 1647–1664.

    PubMed  Google Scholar 

  • Weisbrot, D., Gadow, K., DeVincent, C., & Pomeroy, J. (2005). The presentation of anxiety in children with pervasive developmental disorders. Journal of Child and Adolescent Psychopharmacology, 15, 477–496.

    PubMed  Google Scholar 

  • White, S., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229. https://doi.org/10.1016/j.cpr.2009.01.003. doi.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wigham, S., Rodgers, J., South, M., McConachie, H., & Freeston, M. (2014). The interplay between sensory processing abnormalities, intolerance of uncertainty, anxiety and restricted and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-014-2248-x.

    Article  Google Scholar 

  • Wigham, S., Rodgers, J., South, M., McConachie, H., & Freeston, M. (2015). The interplay between sensory processing abnormalities, intolerance of uncertainty, anxiety and restricted and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(4), 943–952. https://doi.org/10.1007/s10803-014-2248-x.

    Article  PubMed  Google Scholar 

  • Wood, J., & Gadow, K. (2010). Exploring the nature and function of anxiety in youth with autism spectrum disorder. Clinical Psychology: Science and Practice, 17, 181–192.

    Google Scholar 

Download references

Acknowledgments

The authors are grateful to the young people with ASD and their parents who participated in this study.

Author information

Authors and Affiliations

Authors

Contributions

VB and CFS conceived of the study, participated in its design and coordination and drafted the manuscript; WAA participated in the design and interpretation of the data and performed the statistical analysis. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Christopher F. Sharpley.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bitsika, V., Arnold, W.A. & Sharpley, C.F. The Role of Sensory Features in Mediating Associations Between Autism Symptoms and Anxiety in Boys with Autism Spectrum Disorder. J Autism Dev Disord 50, 2464–2474 (2020). https://doi.org/10.1007/s10803-019-03917-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-019-03917-1

Keywords

Navigation