Physiological Response to Social Evaluative Threat in Adolescents with Autism Spectrum Disorder
Open accessAbstract
The Trier Social Stress Test (TSST) was employed to study response to social evaluative threat in male adolescents with Autism Spectrum Disorder (ASD, n = 21) and typical development (n = 13). Participants wore a mobile electrocardiogram to collect heart rate data. There were significant group effects on respiratory sinus arrhythmia (RSA), a measure of parasympathetic nervous system function, with lower values in ASD (F = 4.97). Bivariate correlations also showed a significant relationship between parent reports of social problems and RSA response to the TSST (r = -0.586). These findings suggest that autonomic dysregulation may contribute to social deficits in adolescents with ASD.
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The conclusion that children with ASD have reduced physiological self-regulation must be rejected since the average RSA value of children with ASD, between 12 and 18 years, was ~6.9 ln(ms2), which is entirely normal.
“This conclusion must be rejected since the average RSA value of children with ASD, between 12 and 18 years, was ~6.9 ln(ms2) which is entirely normal.”
From Autism Spectrum Disorder in Children Is Not Associated With Abnormal Autonomic Nervous System Function: Hypothesis and Theory (2022) · cites this paper as Edmiston et al. (23)
The Results report significantly lower RSA in adolescent males with ASD than in typically developing males, both at baseline and during the social stress task. The Discussion interprets this as preliminary evidence of altered physiological self-regulation, contrary to the claim that the RSA finding is entirely normal. The retrieved passages do not give an average of ~6.9 ln(ms²) or establish a normal range for that value. (LLM, conf=0.86)
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References 108 · Cited by 43
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- Achenbach TM Howell CT Quay HC Conners CK 1991 National survey of problems and competencies among four- to sixteen-year-olds: Parents’ reports for normative and clinical samples Monographs of the Society for Research in Child Development 56 3 1 131 1770964
- Allen AP Kennedy PJ Cryan JF Dinan TG Clarke G 2014 Biological and psychological markers of stress in humans: Focus on the Trier Social Stress Test Neuroscience and Biobehavioral Reviews 38 94 124 10.1016/j.neubiorev.2013.11.005 24239854 · DOI · Paper page
- Althaus M Van Roon AM Mulder LJ Mulder G Aarnoudse CC Minderaa RB 2004 Autonomic response patterns observed during the performance of an attention-demanding task in two groups of children with autistic-type difficulties in social adjustment Psychophysiology 41 6 893 904 10.1111/j.1469-8986.2004.00252.x 15563342 · DOI
- APA 2013 Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5) Washington, DC American Psychiatric Association
- Bal E Harden E Lamb D Van Hecke AV Denver JW Porges SW 2010 Emotion recognition in children with autism spectrum disorders: Relations to eye gaze and autonomic state Journal of Autism and Developmental Disorders 40 3 358 370 10.1007/s10803-009-0884-3 19885725 · DOI · Paper page
- Beauchaine TP Gatzke-Kopp L Neuhaus E Chipman J Reid MJ Webster-Stratton C 2013 Sympathetic- and parasympathetic-linked cardiac function and prediction of externalizing behavior, emotion regulation, and prosocial behavior among preschoolers treated for ADHD Journal of Consulting and Clinical Psychology 81 3 481 493 10.1037/a0032302 23544677 PMC3952490 · DOI
- Bolte S Westerwald E Holtmann M Freitag C Poustka F 2011 Autistic traits and autism spectrum disorders: the clinical validity of two measures presuming a continuum of social communication skills Journal of Autism and Developmental Disorders 41 1 66 72 20422277 PMC3005113
- Brown BB Eicher SA Petrie S 1986 The importance of peer group (“crowd”) affiliation in adolescence Journal of Adolescence 9 1 73 96 3700780
- Buske-Kirschbaum A Jobst S Wustmans A Kirschbaum C Rauh W Hellhammer D 1997 Attenuated free cortisol response to psychosocial stress in children with atopic dermatitis Psychosomatic Medicine 59 4 419 426 9251162
- Butler EA Wilhelm FH Gross JJ 2006 Respiratory sinus arrhythmia, emotion, and emotion regulation during social interaction Psychophysiology 43 6 612 622 10.1111/j.1469-8986.2006.00467.x 17076818 · DOI · Paper page
- Calkins SD Dedmon SE 2000 Physiological and behavioral regulation in two-year-old children with aggressive/destructive behavior problems Journal of Abnormal Child Psychology 28 103 118 10834764
- Charlot L Deutsch CK Albert A Hunt A Connor DF McIlvane WJ 2008 Mood and anxiety symptoms in psychiatric inpatients with autism spectrum disorder and depression Journal of Mental Health Research in Intellectual Disabilities 1 4 238 253 10.1080/19315860802313947 24009649 PMC3760522 · DOI
- Childs E Van Dam NT de Wit H 2010 Effects of acute progesterone administration upon responses to acute psychosocial stress in men Experimental and Clinical Psychopharmacology 18 1 78 86 10.1037/a0018060 20158297 PMC4351805 · DOI
- Compas BE Hinden BR Gerhardt CA 1995 Adolescent development: Pathways and processes of risk and resilience Annual Review of Psychology 46 265 293 10.1146/annurev.ps.46.020195.001405 7872731 · DOI
- Corbett BA Schupp CW Lanni KE 2012 Comparing biobehavioral profiles across two social stress paradigms in children with and without autism spectrum disorders Molecular Autism 3 1 13 10.1186/2040-2392-3-13 23158965 PMC3533919 · DOI
- Corbett BA Schupp CW Simon D Ryan N Mendoza S 2010 Elevated cortisol during play is associated with age and social engagement in children with autism Molecular Autism 1 1 13 10.1186/2040-2392-1-13 20875126 PMC2955575 · DOI
- Cui L Morris AS Harrist AW Larzelere RE Criss MM Houltberg BJ 2015 Adolescent RSA responses during an anger discussion task: Relations to emotion regulation and adjustment Emotion 15 3 360 372 25642723 PMC4437810
- Daluwatte C Miles JH Yao G 2012 Simultaneously measured pupillary light reflex and heart rate variability in healthy children Physiological Measurement 33 6 1043 1052 10.1088/0967-3334/33/6/1043 22563002 PMC3374849 · DOI
- D’Antono B Moskowitz DS Miners C Archambault J 2005 Gender and communal trait differences in the relations among social behaviour, affect arousal, and cardiac autonomic control Journal of Behavioral Medicine 28 3 267 279 10.1007/s10865-005-4663-0 16015461 · DOI
- De Meersman RE 1993 Aging as a modulator of respiratory sinus arrhythmia Journal of Gerontology 48 2 B74 B78 8473691
- Diamond LM Hicks AM Otter-Henderson KD 2011 Individual differences in vagal regulation moderate associations between daily affect and daily couple interactions Personality and Social Psychology Bulletin 37 6 731 744 10.1177/0146167211400620 21393615 · DOI
- Dubin AH Lieberman-Betz R Michele Lease A 2015 Investigation of individual factors associated with anxiety in youth with autism spectrum disorders Journal of Autism and Developmental Disorders 45 9 2947 2960 10.1007/s10803-015-2458-x 25917383 · DOI
- Eiland L Romeo RD 2013 Stress and the developing adolescent brain Neuroscience 249 162 171 10.1016/j.neuroscience.2012.10.048 23123920 PMC3601560 · DOI
- Ernst JM Litvack DA Lozano DL Cacioppo JT Berntson GG 1999 Impedance pneumography: Noise as signal in impedance cardiography Psychophysiology 36 333 338 10352556
- Espelage DL Bosworth K Simon TR 2001 Short-term stability and prospective correlates of bullying in middle-school students: An examination of potential demographic, psychosocial, and environmental influences Violence and Victims 16 4 411 426 11506450
- Fisher AJ Newman MG 2013 Heart rate and autonomic response to stress after experimental induction of worry versus relaxation in healthy, high-worry, and generalized anxiety disorder individuals Biological Psychology 93 65 74 23384513
- Foley P Kirschbaum C 2010 Human hypothalamus-pituitary-adrenal axis responses to acute psychosocial stress in laboratory settings Neuroscience and Biobehavioral Reviews 35 1 91 96 10.1016/j.neubiorev.2010.01.010 20109491 · DOI · Paper page
- Friedman BH 2007 An autonomic flexibility-neurovisceral integration model of anxiety and cardiac vagal tone Biological Psychology 74 185 199 17069959
- Gjevik E Eldevik S Fjæran-Granum T Sponheim E 2011 Kiddie-SADS reveals high rates of DSM-IV disorders in children and adolescents with autism spectrum disorders Journal of Autism and Developmental Disorders 41 6 761 769 10.1007/s10803-010-1095-7 20824493 PMC3094530 · DOI
- Gordon JL Girdler SS 2014 Mechanisms underlying hemodynamic and neuroendocrine stress reactivity at different phases of the menstrual cycle Psychophysiology 51 4 309 318 10.1111/psyp.12177 24397365 PMC3982184 · DOI · Paper page
- Granger DA Hibel LC Fortunato CK Kapelewski CH 2009 Medication effects on salivary cortisol: Tactics and strategy to minimize impact in behavioral and developmental science Psychoneuroendocrinology 34 10 1437 1448 10.1016/j.psyneuen.2009.06.017 19632788 · DOI
- Gunnar MR Wewerka S Frenn K Long JD Griggs C 2009 Developmental changes in hypothalamus-pituitary-adrenal activity over the transition to adolescence: Normative changes and associations with puberty Development and Psychopathology 21 1 69 85 10.1017/S0954579409000054 19144223 PMC3933029 · DOI · Paper page
- Guy L Souders M Bradstreet L DeLussey C Herrington JD 2014 Brief report: Emotion regulation and respiratory sinus arrhythmia in autism spectrum disorder Journal of Autism and Developmental Disorders 44 10 2614 2620 10.1007/s10803-014-2124-8 24752681 · DOI · Paper page
- Hastings PD Klimes-Dougan B Kendziora KT Brand A Zahn-Waxler C 2014 Regulating sadness and fear from outside and within: Mothers’ emotion socialization and adolescents’ parasympathetic regulation predict the development of internalizing difficulties Development and Psychopathology 26 1369 1384 25422967
- Hastings PD Nuselovici JN Utendale WT Coutya J McShane KE Sullivan C 2008 Applying the polyvagal theory to children’s emotion regulation: Social context, socialization, and adjustment Biological Psychology 79 3 299 306 10.1016/j.biopsycho.2008.07.005 18722499 · DOI
- Hayward C Killen JD Taylor CB 2003 The relationship between agoraphobia symptoms and panic disorder in a nonclinical sample of adolescents Psychological Medicine 33 4 733 738 12785475
- Heilman KJ Bal E Bazhenova OV Sorokin Y Perlman SB Hanley MC Porges SW 2008 Physiological responses to social and physical challenges in children: Quantifying mechanisms supporting social engagement and mobilization behaviors Developmental Psychobiology 50 2 171 182 10.1002/dev.20257 18286584 · DOI
- Hollocks MJ Howlin P Papadopoulos AS Khondoker M Simonoff E 2014 Differences in HPA-axis and heart rate responsiveness to psychosocial stress in children with autism spectrum disorders with and without co-morbid anxiety Psychoneuroendocrinology 46 32 45 10.1016/j.psyneuen.2014.04.004 24882156 · DOI
- Holtmann M Bölte S Poustka F 2007 Autism spectrum disorders: Sex differences in autistic behaviour domains and coexisting psychopathology Developmental Medicine and Child Neurology 49 5 361 366 10.1111/j.1469-8749.2007.00361.x 17489810 · DOI · Paper page
- Hutt C Hutt SJ Lee D Ounsted C 1964 Arousal and childhood autism Nature 204 908 909 14235732
- Jarrin DC McGrath JJ Poirier P Séguin L Tremblay RE Montplaisir JY Séguin JR 2015 Short-term heart rate variability in a population-based sample of 10-year-old children Pediatric Cardiology 36 1 41 48 10.1007/s00246-014-0962-y 25056158 PMC4457514 · DOI
- Jennings JR Mack ME 1984 Does aging differentially reduce heart rate variability related to respiration? Experimental Aging Research 10 1 19 23 10.1080/03610738408258536 6734682 · DOI
- Kirsch V Wilhelm FH Goldbeck L 2015 Psychophysiological characteristics of pediatric posttraumatic stress disorder during script-driven traumatic imagery European Journal of Psychotraumatology 6 25471 25660044 PMC4320135
- Kirschbaum C Pirke KM Hellhammer DH 1993 The ‘Trier Social Stress Test’—a tool for investigating psychobiological stress responses in a laboratory setting Neuropsychobiology 28 1–2 76 81 8255414
- Klumbies E Braeuer D Hoyer J Kirschbaum C 2014 The reaction to social stress in social phobia: Discordance between physiological and subjective parameters PLoS ONE 9 e105670 25153526 PMC4143269
- Kowalewski M Alifier M Bochen D Urban M 2007 Heart rate turbulence in children—age and heart rate relationships Pediatric Research 62 6 710 714 10.1203/PDR.0b013e3181598836 17957160 · DOI
- Liew J Eisenberg N Spinrad TL Eggum ND Haugen RG Kupfer A Baham ME 2011 Physiological regulation and fearfulness as predictors of young children’s empathy-related reactions Social Development 20 1 111 113 22573929 PMC3346257
- Mason JW 1968 A review of psychoendocrine research on the pituitary-adrenal cortical system Psychosomatic Medicine 30 5 576 607 4303377
- Matson JL Nebel-Schwalm MS 2007 Comorbid psychopathology with autism spectrum disorder in children: An overview Research in Developmental Disabilities 28 4 341 352 10.1016/j.ridd.2005.12.004 16765022 · DOI
- Mazzone L Ruta L Reale L 2012 Psychiatric comorbidities in asperger syndrome and high functioning autism: Diagnostic challenges Annals of General Psychiatry 11 1 16 10.1186/1744-859X-11-16 22731684 PMC3416662 · DOI · Paper page
- McCormick CM Mathews IZ 2010 Adolescent development, hypothalamic–pituitary–adrenal function, and programming of adult learning and memory Progress in Neuro-Psychopharmacology and Biological Psychiatry 34 5 756 765 10.1016/j.pnpbp.2009.09.019 19782715 · DOI · Paper page
- McLennan JD Lord C Schopler E 1993 Sex differences in higher functioning people with autism Journal of Autism and Developmental Disorders 23 2 217 227 8331044
- Merchan-Naranjo J Mayoral M Rapado-Castro M Llorente C Boada L Arango C Parellada M 2011 Estimation of the intelligence quotient using Wechsler Intelligence Scales in children and adolescents with asperger syndrome Journal of Autism and Developmental Disorders 42 1 116 122 21455795
- Minshew NJ Turner CA 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 1 45 52 15796121
- Moskowitz LJ Mulder E Walsh CE McLaughlin DM Zarcone JR Proudfit GH Carr EG 2013 A multimethod assessment of anxiety and problem behavior in children with autism spectrum disorders and intellectual disability American Journal on Intellectual and Developmental Disabilities 118 6 419 434 10.1352/1944.7558.118.6.419 24432856 · DOI
- Patriquin MA Scarpa A Friedman BH Porges SW 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 10.1002/dev.21002 22212893 · DOI · Paper page
- Pellecchia M Connell JE Kerns CM Xie M Marcus SC Mandell DS 2015 Child characteristics associated with outcome for children with autism in a school-based behavioral intervention Autism 10.1177/1362361315577518 PMC4766053 25911092 · DOI · Paper page
- Petersen AC Crockett L Richards M Boxer A 1988 A self-report measure of pubertal status: Reliability, validity, and initial norms Journal of Youth and Adolescence 17 2 117 133 10.1007/BF01537962 24277579 · DOI · Paper page
- Pico-Alfonso MA Mastorci F Ceresini G Ceda GP Manghi M Pino O Sgoifo A 2007 Acute psychosocial challenge and cardiac autonomic response in women: The role of estrogens, corticosteroids, and behavioral coping styles Psychoneuroendocrinology 32 5 451 463 10.1016/j.psyneuen.2007.02.009 17425957 · DOI
- Pitzalis MV Massari F Mastropasqua F Fioretti A Guida P Colombo R Rizzon P 2000 Age effect on phase relations between respiratory oscillations of the RR interval and systolic pressure Pacing and Clinical Electrophysiology 23 5 847 853 10833705
- Porges SW 1992 Vagal tone: A physiologic marker of stress vulnerability Pediatrics 90 3 Pt 2 498 504 1513615
- Porges SW Furman SA 2011 The early development of the autonomic nervous system provides a neural platform for social behavior: A polyvagal perspective Infant and Child Development 20 1 106 118 10.1002/icd.688 21516219 PMC3079208 · DOI · Paper page
- Porges SW Macellaio M Stanfill SD McCue K Lewis GF Harden ER Heilman KJ 2013 Respiratory sinus arrhythmia and auditory processing in autism: Modifiable deficits of an integrated social engagement system? International Journal of Psychophysiology 88 3 261 270 23201146 PMC3610863
- Roisman GI Masten AS Coatsworth JD Tellegen A 2004 Salient and emerging developmental tasks in the transition to adulthood Child Development 75 1 123 133 15015679
- Russell G Steer C Golding J 2011 Social and demographic factors that influence the diagnosis of autistic spectrum disorders Social Psychiatry and Psychiatric Epidemiology 46 12 1283 1293 10.1007/s00127-010-0294-z 20938640 · DOI · Paper page
- Rutter M 2003 Categories, dimensions, and the mental health of children and adolescents Annals of the New York Academy of Sciences 1008 11 21 14998868
- Schaaf RC Benevides TW Leiby BE Sendecki JA 2015 Autonomic dysregulation during sensory stimulation in children with autism spectrum disorder Journal of Autism and Developmental Disorders 45 2 461 472 10.1007/s10803-013-1924-6 23996198 · DOI
- Schroeder J Weiss J Bebko J 2011 CBCL profiles of children and adolescents with asperger syndrome: A review and pilot study Journal on Developmental Disabilities 17 1 26 37
- Shenk CE Putnam FW Rausch JR Peugh JL Noll JG 2014 A longitudinal study of several potential mediators of the relationship between child maltreatment and posttraumatic stress disorder symptoms Development and Psychopathology 26 81 91 24444173 PMC4966883
- Snieder H van Doornen LJ Boomsma DI Thayer JF 2007 Sex differences and heritability of two indices of heart rate dynamics: A twin study Twin Research and Human Genetics 10 2 364 372 10.1375/twin.10.2.364 17564526 · DOI
- Sulik MJ Eisenberg N Silva KM Spinrad TL Kupfer A 2013 Respiratory sinus arrhythmia, shyness, and effortful control in preschool-age children Biological Psychology 92 2 241 248 10.1016/j.biopsycho.2012.10.009 23127725 PMC4709223 · DOI
- Tanaka H Borres M Thulesius O Tamai H Ericson MO Lindblad LE 2000 Blood pressure and cardiovascular autonomic function in healthy children and adolescents The Journal of Pediatrics 137 1 63 67 10.1067/mpd.2000.108098 10891823 · DOI
- Taylor ZE Eisenberg N Spinrad TL 2015 Respiratory sinus arrhythmia, effortful control, and parenting as predictors of children’s sympathy across early childhood Developmental Psychology 51 1 17 25 10.1037/a0038189 25329555 PMC4314214 · DOI
- Toichi M Kamio Y 2003 Paradoxical autonomic response to mental tasks in autism Journal of Autism and Developmental Disorders 33 417 426 12959420
- Vaughan Van Hecke A Lebow J Bal E Lamb D Harden E Kramer A Porges SW 2009 Electroencephalogram and heart rate regulation to familiar and unfamiliar people in children with autism spectrum disorders Child Development 80 4 1118 1133 10.1111/j.1467-8624.2009.01320.x 19630897 · DOI · Paper page
- Watson LR Roberts JE Baranek GT Mandulak KC Dalton JC 2012 Behavioral and physiological responses to child-directed speech of children with autism spectrum disorders or typical development Journal of Autism and Developmental Disorders 42 8 1616 1629 10.1007/s10803-011-1401-z 22071788 PMC3402684 · DOI · Paper page
- Wilder J 1962 Basimetric approach (law of initial value) to biological rhythms Annals of the New York Academy of Sciences 98 1 1211 1220 14000687
- Wilhelm FH Kochar AS Roth WT Gross JJ 2001 Social anxiety and response to touch: Incongruence between self-evaluative and physiological reactions Biological Psychology 58 3 181 202 11698114
- Witwer AN Lecavalier L 2007 Autism screening tools: an evaluation of the social communication questionnaire and the developmental behavior checklist–autism screening algorithm Journal of Intellectual and Developmental Disability 32 3 179 187 17885895
- Woodall KL Matthews KA 1993 Changes in and stability of hostile characteristics: Results from a 4-year longitudinal study of children Journal of Personality and Social Psychology 64 3 491 499 8468674
- Authors
- Edmiston, E. K., Jones, R. M., & Corbett, B. A.
- Affiliations
- Vanderbilt University (US)
- Corresponding author
- Corbett, Blythe A.
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2016-06-18
- Volume
- 46
- Issue
- 9
- Pages
- 2992-3005
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC5140009
- OpenAlex
- W2442900878
- Cited by
- 43
- References
- 108
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 7 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 2 · 2017: 3 · 2016: 1
- FWCI
- 2.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01 MH085717)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- autism spectrum disorder, adolescents, social-evaluative threat, Trier Social Stress Test, heart rate, respiratory sinus arrhythmia, parasympathetic nervous system, autonomic dysfunction, social problems, social dysfunction
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Arousal, Child, Electrocardiography, Female, Heart Rate, Humans, Male, Parasympathetic Nervous System, Social Behavior, Stress, Psychological, Case-Control Studies, Respiratory Sinus Arrhythmia
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