Heather A. Yarger, Malini Sarkar, Eileen Harrington, Elizabeth Redcay
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Autonomic Activity in Individuals with Autism and Anxiety Symptoms: a Systematic Review and Meta-analysis
Autonomic activity has been identified as “atypical” in autistic relative to nonautistic individuals. In nonautistic individuals, atypical autonomic activity is associated with anxiety symptoms. Thus, this systematic review and meta-analysis aimed to assess whether atypical autonomic activity in autistic individuals is explained by the presence of anxiety symptoms. Specifically, we systematically reviewed studies investigating the association between cardiac indicators of autonomic activity (e.g., heart rate variability, respiratory sinus arrhythmia, heart rate response) and anxiety symptoms in autistic individuals. The systematic review identified 36 potential articles for inclusion (32 via databases and registers; 4 via hand searching), yielding 26 described in the qualitative review and 10 articles included in the meta-analysis or quantitative review (that were also included in the qualitative review). Results of the random effects meta-analysis revealed a significant association between respiratory sinus arrythmia collected at rest or baseline and anxiety symptoms (r = -.20).
期刊介绍：
The Review Journal of Autism and Developmental Disorders publishes original articles that provide critical reviews of topics across the broad interdisciplinary research fields of autism spectrum disorders. Topics range from basic to applied and include but are not limited to genetics, neuroscience, diagnosis, applied behavior analysis, psychopharmacology, incidence, prevalence, etiology, differential diagnosis, treatment, measurement of treatment effects, education, perception and cognition. Topics across the life span are appropriate. In addition, given the high rates of comorbid conditions, the interface of sleep disorders, feeding problems, motor difficulties, ADHD, anxiety, depression and other disorders with autism spectrum disorders are appropriate. The Journal aims for an international audience as reflected in the editorial board.
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