The presence of migraines and its association with sensory hyperreactivity and anxiety symptomatology in children with autism spectrum disorder.
Kids with ASD plus migraines are more likely to show heightened sensory issues and anxiety—screen for headaches when you see these co-occurring problems.
01Research in Context
What this study did
Leung et al. (2014) asked parents of children with autism about headaches. They wanted to know if kids who get migraines also show more sensory and anxiety problems.
The team used a survey. Parents filled out forms about sensory reactions, worry, and migraine history.
What they found
Children with ASD who have migraines scored higher on parent reports of sensory hyperreactivity and anxiety. The differences were medium in size, not tiny, not huge.
The link held even after the researchers looked at other factors. Migraine status mattered.
How this fits with other research
Ozsivadjian et al. (2012) talked to parents in focus groups and heard the same thing: anxiety can overshadow autism symptoms. C et al. add a possible trigger—migraines.
Rojahn et al. (2012) also used surveys and found sensory avoidance explains part of social anxiety in kids with selective mutism plus ASD. C et al. show a similar sensory-anxiety link, but tied to migraines instead of mutism.
Wan et al. (2019) went further, scanning brains of kids with ASD plus anxiety. They found unique wiring patterns. C et al. give the behavioral picture; Bin et al. show the neural one.
Glod et al. (2017) found sensory quirks run in families. C et al. narrow the focus: when the child has migraines, sensory issues spike.
Why it matters
Next time a child with ASD covers ears or reports stomach aches, ask about headaches. A quick migraine screen takes two minutes. If migraines show up, you now have a reason to add sensory breaks and anxiety tools to the behavior plan. Share the finding with parents so they can track headache days and triggers at home.
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02At a glance
03Original abstract
Migraine headaches are associated with sensory hyperreactivity and anxiety in the general population, but it is unknown whether this is also the case in autism spectrum disorders. This pilot study asked parents of 81 children (aged 7-17 years) with autism spectrum disorders to report their child's migraine occurrence, sensory hyperreactivity (Sensory Over-Responsivity Inventory), and anxiety symptoms (Spence Child Anxiety Scale). Children with autism spectrum disorders who experienced migraine headaches showed greater sensory hyperreactivity and anxiety symptomatology (p < 0.01; medium effect size for both) than those without migraines. Sensory hyperreactivity and anxiety symptomatology were additionally correlated (ρ = 0.31, p = 0.005). This study provides preliminary evidence for a link between migraine headaches, sensory hyperreactivity, and anxiety symptomatology in autism spectrum disorders, which may suggest strategies for subtyping and exploring a common pathogenesis.
Autism : the international journal of research and practice, 2014 · doi:10.1177/1362361313489377