Anxiety, sensory over-responsivity, and gastrointestinal problems in children with autism spectrum disorders
Abstract
Children with autism spectrum disorders (ASD) experience high rates of anxiety, sensory processing problems, and gastrointestinal (GI) problems; however, the associations among these symptoms in children with ASD have not been previously examined. The current study examined bivariate and multivariate relations among anxiety, sensory over-responsivity, and chronic GI problems in a sample of 2,973 children with ASD enrolled in the Autism Treatment Network (ages 2-17 years, 81.6 % male). Twenty-four percent of the sample experienced at least one type of chronic GI problem (constipation, abdominal pain, bloating, diarrhea, and/or nausea lasting three or more months). Children with each type of GI problem had significantly higher rates of both anxiety and sensory over-responsivity. Sensory over-responsivity and anxiety were highly associated, and each provided unique contributions to the prediction of chronic GI problems in logistic regression analyses. The results indicate that anxiety, sensory over-responsivity and GI problems are possibly interrelated phenomenon for children with ASD, and may have common underlying mechanisms.
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A generalized increase in the stress response is characteristic of those with ASD relative to typically-developing individuals.
“Furthermore, a generalized increase in the stress response is also characteristic of those with ASD relative to typically-developing individuals (Ming et al., 2005; Mazurek et al., 2013; Spratt et al., 2012).”
From Associations between cytokines, endocrine stress response, and gastrointestinal symptoms in autism spectrum disorder (2016) · cites this paper as Mazurek et al., 2013
Anxiety has been highly associated with chronic GI problems in children with ASD.
“Anxiety has been highly associated with chronic GI problems in children with ASD 32.”
From Gastrointestinal Issues and Autism Spectrum Disorder (2020) · cites this paper as [32]
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Self-citation
- Authors
- Mazurek, M. O., Vasa, R. A., Kalb, L. G., Kanne, S. M., Rosenberg, D., Keefer, A., Murray, D. S., Freedman, B., & Lowery, L. A.
- Affiliations
- University of Missouri (US)
- Kennedy Krieger Institute (US)
- Baylor College of Medicine (US)
- Emmes (United States) (US)
- Cincinnati Children's Hospital Medical Center (US)
- University of Delaware (US)
- Corresponding author
- Mazurek, Micah O.
- ORCID
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2012-08-01
- Volume
- 41
- Issue
- 1
- Pages
- 165-176
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- OpenAlex
- W2035020487
- Cited by
- 419
- References
- 87
- Citations by year
- 2026: 26 · 2025: 18 · 2024: 46 · 2023: 28 · 2022: 33 · 2021: 38 · 2020: 55 · 2019: 28 · 2018: 26 · 2017: 29 · 2016: 33 · 2015: 20 · 2014: 22 · 2013: 16
- FWCI
- 9.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Autism Speaks
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- autism spectrum disorder, anxiety, sensory hypersensitivity, gastrointestinal problems, chronic constipation, abdominal pain, bloating, diarrhea, nausea, children, comorbidities
- MeSH terms
- Adolescent, Anxiety, Child, Child Development Disorders, Pervasive, Child, Preschool, Chronic Disease, Constipation, Diarrhea, Female, Gastrointestinal Diseases, Humans, Male, Regression Analysis, Sensation Disorders, Abdominal Pain, Multivariate Analysis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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