Restricted repetitive behaviors in autism spectrum disorder: A systematic review from the neurovisceral integration perspective.
Autism spectrum disorder
Neurovisceral integration
Repetitive behavior
Respiratory sinus arrhythmia
Journal
Biological psychology
ISSN: 1873-6246
Titre abrégé: Biol Psychol
Pays: Netherlands
ID NLM: 0375566
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
02
08
2018
revised:
20
06
2019
accepted:
08
08
2019
pubmed:
16
8
2019
medline:
25
4
2020
entrez:
16
8
2019
Statut:
ppublish
Résumé
The neurovisceral integration model posits that cognitive-behavioral inflexibility arises from biological inflexibility of feedback loops within the central autonomic network. The parasympathetic nervous system (PNS) is integral in this network. Activity of the PNS, which is normally tonically inhibited, can be indexed through respiratory sinus arrhythmia (RSA). When the PNS becomes disinhibited, indicating decreased flexibility within the network, RSA is reduced and cognitive-behavioral flexibility is impaired. Using this theoretical framework, cognitive-behavioral inflexibility is discussed from the Research Domain Criteria (RDoC) perspective. Restricted repetitive behaviors in autism spectrum disorder (ASD) are proposed as exemplars of cognitive-behavioral inflexibility, and behavioral and RSA literature in ASD are reviewed. RSA differences and their relation to inflexibility in ASD are discussed to support the model and to propose RSA as a biomarker for cognitive-behavioral inflexibility. Considerations for future research are discussed, in addition to implications the model might have on assessment and transdiagnostic treatment practices.
Identifiants
pubmed: 31415791
pii: S0301-0511(18)30574-X
doi: 10.1016/j.biopsycho.2019.107739
pii:
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
107739Informations de copyright
Copyright © 2019. Published by Elsevier B.V.