Abstract
Emotion regulation (ER) may be an important transdiagnostic factor for understanding mental and behavioral health given its association with several psychiatric disorders, including autism spectrum disorder (ASD). However, there is limited research on ER in ASD, particularly using biomarkers such as respiratory sinus arrhythmia (RSA). The aim of the current study was to examine RSA among school-aged children with ASD in relation to symptoms of anxiety, executive functioning, and adaptive socialization skills. Results showed decreased RSA in children with ASD (relative to typically developing controls), reflecting decreased parasympathetic nervous system activity. In addition, decreased RSA was associated with increased symptoms of anxiety and lower socialization skills. These findings emphasize the need for interventions targeting emotional and arousal regulation in ASD.
References
Adrian, M., Zeman, J., & Veits, G. (2011). Methodological implications of the affect revolution: A 35-year review of emotion regulation assessment in children. Journal of Experimental Child Psychology, 110(2), 171–197.
Beauchaine, T. P. (2001). Vagal tone, development, and Gray’s motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13(2), 183–214.
Berking, M., & Wupperman, P. (2012). Emotion regulation and mental health: Recent findings, current challenges, and future directions. Current Opinion in Psychiatry, 25, 128–134.
Birmaher, B., Khetarpal, S., Cully, M., Brent, D., & McKenzie, S. (1995). Screen for child anxiety related disorders. Pittsburgh, PA: Western Psychiatric Institute and Clinic, University of Pittsburgh.
CardioEdit software. (2007). Brain–Body Center, University of Illinois at Chicago.
CardioBatch software. (2007). Brain–Body Center, University of Illinois at Chicago.
Constantino, J. N., & Gruber, C. P. (2005). Social responsiveness scale manual. Los Angeles, CA: Western Psychological Services.
Elliott, C. D. (2007). Differential ability scales (2nd ed.). San Antonio, TX: Harcourt Assessment.
Friedman, B. H. (2007). An autonomic flexibility-neurovisceral integration model of anxiety and cardiac vagal tone. Biological Psychology, 74(2), 185–199.
Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function. Lutz, FL: PAR Psychological Assessment Resources Inc.
Hannesdottir, D. K., & Ollendick, T. H. (2007). The role of emotion regulation in the treatment of child anxiety disorders. Clinical Child and Family Psychology Review, 10(3), 275–293.
Heilman, K. J., Bal, E., Bazhenova, O. V., Sorokin, Y., Perlman, S. B., Hanley, M. C., et al. (2008). Physiological responses to social and physical challenges in children: Quantifying mechanisms supporting social engagement and mobilization behaviors. Developmental Psychobiology, 50(2), 171–182.
Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism diagnostic observation schedule manual. Los Angeles, CA: Western Psychological Services.
Mazefsky, C. A., Herrington, J., Siegel, M., Scarpa, A., Maddox, B. B., Scahill, L., et al. (2013). The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 52(7), 679–688.
Mennin, D. S., Holaway, R. M., Fresco, D. M., Moore, M. T., & Heimberg, R. G. (2007). Delineating components of emotion and its dysregulation in anxiety and mood psychopathology. Behavior Therapy, 38, 284–302.
Ming, X., Julu, P. O. O., Brimacombe, M., Connor, S., & Daniels, M. L. (2005). Reduced cardiac parasympathetic activity in children with autism. Brain & Development, 27(7), 509–516.
Mundy, P., Sullivan, L., & Mastergeorge, A. M. (2009). A parallel and distributed-processing model of joint attention, social cognition and autism. Autism Research, 2(1), 2–21.
Neuhaus, E., Bernier, R., & Beauchaine, T. P. (2014). Brief report: Social skills, internalizing and externalizing symptoms, and respiratory sinus arrhythmia in autism. Journal of Autism and Developmental Disorders, 44(3), 730–737.
Patriquin, M. A., Scarpa, A., Friedman, B. H., & Porges, S. W. (2013). Respiratory sinus arrhythmia: A marker for positive social functioning and receptive language skills in children with autism spectrum disorders. Developmental Psychobiology, 55(2), 101–112.
Porges, S. W. (1985). Method and apparatus for evaluating rhythmic oscillations in aperiodic physiological response systems. Patent Number: 4,510,944. Washington, DC: U.S. Patent Office.
Porges, S. W. (2001). The polyvagal theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42(2), 123–146.
Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74(2), 116–143.
Porges, S. W., & Bohrer, R. E. (1990). Analyses of periodic processes in psychophysiological research. In J. T. Cacioppo & L. G. Tassinary (Eds.), Principles of psychophysiology: Physical, social, and inferential elements (pp. 708–753). New York: Cambridge University Press.
Rutter, M., LeCouteur, A., & Lord, C. (2003). Autism diagnostic interview revised manual. Los Angeles, CA: Western Psychological Services.
Scarpa, A., & Reyes, N. M. (2011). Improving emotion regulation with CBT in young children with high functioning autism spectrum disorders: A pilot study. Behavioral and Cognitive Psychotherapy, 39, 495–500.
Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: Second edition, parent/caregiver rating form. Minneapolis, MN: Pearson Assessments.
Storch, E. A., Wood, J. J., Ehrenreich-May, J., Jones, A. M., Park, J. M., Lewin, A. B., et al. (2012). Convergent and discriminant validity and reliability of the pediatric anxiety rating scale in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(11), 2374–2382.
Suveg, C., Kendall, P. C., Comer, J. S., & Robin, J. (2006). Emotion-focused cognitive-behavioral therapy for anxious youth: A multiple-baseline evaluation. Journal of Contemporary Psychotherapy, 36(2), 77–85.
Thayer, J. F., & Lane, R. D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders, 61(3), 201–216.
Thompson, R. A., Lewis, M. D., & Calkins, S. D. (2008). Reassessing emotion regulation. Child Development Perspectives, 2(3), 124–131.
Van Hecke, A. V., Lebow, J., Bal, E., Lamb, D., Harden, E., Kramer, A., et al. (2009). Electroencephalogram and heart regulation to familiar and unfamiliar people in children with autism spectrum disorders. Child Development, 80(4), 1118–1133.
White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229.
Wood, J. J., & Gadow, K. D. (2010). Exploring the nature and function of anxiety in youth with autism spectrum disorders. Clinical Psychology: Science and Practice, 17(4), 281–292.
Acknowledgments
Some of the data described in this manuscript were collected as part of studies funded by the following grants: a grant from the Pennsylvania Department of Health (SAP # 4100042728) to R. Schultz; a grant from the Pennsylvania Department of Health (SAP # 4100047863) to R. Schultz; a grant from Pfizer, Inc to R. Schultz; and a grant from the Robert Wood Johnson Foundation, #66727 to R. Schultz. We would like to thank the parents and children who participated in the research. We would also like to thank Sarah Paterson and Lori Le for their help in data collection, analysis, and interpretation.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Guy, L., Souders, M., Bradstreet, L. et al. Brief Report: Emotion Regulation and Respiratory Sinus Arrhythmia in Autism Spectrum Disorder. J Autism Dev Disord 44, 2614–2620 (2014). https://doi.org/10.1007/s10803-014-2124-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-014-2124-8