Abstract
Difficulties in Sensory Features (SF) have been included in the most recent diagnostic processes for Autism Spectrum Disorder (ASD) and are more common in children with an ASD than their non-ASD peers. In addition, these difficulties with SF have been suggested as causing elevated stress and concentrations of salivary cortisol in young people with an ASD. However, previous studies have not examined the specific aspects of SF that are associated with elevated cortisol and that was the focus of this study with 135 boys with an ASD aged 6–18 years. The boys’ mothers assessed their sons’ SF with the Sensory Profile (SPr) and boys gave a sample of their saliva for cortisol extraction. Results indicated that younger boys had significantly more severe SF than adolescents and that only the younger boys’ SF was significantly associated with their cortisol concentrations. The Vestibular sensory domain was the most powerful predictor of cortisol concentration; the specific sensory-related behaviours that were most strongly related to cortisol concentrations were keeping a still upper body and spinning. These results have implications for treatment-planning to assist boys with an ASD manage their SF more effectively.
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APA. (2013). Diagnostic and statistical manual of mental disorders-5. Washington, DC: American Psychiatric Association.
Ben-Sasson, A., Hen, L., Fluss, R., Cremak, S., Engel-Yeger, B., & Gal, E. (2009). A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1–11.
Bitsika, V., Sharpley, C., Andronicos, N., & Agnew, L. (2015). Hypothalamus-pituitary-adrenal axis daily fluctuation, anxiety and age interact to predict cortisol concentrations in boys with an autism spectrum disorder. Physiology and Behavior, 138, 200–207.
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.
Born, J., Hansen, K., Marshall, L., Mollie, M., & Fehm, H. (1999). Timing the end of nocturnal sleep. Nature, 397, 29–30.
Brosnan, M., Turner-Cobb, J., Munro-Naan, & Jessop, D. (2009). Absence of a normal cortisol awakening response (CAR) in adolescent males with asperger syndrome (AS). Psychoneuroendocrinology, 34, 1095–1100.
CDC (2015). Child Development. http://www.cdc.gov/ncbddd/childdevelopment/positiveparenting/adolescence2.html. Accessed May 16 2015 2015.
Chida, Y., & Steptoe, A. (2009). Cortisol awakening response and psychosocial factors: a systematic review and meta-analysis. Biological Psychology, 80(3), 265–278. doi:10.1016/j.biopsycho.2008.10.004.
Cicchetti, D., & Rogosch, F. (2001). Diverse patterns of neuroendocrine activity in maltreated children. Development and Psychopathology, 13, 677–693.
Cicchetti, D., Rogosch, F., Gunnar, M., & Toth, S. (2010). The differential impacts of early physical and sexual abuse and internalizing problems on daytime cortisol rhythm in school-aged children. Child Development, 81, 252–269.
Clow, A., Hucklebridge, F., Stalder, T., Evans, P., & Thorn, L. (2010). The cortisol awakening response: more than a measure of HPA axis function. Neuroscience and Biobehavioral Reviews, 35, 97–103.
Cohen, J., Cohen, P., West, S., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences. Mahwah, NJ: Lawrence Erlbaum Associates.
Corbett, B., Mendoza, S., Abdullah, M., Wegelin, J., & Levine, S. (2006). Cortisol circadian rhythms and response to stress in children with autism. Psychoneuroendocrinology, 31, 59–66.
Corbett, B., & Schupp, C. (2014). The cortisol awakening response (CAR) in male children with autism spectrum disorder. Hormones and Behavior, 65, 345–350.
Corbett, B., Schupp, C., Levine, S., & Mendoza, S. (2009). Comparing cortisol, stress, and sensory sensitivity in children with autism. Autism Research, 2, 39–49.
De Kloet, C., Vermetten, E., Heijnen, C., Geuze, E., Lentjes, E., & Westenberg, H. (2007). Enhanced cortisol suppression in response to dexamethasone administration in traumatized veterans with and without posttraumatic stress disorder. Psychoneuroendocrinology, 32, 215–226.
Doane, L., Chen, F., Sladek, M., Van Lenten, S., & Granger, D. (2015). Latent trait cortisol (LTC) levels: reliability, validity and stability. Psychoneuroendocrinology, 55, 21–35.
Dunn, W. (1999). Sensory profile. San Antonia, Texas: The Psychological Corporation.
Dunn, W. (2001). The sensations of everyday life: empirical, theoretical, and pragmatic considerations. American Journal of Occupational Therapy, 55, 608–620.
Ermer, J., & Dunn, W. (1998). The sensory profile: a discriminant analysis of children with and without disabilities. The American Journal of Occupational Therapy, 52, 283–290.
Gabriels, R., Agnew, J., Pan, Z., Holt, K., Reynolds, A., & Laudenslager, M. (2013). Elevated repetitive behaviors are associated with lower diurnal salivary cortisol levels in autism spectrum disorder. Biological Psychology, 93, 262–268.
Glickman, G. (2010). Circadian rhythms and sleep in children with autism. Neuroscience and Biobehavioral Reviews, 34, 755–768.
Kern, J., Garver, C., Carmody, T., Andrews, A., Trivedi, M., & Mehta, J. (2007). Examining sensory quadrants in autism. Research in Autism Spectrum Disorders, 1, 185–193.
Kern, J., Trivedi, M., Garver, C., Grannemann, B., Andrews, A., & Salva, J. (2006). The pattern of sensory processing abnormalities in autism. Autism, 10, 480–494.
Kientz, M., & Dunn, W. (1997). A comparison of performance of children with and without autism on the sensory profile. American Journal of Occupational Therapy, 51, 530–537.
Kim, J., Szatmari, P., Bryson, S., Streiner, D., & Wilson, F. (2000). The prevalence of anxiety and mood problems among children with autism and aspergers syndrome. Autism, 4, 117–132.
Kudeilka, B. M., Buske-Kirschbaum, A., Hellhammer, D. H., & Kirschbaum, C. (2004). HPA axis responses to laboratory psychosocial stress in healthy elderly adults, younger adults, and children: impact of age and gender. Psychoneuroendocrinology, 29, 83–98.
Kudielka, B., & Kirschbaum, C. (2003). Awakening cortisol responses are influenced by health status and awakening time but not by menstrual cycle phase. Psychoneuroendocrinology, 28, 35–47.
Laurent, H., Gilliam, K., Bruce, J., & Fisher, P. (2014). HPA stability for children in foster case: mental health implications and moderation by early intervention. Developmental Psychobiology, 56, 1406–1415.
Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule, second edition (ADOS-2). Los Angeles, CA: Western Psychological Services.
Lyndon, S., Healy, O., Roche, M., Henry, R., Mulhern, T., & Hughes, B. (2015). Salivary cortisol levels and challenging behavior in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 10, 78–92.
Miller, G., Chen, E., & Zhou, E. (2007). If it goes up, must it come down? Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans. Psychological Bulletin, 133, 25–45.
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.
Myles, B., Hagiwara, T., Dunn, W., Rinner, L., & Reese, M. (2004). Sensory issues in children with asperger syndrome. Education and Training in Developmental Disabilities, 39, 283–290.
Norris, A., & Aroian, K. (2004). To transform or Not transform skewed data for psychometric analysis: that is the question! Nursing Research, 53(1), 67–71.
Reynolds, S., Lane, S., & Thacker, L. (2011). Sensory processing, physiological stress, and sleep behaviors in children with and without autism spectrum disorders. OTJR: Occupation, Participation and Health, 32, 246–257.
Roberts, A., Wessely, S., Chalder, T., Papadopoulos, A., & Cleare, A. (2004). Salivary cortisol response in awakening in chronic fatigue syndrome. British Journal of Psychiatry, 184, 136–141.
Ross, K., Murphy, M., Adam, E., Chen, E., & Miller, G. (2014). How stable are diurnal cortisol activity indicies in healthy individuals? Evidence from three multi-wave studies. Psychoneuroendocrinology, 39, 184–193.
Schaaf, R., & Lane, A. (2015). Towards a best-practice protocol for assessment of sensory features in ASD. Journal of Autism & Developmental Disorders, 45, 1380–1395.
Scheer, F., & Buijs, R. (1999). Light affects morning salivary cortisol in humans. Journal of Clinical Endocrinology and Metabolism, 84, 3395–3398.
Segerstrom, S., Boggero, I., Smith, G., & Sephton, S. (2014). Variability and reliability of dournal cortisol in younger and older adults: implications for design decisions. Psychoneuroendocrinology, 49, 299–309.
Shirtcliffe, E., Allison, A., Armstrong, J., Slattery, M., Kalin, N., & Essex, M. (2012). Longitudinal stability and developmental properties of salivary cortisol levels and circadian rhythms from childhood to adolescence. Developmental Psychobiology, 54, 493–502.
Smyth, J., Ockenfels, M. C., Gorin, A. A., Catley, D., Porter, L. S., Kirschbaum, C., et al. (1997). Individual differences in the diurnal cycle of cortisol. Psychoneuroendocrinology, 22(2), 89–105.
Stone, A. A., Schwartz, J. E., Smyth, J., Kirschbaum, C., Cohen, S., Hellhammer, D., et al. (2001). Individual differences in the diurnal cycle of salivary free cortisol: a replication of flattened cycles for some individuals. Psychoneuroendocrinology, 26, 295–306.
Tabachnick, B., & Fidell, L. (2007). Using multivariate statistics (5th ed.). NY: Pearson.
Taylor, J., & Corbett, B. (2014). A review of rhythm and responsiveness of cortisol in individuals with autism disorders. Psychoneuroendocrinology, 49, 207–228.
Weitzman, E. D., Fukushima, D., Nogeire, C., Roffwarg, H., Gallagher, T. F., & Hellman, L. (1971). Twenty-four hour pattern of the episodic secretion of cortisol in normal subjects. Journal of Clinical Endocrinology and Metabolism, 33, 14–22.
Zinke, K., Fries, E., Kliegel, M., Kirschbaum, C., & Dettenborn, L. (2010). Children with high-functioning autism show a normal cortisol awakening response (CAR). Psychoneuroendocrinology, 35, 1578–1582.
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Bitsika, V., Sharpley, C.F., Andronicos, N.M. et al. Which Aspects of Sensory Features are Associated With Elevated Cortisol Concentrations in Boys With an Autism Spectrum Disorder?. J Dev Phys Disabil 27, 661–675 (2015). https://doi.org/10.1007/s10882-015-9442-4
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DOI: https://doi.org/10.1007/s10882-015-9442-4