Clinicians, parents should watch for concurrent medical and psychiatric problems that affect treatment of ASD
Sept. 19, 2012
Jesslyn Chew, ChewJ@missouri.edu
By Kate McIntyre
COLUMBIA, Mo. – One in 88 children has been diagnosed with an autism spectrum disorder (ASD) in the United States, according to the Centers for Disease Control and Prevention. A new study by a University of Missouri researcher found that many children with ASD also experience anxiety, chronic gastrointestinal (GI) problems and atypical sensory responses, which are heightened reactions to light, sound or particular textures. These problems appear to be highly related and can have significant effects on children’s daily lives, including their functioning at home and in school.
Micah Mazurek, an assistant professor of health psychology and a clinical child psychologist, found in her study of 2,973 children and adolescents with ASD that nearly one-fourth also had chronic GI problems, such as constipation, abdominal pain, bloating, diarrhea or nausea. The results also showed that children with chronic GI problems were more likely to experience anxiety and sensory problems.
“These problems can have a very real impact on daily life. Children with anxiety may be distressed or reluctant to engage in new activities, and those with sensory problems may have trouble paying attention or participating in over-stimulating enviornments,” Mazurek said. “These children may also suffer uncomfortable GI problems that they may not be able to communicate about to adults.”
Clinicians should be aware that anxiety, GI problems and sensory sensitivity often co-occur in individuals with ASD. Effectively managing these concurrent issues may improve children’s quality of life and their responses to treatment, Mazurek said.
“Parents need to be aware that these problems may underlie some of their children’s difficulties, so if they notice any symptoms, they should talk to their doctors or therapists about treatment options,” Mazurek said. “Practitioners who work with children with ASD need to be mindful that there is a pretty high rate of these problems, so if children are treated for one issue, it may helpful to screen for these additional symptoms.”
This is the first study to examine the relationships among anxiety, GI problems and sensory over-responsivity in a large, nationally representative sample of children and adolescents with ASD. Participants in the study were enrolled in the Autism Treatment Network, a network of 17 autism centers throughout North America that are focused on best practices for medical treatment of children with ASD.
The study, “Anxiety, Sensory Over-Responsivity, and Gastrointestinal Problems in Children with Autism Spectrum Disorders,” was published in the Journal of Abnormal Child Psychology. Mazurek is an assistant professor in the Department of Health Psychology in the MU School of Health Professions and a clinical child psychologist at the MU Thompson Center for Autism and Neurodevelopmental Disorders. Mazurek’s coauthors from the School of Health Professions include Stephen Kanne, executive director of the Thompson Center and the William and Nancy Thompson Endowed Chair in Child Health in the Department of Health Psychology; and Lee Ann Lowery, director of the MU Pediatric Occupational Therapy Clinic in the Thompson Center and a clinical associate professor in the Department of Occupational Therapy. Several experts external to MU also contributed to the study.