Abstract
Understanding hetereogeneity in symptom expression across the autism spectrum disorders (ASD) is a major challenge for identifying causes and effective treatments. In 40 children and adolescents diagnosed with ASD and 37 IQ—and age-matched comparison participants (the TYP group), we found no differences in summary measures on an experimental risk-taking task. However, anxiety and IQ predicted risk-taking only in the ASD group. Risk-taking was correlated with behavioral inhibition in the ASD group and behavioral activation in the TYP group. We suggest that performance on the task was motivated by fear of failure in the ASD group and by sensitivity to reward in the TYP group. Behavioral markers of anxiety and cognitive ability may improve conceptualization of heterogeneity in ASD.
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Notes
If a participant (n = 8) had completed the WISC-IV within the previous three years, we substituted the WISC-IV Verbal Comprehension Index and Perceptual Reasoning Index for the WASI VIQ and PIQ, and the comparable General Abilities Index for the FSIQ.
References
Amaral, D., Schumann, C., & Nordahl, C. (2008). Neuroanatomy of autism. Trends in Neurosciences, 31, 137–145.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: Author.
Bachevalier, J., & Loveland, K. (2006). The orbitofrontal-amygdala circuit and self-regulation of social-emotional behavior in autism. Neuroscience and Biobehavioral Reviews, 30, 97–117.
Baron-Cohen, S., Ring, H. A., Bullmore, E. T., Wheelwright, S., Ashwin, C., & Williams, S. C. (2000). The amygdala theory of autism. Neuroscience and Biobehavioral Reviews, 24, 355–364.
Bechara, A., Damasio, H., Tranel, D., & Damasio, A. (2005). The Iowa gambling task and the somatic marker hypothesis: Some questions and answers. Trends in Cognitive Sciences, 9, 159–162.
Bernier, R., Dawson, G., Panagiotides, H., & Webb, S. J. (2005). Individuals with autism spectrum disorder show normal responses to a fear potential startle paradigm. Journal of Autism and Developmental Disorders, 35, 575–583.
Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1230–1236.
Blair, C., Peters, R., & Granger, D. (2004). Physiological and neuropsychological correlates of approach/withdrawal tendencies in preschool: Further examination of the behavioral inhibition system/behavioral activation system scales for young children. Developmental Psychobiology, 45, 113–124.
Bornovalova, M., Cashman-Rolls, A., O’Donnell, J., Ettinger, K., Richards, J., deWit, H., et al. (2009). Risk taking differences on a behavioral task as a function of potential reward/loss magnitude and individual differences in impulsivity and sensation seeking. Pharmacology, Biochemistry and Behavior, 93, 258–262.
Cacciopo, J. T., Tassinary, L. G., & Berntson, G. G. (Eds.). (2007). Handbook of psychophysiology (3rd ed.). Cambridge: Cambridge University Press.
Carlson, S., Zayas, V., & Guthormsen, A. (2009). Neural correlates of decision making on a gambling task. Child Development, 80, 1076–1096.
Crone, E., & van der Molen, M. (2004). Developmental changes in real life decision making: Performance on a gambling task previously shown to depend on the ventromedial prefrontal cortex. Developmental Neuropsychology, 25, 251–279.
Dalton, K., Nacewicz, B., Johnstone, T., Schaefer, H., Gernsbacher, M., Goldsmith, H., et al. (2005). Gaze fixation and the neural circuitry of face processing in autism. Nature Neuroscience, 8, 519–526.
Damasio, A. (1996). The somatic marker hypothesis and the possible functions of the prefrontal cortex. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 351, 1413–1420.
De Martino, B., Harrison, N., Knafo, S., Bird, G., & Dolan, R. (2008). Explaining enhanced logical consistency during decision making in autism. The Journal of Neuroscience, 28, 10746–10750.
Dolan, R. (2007). Keynote address: Revaluing the orbital prefrontal cortex. Linking affect to action: Critical contributions of the orbitofrontal cortex (pp. 1–9). Malden: Blackwell Publishing.
Elliot, A., & Thrash, T. (2002). Approach-avoidance motivation in personality: Approach and avoidance temperaments and goals. Journal of Personality and Social Psychology, 82, 804–818.
Gaigg, S. B., & Bowler, D. M. (2007). Differential fear conditioning in Asperger’s syndrome: Implications for an amygdala theory of autism. Neuropsychologia, 45, 2125–2134.
Hubert, B. E., Wicker, B., Monfardini, E., & Deruelle, C. (2009). Electrodermal reactivity to emotion processing in adults with autistic spectrum disorders. Autism, 13, 9–19.
Johnson, S., Yechiam, E., Murphy, R., Queller, S., & Stout, J. (2006). Motivational processes and autonomic responsivity in Asperger’s disorder: Evidence from the Iowa Gambling Task. Journal of the International Neuropsychological Society: JINS, 12, 668–676.
Joseph, R. M., Ehrman, K., McNally, R., & Keehn, B. (2008). Affective response to eye contact and face recognition ability in children with ASD. Journal of the International Neuropsychological Society, 14, 947–955.
Koegel, R., & Mentis, M. (1985). Motivation in childhood autism: Can they or won’t they? Journal of Child Psychology and Psychiatry, 26, 185–191.
Larson, M., Kaufman, D., Schmalfuss, I., & Perlstein, W. (2007). Performance monitoring, error processing, and evaluative control following severe TBI. Journal of the International Neuropsychological Society, 13, 961–971.
Lauriola, M., & Levin, I. (2001). Relating individual differences in attitude toward ambiguity to risky choices. Journal of Behavioral Decision Making, 14, 107–122.
Lee, P., Yerys, B., Della Rosa, A., Foss-Feig, J., Barnes, K., James, J., et al. (2009). Functional connectivity of the inferior frontal cortex changes with age in children with autism spectrum disorders: A fcMRI study of response inhibition. Cerebral Cortex, 19, 1787–1794.
Lejuez, C., Read, J., Kahler, C., Richards, J., Ramsey, S., Stuart, G., et al. (2002). Evaluation of a behavioral measure of risk taking: The balloon analogue risk task (BART). Journal of Experimental Psychology: Applied, 8, 75–84.
Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849–861.
Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.
Loveland, K., Bachevalier, J., Pearson, D., & Lane, D. (2008). Fronto-limbic functioning in children and adolescents with and without autism. Neuropsychologia, 46, 49–62.
Milad, M., & Rauch, S. (2007). The role of the orbitofrontal cortex in anxiety disorders. Linking affect to action: Critical contributions of the orbitofrontal cortex (pp. 546–561). Malden: Blackwell.
Minassian, A., Paulus, M., Lincoln, A., & Perry, W. (2007). Adults with autism show increased sensitivity to outcomes at low error rates during decision-making. Journal of Autism and Developmental Disorders, 37, 1279–1288.
Minshew, N. J., & Williams, D. L. (2007). The new neurobiology of autism: Cortex, connectivity, and neuronal organization. Archives of Neurology, 64, 945–950.
Paulus, M., Feinstein, J., Simmons, A., & Stein, M. (2004). Anterior cingulate activation in high trait anxious subjects is related to altered error processing during decision making. Biological Psychiatry, 55, 1179–1187.
Pessoa, L. (2008). On the relationship between emotion and cognition. Nature Reviews. Neuroscience, 9, 148–158.
Quartz, S. (2009). Reason, emotion and decision-making: Risk and reward computation with feeling. Trends in Cognitive Sciences, 13, 209–215.
Rauch, S., Shin, L., & Wright, C. (2003). Neuroimaging studies of amygdala function in anxiety disorders. Annals of the New York Academy of Sciences, 985, 389–410.
Rempel-Clower, N. (2007). Role of orbitofrontal cortex connections in emotion. Linking affect to action: Critical contributions of the orbitofrontal cortex (pp. 72–86). Malden: Blackwell.
Rizzolatti, G., & Fabri-Destro, M. (2008). The mirror system and its role in social cognition. Current Opinion in Neurobiology, 18, 179–184.
Schultz, R. T. (2005). Developmental deficits in social perception in autism: The role of the amygdala and fusiform face area. International Journal of Developmental Neuroscience, 23, 125–141.
Smillie, L., Dalgleish, L., & Jackson, C. (2007). Distinguishing between learning and motivation in behavioral tests of the reinforcement sensitivity theory of personality. Personality and Social Psychology Bulletin, 33, 476–489.
South, M., Ozonoff, S., & Schultz, R. T. (2008a). Neurocognitive development in autism. In C. A. Nelson & M. Luciana (Eds.), Handbook of developmental cognitive neuroscience (2nd ed., pp. 701–716). Cambridge, MA: MIT.
South, M., Ozonoff, S., Suchy, Y., Kesner, R. P., McMahon, W. M., & Lainhart, J. E. (2008b). Intact emotion facilitation for nonsocial stimuli in autism: Is amygdala impairment in autism specific for social information? Journal of the International Neuropsychological Society, 14, 42–54.
South, M., White, S. E., & Dana, J. (2010). It’s about time: Understanding fear conditioning depends on when you look at it in children and adolescents diagnosed with an autism spectrum disorder. (under review).
South, M., Wolf, J., & Herlihy, L. (2009). New directions: Translating clinical child neuroscience to practice. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (4th ed., pp. 737–754). New York: Guilford.
Steinberg, L., Graham, S., O’Brien, L., Woolard, J., Cauffman, E., & Banich, M. (2009). Age differences in future orientation and delay discounting. Child Development, 80, 28–44.
Tottenham, N., Hare, T., & Casey, B. (2009). A developmental perspective on human amygdala function. The human amygdala (pp. 107–117). New York, NY US: Guilford Press.
Vlamings, P., Jonkman, L., Hoeksma, M., van Engeland, H., & Kemner, C. (2008). Reduced error monitoring in children with autism spectrum disorder: An ERP study. European Journal of Neuroscience, 28, 399–406.
Waters, A. M., Henry, J., Mogg, K., Bradley, B. P., & Pine, D. S. (2010). Attentional bias towards angry faces in childhood anxiety disorders. Journal of Behavior Therapy and Experimental Psychiatry, 41, 158–164.
Werner, N., Duschek, S., & Schandry, R. (2009). Relationships between affective states and decision-making. International Journal of Psychophysiology. doi:10.1016/j.ijpsycho.2009.09.010.
White, T., Lejuez, C., & de Wit, H. (2007). Personality and gender differences in effects of d-amphetamine on risk taking. Experimental and Clinical Psychopharmacology, 15, 599–609.
Zalla, T., Labruyere, N., & Georgieff, N. (2006). Goal-directed action representation in autism. Journal of Autism and Developmental Disorders, 36, 527–540.
Acknowledgments
We gratefully acknowledge the statistical consultation of Scott Baldwin and Michael Larson; and the able assistance of Annahir Cariello, Oliver Johnston, Adrian Rockwell, Ryan Hunsaker, and Randy Gilliland. This work was supported by research grants from Brigham Young University, including the Family Studies Center; the College of Home, Family, and Social Sciences; and a Mentored Environment Grant.
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South, M., Dana, J., White, S.E. et al. Failure is Not an Option: Risk-Taking is Moderated by Anxiety and Also by Cognitive Ability in Children and Adolescents Diagnosed with an Autism Spectrum Disorder. J Autism Dev Disord 41, 55–65 (2011). https://doi.org/10.1007/s10803-010-1021-z
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DOI: https://doi.org/10.1007/s10803-010-1021-z