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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...

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Autores principales: Stein, Leah I., Lane, Christianne J., Williams, Marian E., Dawson, Michael E., Polido, José C., Cermak, Sharon A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119730/
https://www.ncbi.nlm.nih.gov/pubmed/25114916
http://dx.doi.org/10.1155/2014/694876
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author Stein, Leah I.
Lane, Christianne J.
Williams, Marian E.
Dawson, Michael E.
Polido, José C.
Cermak, Sharon A.
author_facet Stein, Leah I.
Lane, Christianne J.
Williams, Marian E.
Dawson, Michael E.
Polido, José C.
Cermak, Sharon A.
author_sort Stein, Leah I.
collection PubMed
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.
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spelling pubmed-41197302014-08-11 Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care Stein, Leah I. Lane, Christianne J. Williams, Marian E. Dawson, Michael E. Polido, José C. Cermak, Sharon A. Biomed Res Int Research Article 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. Hindawi Publishing Corporation 2014 2014-07-10 /pmc/articles/PMC4119730/ /pubmed/25114916 http://dx.doi.org/10.1155/2014/694876 Text en Copyright © 2014 Leah I. Stein et al. https://creativecommons.org/licenses/by/3.0/ 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.
spellingShingle Research Article
Stein, Leah I.
Lane, Christianne J.
Williams, Marian E.
Dawson, Michael E.
Polido, José C.
Cermak, Sharon A.
Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care
title Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care
title_full Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care
title_fullStr Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care
title_full_unstemmed Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care
title_short Physiological and Behavioral Stress and Anxiety in Children with Autism Spectrum Disorders during Routine Oral Care
title_sort physiological and behavioral stress and anxiety in children with autism spectrum disorders during routine oral care
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119730/
https://www.ncbi.nlm.nih.gov/pubmed/25114916
http://dx.doi.org/10.1155/2014/694876
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