Autonomic Activity in Individuals with Autism and Anxiety Symptoms: a Systematic Review and Meta-analysis

IF 2.9 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Review Journal of Autism and Developmental Disorders Pub Date : 2024-04-03 DOI:10.1007/s40489-024-00449-y

Heather A. Yarger, Malini Sarkar, Eileen Harrington, Elizabeth Redcay

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Abstract

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).

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自闭症和焦虑症状患者的自律神经活动：系统回顾与元分析

与非自闭症患者相比，自闭症患者的自律神经活动被认为是 "非典型 "的。在非自闭症患者中，非典型自律神经活动与焦虑症状有关。因此，本系统综述和荟萃分析旨在评估自闭症患者的非典型自律神经活动是否与焦虑症状有关。具体来说，我们系统回顾了有关自闭症患者自律神经活动的心脏指标（如心率变异性、呼吸窦性心律失常、心率反应）与焦虑症状之间关系的研究。系统综述确定了 36 篇可能纳入的文章（32 篇通过数据库和登记册；4 篇通过人工搜索），其中 26 篇在定性综述中有所描述，10 篇纳入了荟萃分析或定量综述（也纳入了定性综述）。随机效应荟萃分析的结果显示，在静息或基线时收集到的呼吸窦性节律与焦虑症状之间存在显著关联（r = -.20）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Review Journal of Autism and Developmental Disorders PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

8.40

自引率

0.00%

发文量

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.