A systematic review of physiological reactivity to stimuli in autism
Open accessAbstract
OBJECTIVE: The prevalence of abnormal behavioural responses to a variety of stimuli among individuals with autism has led researchers to examine whether physiological reactivity (PR) is typical in this population. This article reviewed studies assessing PR to sensory, social and emotional, and stressor stimuli in individuals with autism. METHODS: Systematic searches of electronic databases identified 57 studies that met our inclusion criteria. Studies were analysed to determine: (a) participant characteristics; (b) physiological measures used; (c) PR to sensory, social and emotional or stressor stimuli; (d) the relation between PR and behavioural or psychological variables and (e) baseline physiological activity. A novel measure of methodological quality suitable for use with non-randomized, non-interventional, psychophysiological studies was also developed and applied. RESULTS: Individuals with autism were found to respond differently than typically developing controls in 78.6%, 66.7% and 71.4% of sensory, social and emotional, and stressor stimulus classes, respectively. However, this extant literature is characterized by variable and inconsistent findings, which do not appear to be accounted for by varying methodological quality, making it difficult to determine what specific factors differentiate individuals with autism who present with atypical PR from those who do not. CONCLUSIONS: Despite this uncertainty, individual differences in PR are clearly present in autism, suggesting additional research is needed to determine the variables relating to PR among those with ASD and to examine the possible existence of physiological subtype responders in the population.
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These atypical social and communication differences may complicate interactions with neurotypical peers, risking employment participation vulnerabilities in this population, which has an unemployment rate four times higher than that of the general population.
“These atypical social and communication differences may complicate their interactions with neurotypical peers [9,10,11], risking employment participation vulnerabilities in this population, which has an unemployment rate four times higher than that of the general population [12].”
From Remote work support needs of employees with autism spectrum disorder in Poland: perspectives of individuals with autism and their coworkers (2022) · cites this paper as [9]
Autism is a social and communication disorder, and people with autism have unique socialization needs to be accepted or appreciated as an autistic person.
“While autism is a social and communication disorder [9,11,15], people with autism have unique socialization needs to be “accepted or appreciated as an autistic person, with autism positively recognized and accepted by others and the self as an integral part of that individual” [39] (p. 424).”
From Remote work support needs of employees with autism spectrum disorder in Poland: perspectives of individuals with autism and their coworkers (2022) · cites this paper as [9]
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Cohen, I. L., Yoo, J. H., Goodwin, M. S., & Moskowitz, L. J. (2011) · Springer eBooks · doi:10.1007/978-1-4419-8065-6_15 · Cited by 45 · see citing works
Self-citationSchell, A. M., Dawson, M. E., Nuechterlein, K. H., Subotnik, K. L., & Ventura, J. (2002) · Psychophysiology · doi:10.1111/1469-8986.3920124 · Cited by 43 · see citing works
James, A. L., & Barry, R. J. (1984) · International Journal of Psychophysiology · doi:10.1016/0167-8760(84)90037-0 · Cited by 40 · see citing works
Memory for emotionally arousing events over time in Autism Spectrum Disorder.
Maras, K., Gaigg, S., & Bowler, D. (2012) · Emotion · doi:10.1037/a0026679 · Cited by 38 · see citing works
Mathersul, D. C., McDonald, S., & Rushby, J. A. (2012) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2012.11.005 · Cited by 35 · see citing works
Louwerse, A., van der Geest, J. N., Tulen, J. H. M., van der Ende, J., Gool, A. R. V., Verhulst, F. C., & Greaves‐Lord, K. (2013) · Research in Autism · doi:10.1016/j.rasd.2013.04.013 · Cited by 35 · see citing works
The Role of Cardiovascular Reactivity in Hypertension Risk
Lovallo, W. R., & Wilson, M. F. (1992) · Springer eBooks · doi:10.1007/978-1-4899-0697-7_9 · Cited by 34 · see citing works
Sheinkopf, S. J., Neal-Beevers, A. R., Levine, T. P., Miller-Loncar, C., & Lester, B. (2013) · Autism Research and Treatment · doi:10.1155/2013/868396 · Cited by 33 · see citing works
Autism and the Physiology of Stress and Anxiety
Romanczyk, R. G., & Gillis, J. L. (2006) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195182262.003.0008 · Cited by 33 · see citing works
Stagg, S. D., Davis, R. E., & Heaton, P. F. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1780-4 · Cited by 32 · see citing works
Autonomic Responses to Social and Nonsocial Pictures in Adolescents With Autism Spectrum Disorder
Louwerse, A., Tulen, J. H. M., van der Geest, J. N., van der Ende, J., Verhulst, F. C., & Greaves‐Lord, K. (2013) · Autism Research · doi:10.1002/aur.1327 · Cited by 30 · see citing works
Scientific Foundations for Research and Practice
Baron, M. G., Lipsitt, L. P., & Goodwin, M. S. (2006) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195182262.003.0003 · Cited by 17 · see citing works
Self-citationContext Matters: Exploring Definitions of a Poorly Modulated Stress Response
Keenan, K. E., Jacob, S., Grace, D., & Gunthorpe, D. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511575877.004 · Cited by 4 · see citing works
Summary, Conclusions, and Implications
Bachman, J. G., O'Malley, P. M., Schulenberg, J. E., et al. (2014) · Psychology Press eBooks · doi:10.4324/9781410606013-15 · Cited by 4 · see citing works
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Jenkinson, R., Milne, E., & Thompson, A. (2020) · Autism · doi:10.1177/1362361320932437 · Cited by 205 · see citing works
“As there is little consensus in regard to behavioural or physiological measures that are valid for assessing anxiety in this population (Lydon et al., 2016; Vasa et al., 2016), this review will parallel meta-analyses conducted with neurotypical populations (e.”
BackgroundPanju, S., Brian, J., Dupuis, A., Anagnostou, E., & Kushki, A. (2015) · Molecular Autism · doi:10.1186/s13229-015-0057-5 · Cited by 79 · see citing works
Links between self-injury and suicidality in autism
Moseley, R. L., Gregory, N. J., Smith, P., Allison, C., & Baron-Cohen, S. (2020) · Molecular Autism · doi:10.1186/s13229-020-0319-8 · Cited by 76 · see citing works
Tomczak, M. T., Mpofu, E., & Hutson, N. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710982 · Cited by 42 · see citing works
Atypical Emotional Electrodermal Activity in Toddlers with Autism Spectrum Disorder
Vernetti, A., Shic, F., Boccanfuso, L., Macari, S., Kane‐Grade, F., Milgramm, A., Hilton, E., Heymann, P., Goodwin, M. S., & Chawarska, K. (2020) · Autism Research · doi:10.1002/aur.2374 · Cited by 20 · see citing works
Self-citation
- Authors
- Lydon, S., Healy, O., Reed, P., Mulhern, T., Hughes, B. M., & Goodwin, M. S.
- Affiliations
- Trinity College Dublin (IE)
- Swansea University (GB)
- Ollscoil na Gaillimhe – University of Galway (IE)
- Northeastern University (US)
- Corresponding author
- Healy, Olive
- Venue
- Developmental Neurorehabilitation
- Publisher
- Informa UK Limited
- Published
- 2014-10-30
- Volume
- 19
- Issue
- 6
- Pages
- 335-355
- ISSN
- 1363-8491 (ISSN-L)
- 1751-8423
- 1751-8431
- OpenAlex
- W2086426219
- Cited by
- 120
- References
- 116
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 18 · 2023: 16 · 2022: 12 · 2021: 14 · 2020: 14 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 3 · 2015: 5 · 2014: 1
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-sa
- Locations
- Developmental Neurorehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Arrow@dit (Dublin Institute of Technology) (submittedVersion, cc-by-nc-sa)
- Arrow@dit (Dublin Institute of Technology) (submittedVersion)
- ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc-nd)
- Trinity's Access to Research Output (TARA) (Trinity College Dublin) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- autism spectrum disorder, physiological reactivity, psychophysiology, sensory stimuli, social stimuli, emotional stimuli, methodological quality, individual differences
- MeSH terms
- Autistic Disorder, Brain, Electroencephalography, Emotions, Heart Rate, Humans, Hydrocortisone, Saliva, Sensation, Social Adjustment, Stress, Psychological
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