Assessment & Research

The presence of migraines and its association with sensory hyperreactivity and anxiety symptomatology in children with autism spectrum disorder.

Sullivan et al. (2014) · Autism : the international journal of research and practice 2014
★ The Verdict

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.

✓ Read this if BCBAs working with school-age children with ASD in clinic or school settings.
✗ Skip if Practitioners serving only preschoolers or clients without reported sensory or anxiety concerns.

01Research in Context

01

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.

02

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.

03

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.

04

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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→ Action — try this Monday

Add one question—“Any headaches this week?”—to your daily check-in with clients who show sensory overload or new avoidance behaviors.

02At a glance

Intervention
not applicable
Design
survey
Sample size
81
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

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