Abstract
Whilst some form of ostracism is experienced by most people at some point in their lives, it is experienced far more often in individuals with Autism Spectrum Disorder (ASD). Little is known about how this social exclusion is interpreted, experienced or managed. This study aimed to explore the psychological (mood and social needs) as well as the physiological (arousal) effects of ostracism using a well-established paradigm, Cyberball. Results demonstrated no differences between groups on social needs, however, mood was rated as more negatively by ASDs overall. Arousal was increased in when excluded compared with when excluded for ASDs, but not for controls. Overall, individuals with ASD experienced heightened physiological arousal but whilst these individuals reported overall lower mood, this response to ostracism was not expressed as emotionally significant to these individuals, suggesting possible interoceptive difficulties in this population. This highlights the need for both understanding in non-ASD individuals and intervention of this emotional distress in individuals with ASD.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edn. Washington, DC: American Psychiatric Association.
Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J. & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31, 5–17.
Bermond, B. (1997). Brain and alexithymia. In A. Vingerhoets, F. Bussel & J. Boelhouwer (Eds.), The (non)expression of emotions in health and disease (pp. 115–130). Tilburg: Tilburg University.
Bernhardt, B., Valk, S., Silani, G., Bird, G., Frith, U. & Singer, T. (2014). Selective disruption of sociocognitive structural brain networks in autism and alexithymia. Cerebral Cortex, 24(12), 3258–3267.
Berthoz, S., Lalanne, C., Crane, L. & Hill, E. (2013). Investigating emotional impairments in adults with autism spectrum disorders and the broader autism phenotype. Psychiatry Research, 208(3), 257–264.
Bird, G., Silani, G., Brindley, R., White, S., Frith, U. & Singer, T. (2010). Empathic brain responses in insula are modulated by levels of alexithymia but not autism. Brain, 133(5), 1515–1525.
Blackhart, G., Eckel, L. & Tice, D. (2007). Salivary cortisol in response to acute social rejection and acceptance by peers. Biological Psychiatry, 75, 267–276.
Bogdanov, V., Bogdanova, O., Gorlov, D., Gorgo, Y., Dirckx, J., Markarchuk, M., Schoenen, J., & Critchley, H. (2013). Alexithymia and empathy predict changes in autonomic arousal during affective stimulation. Cognitive and Behavioural Neurology, 23(3), 121–132.
Brewer, R., Cook, R., & Bird, G. (2016). Alexithymia: A general deficit of interoception. Royal Society Open Science, 3(10), 150664.
Durlik, C. & Tsakiris, M. (2015). Decreased interoceptive accuracy following social exclusion. International Journal of Psychophysiology, 96(1), 57–63.
Engert, V., Vogel, S., Efanov, S., Duchesne, A., Corbo, V., Ali, N. & Pruessner, J. C. (2011). Investigation into the cross-correlation of salivary cortisol and alpha-amylase responses to psychological stress. Psychneuroendocrinology, 36(9), 1294–1302
Gaigg, S. B., Cornell, A. S., & Bird, G. (2016). The psychophysiological mechanisms of alexithymia in autism spectrum disorder. Autism. doi:10.1177/1362361316667062.
Greenwald, M., Cook, E. & Lang, P. (1989). Affective judgements and psychophysiological response: dimensional covariation in the evaluation of pictorial stimuli. Journal of Psychophysiology, 3, 51–64.
Hartgerink, C., van Beest, I., Wicherts, J. & Williams, K. (2015). The ordinal effects of ostracism: A meta-analysis of 120 Cyberball studies. PLoS ONE, 10, e0127002.
Hill, E., Berthoz, S. & Frith, U. (2004). Brief report: Cognitive processing of own emotions in individuals with autistic spectrum disorders and in their relatives. Journal of Autism and Developmental Disorders, 34(2), 229–235.
Iffland, B., Sansen, L., Catani, C. & Neuner, F. (2014a). Rapid heartbeat, but dry palms: reactions of heart rate and skin conductance levels to social rejection. Frontiers in Psychology, 5, 956.
Iffland, B., Sansen, L. M., Catani, C. & Neuner, F. (2014b). The trauma of peer abuse: effects of relational peer victimization and social anxiety disorder on physiological and affective reactions to social exclusion. Frontiers in Psychiatry, 5, 26.
Jobe, L. & White, S. (2007). Loneliness, social relationships and a broader autism phenotype in college students. Personality and Individual Differences, 42, 1479–1489.
Kelly, M., McDonald, S. & Rushby, J. (2012). All alone with sweaty palms: physiological arousal and ostracism. International Journal of Psychophysiology, 83(3), 309–314.
Kouchaki, M & Wareham, J. (2015). Excluded and behaving unethically: Social exclusion, physiological responses and unethical behavior. Journal of Applied Psychology, 100(2), 547–556.
Larsen, J. K., Brand, N., Bermond, B., & Hijman, R. (2003). Cognitive and emotional characteristics of alexithymia: A review of neurobiological studies. Journal of Psychosomatic Research, 54(6), 533–541.
Leary, M. R., & Baumeister, R. F. (2000). The nature and function of self-esteem: Sociometer theory. In M. P. Zanna (Ed.), Advances in experimental social psychology (32, 1–62). San Diego, CA: Academic Press.
Masten, C., Colich, N., Rudie, J., Bookheimer, S., Eisenberger, N., & Dapretto, M. (2011). An fMRI investigation of responses to peer rejection in adolescents with autism spectrum disorders. Developmental Cognitive Neuroscience, 1(3), 260–270.
Mathersul, D., McDonald, S. & Rushby, J. (2013). Autonomic facial responses to affective stimuli in high-functioning adults with autism spectrum disorder. Physiology & Behaviour, 109, 14–22.
Mazefsky, C., Herrington, J., Siegel, M., Scarpa, A., Maddox, B., Scahill, L., & White, S. (2013). The role of emotion regulation in Autism Spectrum Disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 52(7), 679–688.
McPartland, J., Crowley, M., Perszyk, D., Naples, A., Mukerji, C., Wu, J., Molfese, P., Bolling D., Pelphrey, K. & Mayes, L. (2011). Temporal dynamics reveal atypical brain responses to social exclusion in Autism. Developmental Cognitive Neuroscience, 1, 271–279.
Moriguchi, Y., Decety, J., Ohnishi, T., Maeda, M., Mori, T., Nemoto, K., Matsuda, H., & Komaki, G. (2007). Empathy and judging other’s pain: An fMRI study of alexithymia. Cerebral Cortex, 17(9), 2223–2234.
Mukkades, M. N. & Fateh, R. (2010). High rates of psychiatric co-morbidity in individuals with Asperger’s disorder. World Journal of Biological Psychiatry, 11, 486–492.
Roedema, T., & Simons, R. (1999). Emotion-processing deficits in alexithymia. Psychophysiology, 36(3), 379–387.
Rotge, J. Y., Lemogne, C., Hinfray, S., Huguet, P., Grynszpan, O., Tartour, E., George, N. & Fossati, P. (2014). A meta-analysis of the anterior cingulate contribution to social pain. Social Cognitive and Affective Neuroscience, 10, 19–27.
Ruggieri, S., Bendixen M., Gabriel, U. & Alsaker, F. (2013). Cyberball: the impact of ostracism on the wellbeing of early adolescents. Swiss Journal of Psychology, 72(2), 103–109.
Sebastian, C., Blakemore, S-J., & Charman, T. (2009). Reactions to ostracism in adolescents with autism spectrum conditions. Journal of Autism and Developmental Disorders, 39, 1122–1130.
Shah, P., Hall, R., Catmur, C., & Bird, G. (2016). Alexithymia, not autism, is associated with impaired interoception. Cortex: A Journal Devoted to the Study of the Nervous System and Behavior, 81, 215–220.
Shtayermman, O. (2007). Peer victimization in adolescents and young adults diagnosed with Asperger’s Syndrome: A link to depressive symptomology, anxiety symptomology and suicidal ideation. Journal of Human Behaviour in the Social Environment, 18, 301–328.
Silani, G., Bird, G., Brindley, R., Singer, T., Frith, C. & Frith, U. (2008). Levels of emotional awareness and autism: An fMRI study. Social Neuroscience, 3(2), 97–112.
Stasiewicz, P. R., Bradizza, C. M., Gudleski, G. D., Coffey, S. F., Schlauch, R. C., Bailey, S. T., … Gulliver, S. B. (2012). The relationship of alexithymia to emotional dysregulation within an alcohol dependent treatment sample. Addictive Behaviors, 37(4), 469–476.
Stewart, M. E., Barnard, L., Pearson, J., Hasan, R., & O’Brien, G. (2006). Presentation of depression in autism and Asperger syndrome: A review. Autism: The International Journal of Research and Practice, 10(1), 103–116.
Symes, W. & Humphrey, N. (2010). Peer-group indicators of social inclusion among pupils with autistic spectrum disorders (ASD) in mainstream secondary schools: A comparative study. School Psychology International, 31(5), 478–494.
Trimmer, E. M., McDonald, S. & Rushby, J. A. (2016). Not knowing what I feel: Emotional empathy in Autism Spectrum Disorder. Autism. doi:10.1177/1362361316648520.
Twyman, K., Saylor, C., Saia, D., Macias, M., Taylor, L., & Spratt, E. (2010). Bullying and ostracism experiences in children with special health care needs. Journal of Developmental & Behavioural Paediatrics, 31(1), 1–8.
Venta, A., Hart, J., & Sharp, C. (2013). The relation between experiential avoidance, alexithymia and emotion regulation in inpatient adolescents. Clinical Child Psychology and Psychiatry, 18(3), 398–410.
Wechsler, D. (1999). Wechsler abbreviated scale of intelligence. San Antonio, TX: The Psychological Corporation.
Will, G., van Lier, P., Crone, E. & Güroğlu, B. (2016). Chronic childhood peer rejection is associated with heightened neural responses to social exclusion during adolescence. Journal of Abnormal Child Psychology, 44(1), 43–55.
Williams, K., Cheung, C. & Choi, W. (2000). Cyberostracism: Effects of being ignored over the internet. Journal of Personality and Social Psychology, 79(5), 748–762.
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This study did not receive any funding.
Author Contributions
ET, SM and JAR designed the study. MK designed and wrote the specific scripts needed for the current Cyberball paradigm. ET collected all data and performed analyses. ET wrote the initial version of the manuscript with subsequent contributions by SM, JAR and MK. All authors have approved the final version of the manuscript.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Trimmer, E., McDonald, S., Kelly, M. et al. The Physiological and Psychological Effects of Ostracism in Adults with ASD. J Autism Dev Disord 47, 2326–2335 (2017). https://doi.org/10.1007/s10803-017-3146-9
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DOI: https://doi.org/10.1007/s10803-017-3146-9