A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms

Although maladaptive sensory processing has been observed among individuals with persistent heightened anxiety, it is unclear if difficulties processing sensory input early in life lead to anxiety disorders in adulthood and what mechanisms would drive this progression. In a transdiagnostic clinical...

Full description

Bibliographic Details
Main Authors: Kibby McMahon, Deepika Anand, Marissa Morris-Jones, M. Zachary Rosenthal
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-07-01
Series:Frontiers in Integrative Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnint.2019.00022/full
_version_ 1818850638988050432
author Kibby McMahon
Kibby McMahon
Deepika Anand
Marissa Morris-Jones
M. Zachary Rosenthal
M. Zachary Rosenthal
author_facet Kibby McMahon
Kibby McMahon
Deepika Anand
Marissa Morris-Jones
M. Zachary Rosenthal
M. Zachary Rosenthal
author_sort Kibby McMahon
collection DOAJ
description Although maladaptive sensory processing has been observed among individuals with persistent heightened anxiety, it is unclear if difficulties processing sensory input early in life lead to anxiety disorders in adulthood and what mechanisms would drive this progression. In a transdiagnostic clinical sample of 231 adults characterized by heightened difficulties with emotion regulation, the present study sought to examine whether: (a) childhood sensory processing disorder (SPD) symptoms predict an increased probability of an anxiety disorder diagnosis in adulthood; and (b) difficulties with emotion regulation and adult SPD symptoms mediate this relationship. Participants were administered the Structured Clinical Interview for Axis-I disorders and self-reported symptoms of SPD experienced in childhood and adulthood. Results suggested that childhood SPD symptoms were significantly associated with a higher likelihood of a lifetime anxiety disorder diagnosis. Difficulties with emotion regulation fully mediated the relationship between childhood SPD and (a) any anxiety disorder in adulthood and, specifically (b) current generalized anxiety disorder (GAD). Further, we found evidence for a candidate model accounting for the relationship among childhood SPD, adulthood SPD, difficulties with emotion regulation, and anxiety disorders in adulthood. Specifically, our data indicated that high symptoms of SPD in childhood may lead to high SPD symptoms in adulthood, which then lead to high emotion dysregulation, ultimately conferring vulnerability for an anxiety disorder diagnosis. Taken together, these findings provide preliminary evidence for how sensory processing impairments in childhood may relate to anxiety through difficulties regulating emotion regulation.
first_indexed 2024-12-19T06:52:19Z
format Article
id doaj.art-674dcb262e194eb4b2a48cabe8cde727
institution Directory Open Access Journal
issn 1662-5145
language English
last_indexed 2024-12-19T06:52:19Z
publishDate 2019-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Integrative Neuroscience
spelling doaj.art-674dcb262e194eb4b2a48cabe8cde7272022-12-21T20:31:40ZengFrontiers Media S.A.Frontiers in Integrative Neuroscience1662-51452019-07-011310.3389/fnint.2019.00022452078A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder SymptomsKibby McMahon0Kibby McMahon1Deepika Anand2Marissa Morris-Jones3M. Zachary Rosenthal4M. Zachary Rosenthal5Department of Psychology and Neuroscience, Duke University, Durham, NC, United StatesDepartment of Psychiatry and Behavioral Science, Duke University Medical Center, Durham, NC, United StatesDepartment of Psychiatry and Behavioral Science, Duke University Medical Center, Durham, NC, United StatesDepartment of Psychiatry and Behavioral Science, Duke University Medical Center, Durham, NC, United StatesDepartment of Psychology and Neuroscience, Duke University, Durham, NC, United StatesDepartment of Psychiatry and Behavioral Science, Duke University Medical Center, Durham, NC, United StatesAlthough maladaptive sensory processing has been observed among individuals with persistent heightened anxiety, it is unclear if difficulties processing sensory input early in life lead to anxiety disorders in adulthood and what mechanisms would drive this progression. In a transdiagnostic clinical sample of 231 adults characterized by heightened difficulties with emotion regulation, the present study sought to examine whether: (a) childhood sensory processing disorder (SPD) symptoms predict an increased probability of an anxiety disorder diagnosis in adulthood; and (b) difficulties with emotion regulation and adult SPD symptoms mediate this relationship. Participants were administered the Structured Clinical Interview for Axis-I disorders and self-reported symptoms of SPD experienced in childhood and adulthood. Results suggested that childhood SPD symptoms were significantly associated with a higher likelihood of a lifetime anxiety disorder diagnosis. Difficulties with emotion regulation fully mediated the relationship between childhood SPD and (a) any anxiety disorder in adulthood and, specifically (b) current generalized anxiety disorder (GAD). Further, we found evidence for a candidate model accounting for the relationship among childhood SPD, adulthood SPD, difficulties with emotion regulation, and anxiety disorders in adulthood. Specifically, our data indicated that high symptoms of SPD in childhood may lead to high SPD symptoms in adulthood, which then lead to high emotion dysregulation, ultimately conferring vulnerability for an anxiety disorder diagnosis. Taken together, these findings provide preliminary evidence for how sensory processing impairments in childhood may relate to anxiety through difficulties regulating emotion regulation.https://www.frontiersin.org/article/10.3389/fnint.2019.00022/fullsensory processingSPDsensory over-responsivitysensory under-responsivityanxiety disordersemotion regulation
spellingShingle Kibby McMahon
Kibby McMahon
Deepika Anand
Marissa Morris-Jones
M. Zachary Rosenthal
M. Zachary Rosenthal
A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms
Frontiers in Integrative Neuroscience
sensory processing
SPD
sensory over-responsivity
sensory under-responsivity
anxiety disorders
emotion regulation
title A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms
title_full A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms
title_fullStr A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms
title_full_unstemmed A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms
title_short A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms
title_sort path from childhood sensory processing disorder to anxiety disorders the mediating role of emotion dysregulation and adult sensory processing disorder symptoms
topic sensory processing
SPD
sensory over-responsivity
sensory under-responsivity
anxiety disorders
emotion regulation
url https://www.frontiersin.org/article/10.3389/fnint.2019.00022/full
work_keys_str_mv AT kibbymcmahon apathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT kibbymcmahon apathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT deepikaanand apathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT marissamorrisjones apathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT mzacharyrosenthal apathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT mzacharyrosenthal apathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT kibbymcmahon pathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT kibbymcmahon pathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT deepikaanand pathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT marissamorrisjones pathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT mzacharyrosenthal pathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms
AT mzacharyrosenthal pathfromchildhoodsensoryprocessingdisordertoanxietydisordersthemediatingroleofemotiondysregulationandadultsensoryprocessingdisordersymptoms