Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care
Background. Children with autism spectrum disorders (ASD) commonly exhibit uncooperative behaviors which impede oral care. Previous studies have utilized dentist-report measures of uncooperative behaviors in children with ASD but none have utilized an objective measure of children’s behavior or a ph...
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| creator | Stein, Leah I. Lane, Christianne J. Williams, Marian E. Dawson, Michael E. Polido, José C. Cermak, Sharon A. |
| description | Background. Children with autism spectrum disorders (ASD) commonly exhibit uncooperative behaviors which impede oral care. Previous studies have utilized dentist-report measures of uncooperative behaviors in children with ASD but none have utilized an objective measure of children’s behavior or a physiological measure of distress. This study investigated behavioral and physiological distress in children with ASD during routine oral care and examined factors associated with this distress. Methods. Participants were 44 children (n=22 typical, n=22 ASD) aged 6–12 receiving routine dental cleanings. Behavioral and physiological measures of stress and anxiety were collected during dental cleanings. Results. Children with ASD exhibited greater distress, compared to the typical group, on dentist-report and researcher-coded measures of overt distress behaviors and on physiological measures. Correlations between physiological and behavioral measures of distress were found in the ASD but not in the typical group. Behavioral distress was correlated with age in the typical group and with expressive communication ability and sensory processing difficulties in the ASD group; physiological distress was correlated with parent-report of anxiety in the typical group and sensory processing difficulties in the ASD group. Conclusions. Novel strategies may be required to decrease behavioral and physiological distress in children with ASD in the dental clinic. |
| doi_str_mv | 10.1155/2014/694876 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4119730</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A427024094</galeid><sourcerecordid>A427024094</sourcerecordid><originalsourceid>FETCH-LOGICAL-c527t-174f07c57f9f54f8431b29496365a6991e7bd308320cf3574665ec022964a4a03</originalsourceid><addsrcrecordid>eNqFkktv1DAURiMEolXpijXIEhsEGurrZ7xBGoanVKmIwtryOM7EVcYe7KRl_j0OKcNjU2_8Ojq-vvqq6jHgVwCcnxEM7EwoVktxrzomFNhCAIP7hzWlR9Vpzle4jBoEVuJhdUQ4AFMgjqv8udtnH_u48db0yIQGvXGdufYxle3lkFzOv06X4Yd3wx75gFad75vkArrxQ4eW4-DzFl3unB3SuEVvfY6pcSmjZkw-bNCXWIjg0MVkXJnkHlUPWtNnd3o7n1Tf3r_7uvq4OL_48Gm1PF9YTuSwAMlaLC2XrWo5a2tGYU0UU4IKboRS4OS6obimBNuWcsmE4M5iQpRghhlMT6rXs3c3rreusS4MpQS9S35r0l5H4_W_N8F3ehOvNQNQkk6C57eCFL-PLg9667N1fW-Ci2PWIAAE5YKLu1HOKWBZq8n67D_0Ko4plE5MFKnL24L9oTamd9qHNpYS7STVS0YkJgyriXo5UzbFnJNrD78DrKeA6Ckgeg5IoZ_-3ZAD-zsOBXgxA50Pjbnxd9iezLAriGvNAS4qQij9CVkQydM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1552819764</pqid></control><display><type>article</type><title>Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care</title><source>MEDLINE</source><source>PubMed Central Open Access</source><source>Wiley-Blackwell Open Access Titles</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Stein, Leah I. ; Lane, Christianne J. ; Williams, Marian E. ; Dawson, Michael E. ; Polido, José C. ; Cermak, Sharon A.</creator><contributor>Dórea, Jose G.</contributor><creatorcontrib>Stein, Leah I. ; Lane, Christianne J. ; Williams, Marian E. ; Dawson, Michael E. ; Polido, José C. ; Cermak, Sharon A. ; Dórea, Jose G.</creatorcontrib><description>Background. Children with autism spectrum disorders (ASD) commonly exhibit uncooperative behaviors which impede oral care. Previous studies have utilized dentist-report measures of uncooperative behaviors in children with ASD but none have utilized an objective measure of children’s behavior or a physiological measure of distress. This study investigated behavioral and physiological distress in children with ASD during routine oral care and examined factors associated with this distress. Methods. Participants were 44 children (n=22 typical, n=22 ASD) aged 6–12 receiving routine dental cleanings. Behavioral and physiological measures of stress and anxiety were collected during dental cleanings. Results. Children with ASD exhibited greater distress, compared to the typical group, on dentist-report and researcher-coded measures of overt distress behaviors and on physiological measures. Correlations between physiological and behavioral measures of distress were found in the ASD but not in the typical group. Behavioral distress was correlated with age in the typical group and with expressive communication ability and sensory processing difficulties in the ASD group; physiological distress was correlated with parent-report of anxiety in the typical group and sensory processing difficulties in the ASD group. Conclusions. Novel strategies may be required to decrease behavioral and physiological distress in children with ASD in the dental clinic.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2014/694876</identifier><identifier>PMID: 25114916</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Puplishing Corporation</publisher><subject>Anxiety ; Anxiety - physiopathology ; Autism ; Behavior ; Child ; Child Development Disorders, Pervasive - physiopathology ; Child Development Disorders, Pervasive - psychology ; Children ; Children & youth ; Dental Care for Children - psychology ; Female ; Galvanic Skin Response - physiology ; Humans ; Male ; Pervasive developmental disorders ; Stress ; Stress (Psychology) ; Stress, Psychological - physiopathology ; Studies</subject><ispartof>BioMed research international, 2014-01, Vol.2014 (2014), p.1-10</ispartof><rights>Copyright © 2014 Leah I. Stein et al.</rights><rights>COPYRIGHT 2014 John Wiley & Sons, Inc.</rights><rights>Copyright © 2014 Leah I. Stein et al. Leah I. Stein et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Leah I. Stein et al. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-174f07c57f9f54f8431b29496365a6991e7bd308320cf3574665ec022964a4a03</citedby><cites>FETCH-LOGICAL-c527t-174f07c57f9f54f8431b29496365a6991e7bd308320cf3574665ec022964a4a03</cites><orcidid>0000-0001-7208-9401</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119730/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119730/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25114916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Dórea, Jose G.</contributor><creatorcontrib>Stein, Leah I.</creatorcontrib><creatorcontrib>Lane, Christianne J.</creatorcontrib><creatorcontrib>Williams, Marian E.</creatorcontrib><creatorcontrib>Dawson, Michael E.</creatorcontrib><creatorcontrib>Polido, José C.</creatorcontrib><creatorcontrib>Cermak, Sharon A.</creatorcontrib><title>Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background. Children with autism spectrum disorders (ASD) commonly exhibit uncooperative behaviors which impede oral care. Previous studies have utilized dentist-report measures of uncooperative behaviors in children with ASD but none have utilized an objective measure of children’s behavior or a physiological measure of distress. This study investigated behavioral and physiological distress in children with ASD during routine oral care and examined factors associated with this distress. Methods. Participants were 44 children (n=22 typical, n=22 ASD) aged 6–12 receiving routine dental cleanings. Behavioral and physiological measures of stress and anxiety were collected during dental cleanings. Results. Children with ASD exhibited greater distress, compared to the typical group, on dentist-report and researcher-coded measures of overt distress behaviors and on physiological measures. Correlations between physiological and behavioral measures of distress were found in the ASD but not in the typical group. Behavioral distress was correlated with age in the typical group and with expressive communication ability and sensory processing difficulties in the ASD group; physiological distress was correlated with parent-report of anxiety in the typical group and sensory processing difficulties in the ASD group. Conclusions. Novel strategies may be required to decrease behavioral and physiological distress in children with ASD in the dental clinic.</description><subject>Anxiety</subject><subject>Anxiety - physiopathology</subject><subject>Autism</subject><subject>Behavior</subject><subject>Child</subject><subject>Child Development Disorders, Pervasive - physiopathology</subject><subject>Child Development Disorders, Pervasive - psychology</subject><subject>Children</subject><subject>Children & youth</subject><subject>Dental Care for Children - psychology</subject><subject>Female</subject><subject>Galvanic Skin Response - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Pervasive developmental disorders</subject><subject>Stress</subject><subject>Stress (Psychology)</subject><subject>Stress, Psychological - physiopathology</subject><subject>Studies</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkktv1DAURiMEolXpijXIEhsEGurrZ7xBGoanVKmIwtryOM7EVcYe7KRl_j0OKcNjU2_8Ojq-vvqq6jHgVwCcnxEM7EwoVktxrzomFNhCAIP7hzWlR9Vpzle4jBoEVuJhdUQ4AFMgjqv8udtnH_u48db0yIQGvXGdufYxle3lkFzOv06X4Yd3wx75gFad75vkArrxQ4eW4-DzFl3unB3SuEVvfY6pcSmjZkw-bNCXWIjg0MVkXJnkHlUPWtNnd3o7n1Tf3r_7uvq4OL_48Gm1PF9YTuSwAMlaLC2XrWo5a2tGYU0UU4IKboRS4OS6obimBNuWcsmE4M5iQpRghhlMT6rXs3c3rreusS4MpQS9S35r0l5H4_W_N8F3ehOvNQNQkk6C57eCFL-PLg9667N1fW-Ci2PWIAAE5YKLu1HOKWBZq8n67D_0Ko4plE5MFKnL24L9oTamd9qHNpYS7STVS0YkJgyriXo5UzbFnJNrD78DrKeA6Ckgeg5IoZ_-3ZAD-zsOBXgxA50Pjbnxd9iezLAriGvNAS4qQij9CVkQydM</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Stein, Leah I.</creator><creator>Lane, Christianne J.</creator><creator>Williams, Marian E.</creator><creator>Dawson, Michael E.</creator><creator>Polido, José C.</creator><creator>Cermak, Sharon A.</creator><general>Hindawi Puplishing Corporation</general><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7208-9401</orcidid></search><sort><creationdate>20140101</creationdate><title>Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care</title><author>Stein, Leah I. ; Lane, Christianne J. ; Williams, Marian E. ; Dawson, Michael E. ; Polido, José C. ; Cermak, Sharon A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c527t-174f07c57f9f54f8431b29496365a6991e7bd308320cf3574665ec022964a4a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anxiety</topic><topic>Anxiety - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stein, Leah I.</au><au>Lane, Christianne J.</au><au>Williams, Marian E.</au><au>Dawson, Michael E.</au><au>Polido, José C.</au><au>Cermak, Sharon A.</au><au>Dórea, Jose G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>2014</volume><issue>2014</issue><spage>1</spage><epage>10</epage><pages>1-10</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Background. Children with autism spectrum disorders (ASD) commonly exhibit uncooperative behaviors which impede oral care. Previous studies have utilized dentist-report measures of uncooperative behaviors in children with ASD but none have utilized an objective measure of children’s behavior or a physiological measure of distress. This study investigated behavioral and physiological distress in children with ASD during routine oral care and examined factors associated with this distress. Methods. Participants were 44 children (n=22 typical, n=22 ASD) aged 6–12 receiving routine dental cleanings. Behavioral and physiological measures of stress and anxiety were collected during dental cleanings. Results. Children with ASD exhibited greater distress, compared to the typical group, on dentist-report and researcher-coded measures of overt distress behaviors and on physiological measures. Correlations between physiological and behavioral measures of distress were found in the ASD but not in the typical group. Behavioral distress was correlated with age in the typical group and with expressive communication ability and sensory processing difficulties in the ASD group; physiological distress was correlated with parent-report of anxiety in the typical group and sensory processing difficulties in the ASD group. Conclusions. Novel strategies may be required to decrease behavioral and physiological distress in children with ASD in the dental clinic.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Puplishing Corporation</pub><pmid>25114916</pmid><doi>10.1155/2014/694876</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7208-9401</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anxiety Anxiety - physiopathology Autism Behavior Child Child Development Disorders, Pervasive - physiopathology Child Development Disorders, Pervasive - psychology Children Children & youth Dental Care for Children - psychology Female Galvanic Skin Response - physiology Humans Male Pervasive developmental disorders Stress Stress (Psychology) Stress, Psychological - physiopathology Studies |
| title | Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care |
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