Significance: Children with autism spectrum disorder (ASD) demonstrate significant variation in the degree and patterning of core symptomatology as well as high rates of comorbid externalizing behavior problems that can exacerbate impairment in functioning and impede learning. Few factors have been identified as predictive of individual differences in the behavioral phenotype of children with ASD. Innovation: The proposed study builds upon methods that have been successful in understanding individual differences in externalizing problems and clinical symptomatology in children with neurotypical development and other clinical disorders, to elucidate heterogeneity in the presentation of children with ASD. Electrodermal activity (EDA), a measure of sympathetic nervous system activity, is a reliable predictor of externalizing problems in children without ASD, and is related to symptom presentation across multiple clinical disorders. EDA patterns index an individual's fight or fligh response, and these tendencies often interact with the social environment to impart risk and to predict broad functioning. The proposed investigation utilizes new technology that allows for the measurement and modeling of long-term EDA during naturalistic, interactive contexts, and is feasible for use among children with considerable variability in developmental functioning. Project Goal: The proposed study examines EDA as a predictor of externalizing psychopathology and ASD symptomatology in children with ASD (Aim 1), and tests whether these associations are moderated by social factors (Aim 2). Approach: Seventy-five children with ASD between the ages of 6 and 10 years, and their primary caregivers, will participate in a laboratory visit, and parents will complete interviews and questionnaires. Multiple indices of EDA will be measured across structured contexts designed to elicit particular child emotional responses, including compliance situations and mild frustration tasks. We expect that children's EDA profiles will meaningfully predict broad functioning. Specifically, we hypothesize that low EDA arousal will positively predict externalizing psychopathology, including behavioral symptoms as well as formal disorder, whereas greater EDA reactivity will be associated with higher levels of ASD symptoms. Consistent with literature highlighting the importance of the social environment to understanding links between EDA and outcomes, we will test whether harsh and supportive parenting moderate the association between EDA and clinical presentation. Impact: Improved understanding of interactions between children's arousal tendencies and environmental supports will enhance long-term health through tailoring of intervention strategies to reduce challenging behaviors and promote learning readiness in children with ASD. In addition to contributions to clinical science, the proposed study will increase and diversify training opportunities for undergraduate and master's-level students at our designated Hispanic- Serving (HSI) Institution, preparing these students for careers in the biobehavioral sciences.

Public Health Relevance

Children with autism spectrum disorder (ASD) present with diverse profiles of ASD symptomatology and associated behavioral difficulties. The project will investigate variation in psychophysiological arousal patterns to predict individual differences in clinical outcomes for children with ASD. Greater understanding of the way in which arousal tendencies interact with environmental supports will enhance long-term health through improved tailoring of intervention strategies to reduce challenging behaviors and promote learning readiness for these children.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Academic Research Enhancement Awards (AREA) (R15)
Project #
1R15HD087877-01
Application #
9098490
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Kau, Alice S
Project Start
2016-04-01
Project End
2019-03-31
Budget Start
2016-04-01
Budget End
2019-03-31
Support Year
1
Fiscal Year
2016
Total Cost
Indirect Cost
Name
California State University Fullerton
Department
Other Health Professions
Type
Sch Allied Health Professions
DUNS #
106670755
City
Fullerton
State
CA
Country
United States
Zip Code
92831
Baker, Jason K; Fenning, Rachel M; Howland, Mariann A et al. (2018) Parental criticism and behavior problems in children with autism spectrum disorder. Autism :1362361318804190
Fenning, Rachel M; Baker, Jason K; Moffitt, Jacquelyn (2018) Intrinsic and Extrinsic Predictors of Emotion Regulation in Children with Autism Spectrum Disorder. J Autism Dev Disord 48:3858-3870
Baker, Jason K; Fenning, Rachel M; Erath, Stephen A et al. (2018) Sympathetic Under-Arousal and Externalizing Behavior Problems in Children with Autism Spectrum Disorder. J Abnorm Child Psychol 46:895-906