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Journal of Occupational Therapy, Schools, & Early Intervention Volume 12, 2019 - Issue 4: The needs of children with autism
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Original Article

Cortisol Responsivity to Social Play in Children with Autism: A Systematic Review

Katherine AlagendranOccupational Therapy, Deakin University, Geelong, AustraliaView further author information
, Bachelor of Occupational Therapy (Hons),
Danielle HitchSchool of Health and Social Development, Deakin University, Geelong, AustraliaCorrespondence[email protected]
View further author information
, PhD,
Chloe WadleySchool of Health and Social Development, Deakin University, Geelong, AustraliaView further author information
, Bachelor of Occupational Therapy (Hons) &
Karen StagnittiOccupational Science and Therapy, School of Health and Social Development, Deakin University, Geelong, AustraliaView further author information
, PhD
Pages 427-443 | Received 07 Sep 2018, Accepted 02 Apr 2019, Published online: 25 Apr 2019
 
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ABSTRACT

Social play and social interactions are essential occupations for children, but can be challenging for children with Autism Spectrum Disorders (ASD). This systematic review investigates cortisol responsivity in children with ASD during naturalistic social play and social interactions. Methodology: Six control and comparison studies of moderate quality were identified. Findings revealed that some children with ASD experience heightened stress (cortisol responsivity) during naturalistic social play and social interactions; however, this response is highly variable between individuals. These findings emphasize the importance of individualized approaches for children with ASD, to facilitate their engagement in these essential occupations.

Additional information

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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