Brief Report: Theatre as Therapy for Children with Autism Spectrum Disorder / Blythe A. CORBETT in Journal of Autism and Developmental Disorders, 41-4 (April 2011)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 41-4 (April 2011) . - p.505-511 Titre : Brief Report: Theatre as Therapy for Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Blythe A. CORBETT, Auteur ; Joan R. GUNTHER, Auteur ; Dan COMINS, Auteur ; Jenifer PRICE, Auteur ; Niles RYAN, Auteur ; David SIMON, Auteur ; Clayton W. SCHUPP, Auteur ; Taylor RIOS, Auteur Année de publication : 2011 Article en page(s) : p.505-511 Langues : Anglais (eng) Mots-clés : Autism  Theatre  Cortisol  Video modeling  Social  Stress Index. décimale : PER Périodiques Résumé : The pilot investigation evaluated a theatrical intervention program, Social Emotional NeuroScience Endocrinology (SENSE) Theatre, designed to improve socioemotional functioning and reduce stress in children with autism spectrum disorder (ASD). Eight children with ASD were paired with typically developing peers that served as expert models. Neuropsychological, biological (cortisol and oxytocin), and behavioral measures were assessed in a pretest–posttest design. The intervention was embedded in a full musical theatrical production. Participants showed some improvement in face identification and theory of mind skills. The intervention shows potential promise in improving the socioemotional functioning in children with ASD through the utilization of peers, video and behavioral modeling, and a community-based theatrical setting. En ligne : http://dx.doi.org/10.1007/s10803-010-1064-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=119 [article] Brief Report: Theatre as Therapy for Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Blythe A. CORBETT, Auteur ; Joan R. GUNTHER, Auteur ; Dan COMINS, Auteur ; Jenifer PRICE, Auteur ; Niles RYAN, Auteur ; David SIMON, Auteur ; Clayton W. SCHUPP, Auteur ; Taylor RIOS, Auteur . - 2011 . - p.505-511. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 41-4 (April 2011) . - p.505-511 Mots-clés : Autism  Theatre  Cortisol  Video modeling  Social  Stress Index. décimale : PER Périodiques Résumé : The pilot investigation evaluated a theatrical intervention program, Social Emotional NeuroScience Endocrinology (SENSE) Theatre, designed to improve socioemotional functioning and reduce stress in children with autism spectrum disorder (ASD). Eight children with ASD were paired with typically developing peers that served as expert models. Neuropsychological, biological (cortisol and oxytocin), and behavioral measures were assessed in a pretest–posttest design. The intervention was embedded in a full musical theatrical production. Participants showed some improvement in face identification and theory of mind skills. The intervention shows potential promise in improving the socioemotional functioning in children with ASD through the utilization of peers, video and behavioral modeling, and a community-based theatrical setting. En ligne : http://dx.doi.org/10.1007/s10803-010-1064-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=119

Comparing biobehavioral profiles across two social stress paradigms in children with and without autism spectrum disorders / Blythe A. CORBETT in Molecular Autism, (November 2012)  

Public ISBD [article]  inMolecular Autism > (November 2012) . - 10 p. Titre : Comparing biobehavioral profiles across two social stress paradigms in children with and without autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Blythe A. CORBETT, Auteur ; Clayton W. SCHUPP, Auteur ; Kimberly E. LANNI, Auteur Année de publication : 2012 Article en page(s) : 10 p. Langues : Anglais (eng) Mots-clés : Cortisol  Autism  Stress  Novelty  Peer  Age Distribution Index. décimale : PER Périodiques Résumé : BACKGROUND:Autism spectrum disorders (ASD) are defined by impairment in reciprocal social interaction and flexible adaptation to the environment. This study compared physiological stress in children with and without ASD exposed to two social stress protocols. We hypothesized that the ASD group would show heightened initial and enduring cortisol levels to the social stressors, which would be moderated by age and intelligence.METHODS:Twenty-seven children with ASD and 32 with typical development (TYP) completed a standardized social-evaluative performance task and a validated paradigm of social play with peers. Physiological stress was measured by salivary cortisol at nine time points. Statistical approaches included repeated-measures linear mixed models and correlation analyses.RESULTS:The average cortisol level of both groups during initial exposure to social situations was significantly greater than baseline levels (ASD, P = 0.018; TYP, P = 0.006). Stress responsivity was significantly different between the groups; the TYP group showed a significant reduction in cortisol over time (P = 0.023), whereas the ASD group maintained an elevated cortisol level (P 0.05). The ASD group evidenced greater variability in between-group, within-group and intra-individual analyses. Age was a positive moderator of stress for the ASD group (P = 0.047), whereas IQ was a negative moderator for the TYP group (P = 0.061).CONCLUSIONS:Initial stress to novel social scenarios is idiosyncratic and predictive of subsequent exposure. Amidst significant variability in cortisol, children with ASD show enhanced and sustained social stress that increases with age. Developmental and cognitive factors differentially moderate stress in children with ASD and TYP, respectively. A model of neuroendocrine reactivity is proposed. En ligne : http://dx.doi.org/10.1186/2040-2392-3-13 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=202 [article] Comparing biobehavioral profiles across two social stress paradigms in children with and without autism spectrum disorders [Texte imprimé et/ou numérique] / Blythe A. CORBETT, Auteur ; Clayton W. SCHUPP, Auteur ; Kimberly E. LANNI, Auteur . - 2012 . - 10 p. Langues : Anglais (eng) in Molecular Autism > (November 2012) . - 10 p. Mots-clés : Cortisol  Autism  Stress  Novelty  Peer  Age Distribution Index. décimale : PER Périodiques Résumé : BACKGROUND:Autism spectrum disorders (ASD) are defined by impairment in reciprocal social interaction and flexible adaptation to the environment. This study compared physiological stress in children with and without ASD exposed to two social stress protocols. We hypothesized that the ASD group would show heightened initial and enduring cortisol levels to the social stressors, which would be moderated by age and intelligence.METHODS:Twenty-seven children with ASD and 32 with typical development (TYP) completed a standardized social-evaluative performance task and a validated paradigm of social play with peers. Physiological stress was measured by salivary cortisol at nine time points. Statistical approaches included repeated-measures linear mixed models and correlation analyses.RESULTS:The average cortisol level of both groups during initial exposure to social situations was significantly greater than baseline levels (ASD, P = 0.018; TYP, P = 0.006). Stress responsivity was significantly different between the groups; the TYP group showed a significant reduction in cortisol over time (P = 0.023), whereas the ASD group maintained an elevated cortisol level (P 0.05). The ASD group evidenced greater variability in between-group, within-group and intra-individual analyses. Age was a positive moderator of stress for the ASD group (P = 0.047), whereas IQ was a negative moderator for the TYP group (P = 0.061).CONCLUSIONS:Initial stress to novel social scenarios is idiosyncratic and predictive of subsequent exposure. Amidst significant variability in cortisol, children with ASD show enhanced and sustained social stress that increases with age. Developmental and cognitive factors differentially moderate stress in children with ASD and TYP, respectively. A model of neuroendocrine reactivity is proposed. En ligne : http://dx.doi.org/10.1186/2040-2392-3-13 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=202

Comparing cortisol, stress, and sensory sensitivity in children with autism / Blythe A. CORBETT in Autism Research, 2-1 (February 2009)  

Public ISBD [article]  inAutism Research > 2-1 (February 2009) . - p.39-49 Titre : Comparing cortisol, stress, and sensory sensitivity in children with autism Type de document : Texte imprimé et/ou numérique Auteurs : Blythe A. CORBETT, Auteur ; Seymour LEVINE, Auteur ; Clayton W. SCHUPP, Auteur ; Sally MENDOZA, Auteur Année de publication : 2009 Article en page(s) : p.39-49 Langues : Anglais (eng) Mots-clés : autism cortisol diurnal-variation stress LHPA sensory-sensitivity Index. décimale : PER Périodiques Résumé : Previously we reported that children with autism show significant variability in cortisol. The current investigation was designed to extend these findings by exploring plausible relationships between cortisol and psychological measures of stress and sensory functioning. Salivary cortisol values for diurnal rhythms and response to stress in children with and without autism were compared to parent-report measures of child stress, the Stress Survey Schedule (SSS), sensory functioning, Short Sensory Profile (SSP), and Parenting Stress Index. In autism, a negative relationship between morning cortisol and the SSS revealed that higher observed symptoms of stress were related to lower cortisol. Lower cortisol is seen in conditions of chronic stress and in social situations characterized by unstable social relationships. Sensory sensitivity painted a more complicated picture, in that some aspects of SSP were associated with higher while others were associated with lower cortisol. We propose that increased sensory sensitivity may enhance the autistic child's susceptibility to the influence of zeitgeibers reflected in variable cortisol secretion. Evening cortisol was positively associated with SSS such that the higher the level of evening cortisol, the higher the child's parent-reported daily stress, especially to changes, such as in daily routine. Regarding the response to stress, the psychological and parent variables did not differentiate the groups; rather, discrete subgroups of cortisol responders and nonresponders were revealed in both the autism and neurotypical children. The results support a complex interplay between physiological and behavioral stress and sensory sensitivity in autism and plausible developmental factors influencing stress reactivity across the groups. En ligne : http://dx.doi.org/10.1002/aur.64 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=935 [article] Comparing cortisol, stress, and sensory sensitivity in children with autism [Texte imprimé et/ou numérique] / Blythe A. CORBETT, Auteur ; Seymour LEVINE, Auteur ; Clayton W. SCHUPP, Auteur ; Sally MENDOZA, Auteur . - 2009 . - p.39-49. Langues : Anglais (eng) in Autism Research > 2-1 (February 2009) . - p.39-49 Mots-clés : autism cortisol diurnal-variation stress LHPA sensory-sensitivity Index. décimale : PER Périodiques Résumé : Previously we reported that children with autism show significant variability in cortisol. The current investigation was designed to extend these findings by exploring plausible relationships between cortisol and psychological measures of stress and sensory functioning. Salivary cortisol values for diurnal rhythms and response to stress in children with and without autism were compared to parent-report measures of child stress, the Stress Survey Schedule (SSS), sensory functioning, Short Sensory Profile (SSP), and Parenting Stress Index. In autism, a negative relationship between morning cortisol and the SSS revealed that higher observed symptoms of stress were related to lower cortisol. Lower cortisol is seen in conditions of chronic stress and in social situations characterized by unstable social relationships. Sensory sensitivity painted a more complicated picture, in that some aspects of SSP were associated with higher while others were associated with lower cortisol. We propose that increased sensory sensitivity may enhance the autistic child's susceptibility to the influence of zeitgeibers reflected in variable cortisol secretion. Evening cortisol was positively associated with SSS such that the higher the level of evening cortisol, the higher the child's parent-reported daily stress, especially to changes, such as in daily routine. Regarding the response to stress, the psychological and parent variables did not differentiate the groups; rather, discrete subgroups of cortisol responders and nonresponders were revealed in both the autism and neurotypical children. The results support a complex interplay between physiological and behavioral stress and sensory sensitivity in autism and plausible developmental factors influencing stress reactivity across the groups. En ligne : http://dx.doi.org/10.1002/aur.64 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=935

Cortisol Responsivity Differences in Children with Autism Spectrum Disorders During Free and Cooperative Play / Clayton W. SCHUPP in Journal of Autism and Developmental Disorders, 43-10 (October 2013)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 43-10 (October 2013) . - p.2405-2417 Titre : Cortisol Responsivity Differences in Children with Autism Spectrum Disorders During Free and Cooperative Play Type de document : Texte imprimé et/ou numérique Auteurs : Clayton W. SCHUPP, Auteur ; David SIMON, Auteur ; Blythe A. CORBETT, Auteur Article en page(s) : p.2405-2417 Langues : Anglais (eng) Mots-clés : Autism  Cortisol  Play  Social  Stress  Responder Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorder (ASD) demonstrate significant heterogeneity in their profiles of social interaction and stress responsivity. We evaluated behavior and stress response in 52 male children ages 8–12 in a naturalistic playground interaction paradigm involving a child with ASD, a typically developing peer, and a same-age confederate. Younger children in the ASD group engaged in 5.8 times more approach behavior and showed a lower cortisol response than their older peers. Those that verbally initiated with their peers also showed a higher cortisol response. Older children with ASD exhibited the highest stress responsivity, while younger children with ASD showed more willingness to approach others without apparent stress. Intervening early and often may contribute to improvements in social engagement in youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-013-1790-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=215 [article] Cortisol Responsivity Differences in Children with Autism Spectrum Disorders During Free and Cooperative Play [Texte imprimé et/ou numérique] / Clayton W. SCHUPP, Auteur ; David SIMON, Auteur ; Blythe A. CORBETT, Auteur . - p.2405-2417. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 43-10 (October 2013) . - p.2405-2417 Mots-clés : Autism  Cortisol  Play  Social  Stress  Responder Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorder (ASD) demonstrate significant heterogeneity in their profiles of social interaction and stress responsivity. We evaluated behavior and stress response in 52 male children ages 8–12 in a naturalistic playground interaction paradigm involving a child with ASD, a typically developing peer, and a same-age confederate. Younger children in the ASD group engaged in 5.8 times more approach behavior and showed a lower cortisol response than their older peers. Those that verbally initiated with their peers also showed a higher cortisol response. Older children with ASD exhibited the highest stress responsivity, while younger children with ASD showed more willingness to approach others without apparent stress. Intervening early and often may contribute to improvements in social engagement in youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-013-1790-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=215

Elevated cortisol during play is associated with age and social engagement in children with autism / Blythe A. CORBETT in Molecular Autism, (September 2010)  

Public ISBD [article]  inMolecular Autism > (September 2010) . - 12 p. Titre : Elevated cortisol during play is associated with age and social engagement in children with autism Type de document : Texte imprimé et/ou numérique Auteurs : Blythe A. CORBETT, Auteur ; Clayton W. SCHUPP, Auteur ; David SIMON, Auteur ; Niles RYAN, Auteur ; Sally MENDOZA, Auteur Année de publication : 2010 Article en page(s) : 12 p. Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background The hallmark characteristic of autism is impaired reciprocal social interaction. While children find social interaction stress-reducing, many children with autism may find social interaction stress-inducing. The current study was designed to examine stress responsivity as measured by cortisol by comparing children with autism to neurotypical peers during an ecologically valid 20-minute playground paradigm. Methods The experiment involved sets of three children: a child with autism, a neurotypical child, and a confederate. Participants included 45 prepubescent males between 8 and 12 years of age (21 with autism and 24 neurotypical children). Results Children with autism showed fewer initiations (χ²(1) = 4.03, P = 0.044), rejected initiations from others more (χ²(1) = 7.10, P = 0.008) and spent less time interacting during motor (F(1,43) = 16.7, P = 0.0002) and cooperative (F(1,43) = 14.78, P = 0.0004) play. Repeated measures analysis of the cortisol values revealed a significant model (χ²(4) = 22.76, P < 0.0005) that included time of measurement, diagnosis and age as main effects and an interaction between diagnosis and age. Thus, as age increased among children with autism, they experienced enhanced cortisol levels while age did not modify expected cortisol levels for typical children. Stress responsivity was associated with more peripheral equipment play for motor (χ²(3) = 12.3, P = 0.006) and cooperative (χ²(3) = 8.24, P = 0.04) play as well as reduced nonverbal social skills during motor (χ²(1) = 5.52, P = 0.018) and cooperative play (χ²(1) = 4.53, P = 0.033). Conclusions Overall, children with autism engaged in fewer social overtures and spent less time interacting than typically developing peers during play. The peer interaction paradigm resulted in significantly higher levels of cortisol in many children with autism. Distinct patterns emerged within the autism group based on developmental (older), biological (cortisol responder) and behavioral patterns (peripheral group interaction). The enhanced cortisol response was observed in children who voluntarily engaged in interaction; thus, it does not support the notion of a response to social threat. Rather, it appears to reflect attendant metabolic preparedness and enhanced arousal from engaging socially. The data suggest that many children with autism activate hypothalamic-pituitary-adrenal responses in relatively benign social situations, which appears to be a function of age and level of social engagement. The findings support the need to teach coping strategies in addition to fundamental social skills to youth with autism. En ligne : http://dx.doi.org/10.1186/2040-2392-1-13 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=114 [article] Elevated cortisol during play is associated with age and social engagement in children with autism [Texte imprimé et/ou numérique] / Blythe A. CORBETT, Auteur ; Clayton W. SCHUPP, Auteur ; David SIMON, Auteur ; Niles RYAN, Auteur ; Sally MENDOZA, Auteur . - 2010 . - 12 p. Langues : Anglais (eng) in Molecular Autism > (September 2010) . - 12 p. Index. décimale : PER Périodiques Résumé : Background The hallmark characteristic of autism is impaired reciprocal social interaction. While children find social interaction stress-reducing, many children with autism may find social interaction stress-inducing. The current study was designed to examine stress responsivity as measured by cortisol by comparing children with autism to neurotypical peers during an ecologically valid 20-minute playground paradigm. Methods The experiment involved sets of three children: a child with autism, a neurotypical child, and a confederate. Participants included 45 prepubescent males between 8 and 12 years of age (21 with autism and 24 neurotypical children). Results Children with autism showed fewer initiations (χ²(1) = 4.03, P = 0.044), rejected initiations from others more (χ²(1) = 7.10, P = 0.008) and spent less time interacting during motor (F(1,43) = 16.7, P = 0.0002) and cooperative (F(1,43) = 14.78, P = 0.0004) play. Repeated measures analysis of the cortisol values revealed a significant model (χ²(4) = 22.76, P < 0.0005) that included time of measurement, diagnosis and age as main effects and an interaction between diagnosis and age. Thus, as age increased among children with autism, they experienced enhanced cortisol levels while age did not modify expected cortisol levels for typical children. Stress responsivity was associated with more peripheral equipment play for motor (χ²(3) = 12.3, P = 0.006) and cooperative (χ²(3) = 8.24, P = 0.04) play as well as reduced nonverbal social skills during motor (χ²(1) = 5.52, P = 0.018) and cooperative play (χ²(1) = 4.53, P = 0.033). Conclusions Overall, children with autism engaged in fewer social overtures and spent less time interacting than typically developing peers during play. The peer interaction paradigm resulted in significantly higher levels of cortisol in many children with autism. Distinct patterns emerged within the autism group based on developmental (older), biological (cortisol responder) and behavioral patterns (peripheral group interaction). The enhanced cortisol response was observed in children who voluntarily engaged in interaction; thus, it does not support the notion of a response to social threat. Rather, it appears to reflect attendant metabolic preparedness and enhanced arousal from engaging socially. The data suggest that many children with autism activate hypothalamic-pituitary-adrenal responses in relatively benign social situations, which appears to be a function of age and level of social engagement. The findings support the need to teach coping strategies in addition to fundamental social skills to youth with autism. En ligne : http://dx.doi.org/10.1186/2040-2392-1-13 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=114

Verbal ability, social stress, and anxiety in children with Autistic Disorder / Kimberly E. LANNI in Autism, 16-2 (March 2012)  

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