Evidence map›Paper›PMID 31397547›Full record

ArticleAutism research : official journal of the International Society for Autism Research2019

Sympathetic-Parasympathetic Interaction and Externalizing Problems in Children with Autism Spectrum Disorder.

Rachel M Fenning, Stephen A Erath, Jason K Baker, Daniel S Messinger, Jacquelyn Moffitt, Brian R Baucom, Alexander K Kaeppler

Abstract read
In one paragraph

Article in Autism research : official journal of the International Society for Autism Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Valence-Arousal Asymmetry: Rethinking Facial Emotion Recognition in Preschool Autism Through Eye-Tracking.Autism research : official journal of the International Society for Autism Research · 2026
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  7. Autonomic Disequilibrium at Rest in Autistic Children and Adults.Applied psychophysiology and biofeedback · 2025
    Article
  8. Article
  9. Article
  10. Parasympathetic withdrawal indexes risk for emotion dysregulation in children with autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2022
    Article
  11. Parasympathetic functioning and sleep problems in children with autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2022
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Atypical Emotional Electrodermal Activity in Toddlers with Autism Spectrum Disorder.Autism research : official journal of the International Society for Autism Research · 2020
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rachel M FenningCalifornia State University, Fullerton, California.ORCID 0000-0003-4688-0499
Stephen A ErathAuburn University, Auburn, Alabama.
Jason K BakerCalifornia State University, Fullerton, California.
Daniel S MessingerUniversity of Miami, Coral Gables, Florida.
Jacquelyn MoffittCalifornia State University, Fullerton, California.
Brian R BaucomUniversity of Utah, Utah, Salt Lake City, Utah.
Alexander K KaepplerAuburn University, Auburn, Alabama.

Funding

Arousal Tendencies and Individual Differences in Children with Autism Spectrum DisorderR15HD087877 · NICHD · CALIFORNIA STATE UNIVERSITY FULLERTON · PI BAKER, JASON K · 2016 to 2016
$413k
NICHD NIH HHS R15 HD087877
6 · The paper itself

Abstract

Children with autism spectrum disorder (ASD) exhibit significant difficulties with emotion regulation and reactivity, which may be linked to underlying psychophysiology. The present study examined associations between autonomic nervous system activity and individual differences in externalizing behavior problems in children with ASD. A multisystem approach was adopted to consider the interplay between markers of sympathetic (electrodermal reactivity-EDA-R) and parasympathetic reactivity (respiratory sinus arrhythmia reactivity-RSA-R) in relation to behavioral challenges. Fifty-two children with ASD ages 6-10 years contributed complete psychophysiological data. Measures of EDA-R and RSA-R (RSA withdrawal) were obtained in response to a laboratory challenge task and parents reported on child externalizing behavior problems using a standardized questionnaire and a structured clinical interview. An equifinality model was supported, with two distinct psychophysiological pathways linked to heightened externalizing behavior problems. Greater RSA-R was associated with more externalizing problems in the context of higher levels of EDA-R, and lower EDA-R was associated with increased externalizing problems at lower levels of RSA-R. Findings underscore the importance of considering the role of psychophysiology in the unfolding of comorbid externalizing problems in children with ASD. Potential implications for tailoring coregulatory supports are discussed. Autism Res 2019, 12: 1805-1816. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Children with autism spectrum disorder (ASD) exhibit elevated rates of challenging behavior. This study identified specific psychophysiological profiles (low sympathetic-low parasympathetic reactivity, and high sympathetic-high parasympathetic reactivity) that may place these children at greater risk for behavior problems. Findings have implications for better understanding behavioral challenges in children with ASD, and for tailoring supports to address underlying psychophysiology.

Indexed as

Autism Spectrum DisorderChildChild Behavior DisordersFemaleHumansIndividualityMaleParasympathetic Nervous SystemSurveys and QuestionnairesSympathetic Nervous Systemautism spectrum disorderautonomic nervous systemelectrodermal activityemotion regulationexternalizing behavior problemspsychophysiologyrespiratory sinus arrhythmia

Identifiers

PMID31397547
PMCPMC7153908

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.