Related Experiment Video
Updated: Jun 10, 2025

Video Imaging and Spatiotemporal Maps to Analyze Gastrointestinal Motility in Mice
Published on: February 3, 2016
Gastrointestinal, Behaviour and Anxiety Outcomes in Autistic Children Following an Open Label, Randomised Pilot Study
Leanne K Mitchell1, Helen S Heussler2,3,4, Christopher J Burgess2,5
1Child Health Research Centre, Faculty of Medicine, The University of Queensland, South Brisbane, QLD, Australia. leanne.mitchell@uq.edu.au.
Insights
Synbiotics alone or with gut-directed hypnotherapy significantly improved gastrointestinal symptoms in autistic children. Gut-directed hypnotherapy additionally reduced anxiety and irritability, supporting its use alongside synbiotics for autism spectrum disorder and gut-brain interaction disorders.
Area of Science:
- Neurogastroenterology
- Microbiome research
- Developmental pediatrics
Background:
- Alterations in the microbiome-gut-brain axis are linked to autism spectrum disorder (ASD) and disorders of gut-brain interaction (DGBI).
- DGBI are common in autistic children, exacerbating behavioral issues and anxiety.
- Probiotics, prebiotics, and gut-directed hypnotherapy (GDH) show promise for improving gut symptoms in children.
Purpose of the Study:
- To compare the efficacy of synbiotics versus synbiotics plus GDH in improving gastrointestinal (GI) symptoms in children with ASD over 12 weeks, with follow-up at 24 weeks.
- To assess the impact of these interventions on behavioral and anxiety symptoms.
- To explore changes in gut microbiome composition as a secondary objective.
Main Methods:
- A randomized controlled trial involving 40 children with ASD (aged 5.00-10.99 years) allocated to either synbiotics (SYN group) or synbiotics + GDH (COM group) for 12 weeks.
- Primary outcome: change in total GI scores.
- Secondary outcomes: changes in anxiety, irritability, and GI pain scores; exploratory analysis of gut microbiota composition.
Main Results:
- Both groups showed significant reductions in total GI scores post-intervention and at follow-up (p < 0.001), with no significant difference between SYN and COM groups.
- The COM group demonstrated significant reductions in anxiety (p = 0.002) and irritability (p < 0.001), which were not observed in the SYN group.
- Only the COM group maintained significant reductions in GI pain scores at follow-up (p < 0.001).
- Significant changes in gut microbiota, including increases in Bifidobacterium animalis and Dialister, were observed in both groups.
Conclusions:
- Synbiotics, with or without GDH, can effectively improve GI symptoms in children with ASD and comorbid DGBI.
- Combining synbiotics with GDH offers additional benefits for anxiety and irritability in this population.
- These interventions may serve as valuable adjuncts to standard care for autistic children experiencing gut-brain interaction issues.
Abstract:
Alterations of the microbiome-gut-brain (MGB) axis have been associated with autism spectrum disorder (ASD) and disorders of gut-brain interaction (DGBI). DGBI are highly prevalent in autistic children and are associated with worsening behaviour and anxiety. Treatments such as probiotics, prebiotics and gut-directed hypnotherapy (GDH) have shown efficacy in improving gut symptoms in children. The primary objective of the study was to compare changes in gastrointestinal (GI) scores following a 12-week intervention of synbiotics (prebiotic + probiotic) +/- GDH with a follow-up at 24 weeks. Secondary objectives included changes in behavioural and anxiety symptoms, while changes in gut microbiome composition were assessed as an exploratory objective. Children diagnosed with ASD aged 5.00-10.99 years (n = 40) were recruited and randomised (1:1) to a 12-week intervention of either synbiotics (SYN group) or synbiotics + GDH (COM group). Both the SYN and COM group experienced significant reductions in total GI scores post-intervention and at follow-up (p < 0.001), with no superiority of the COM treatment over the SYN treatment. The COM group showed beneficial reductions in anxiety scores (p = 0.002) and irritability behaviours (p < 0.001) which were not present in the SYN group. At follow-up, only those in the COM group maintained significant reductions in GI pain scores (p < 0.001). There were significant changes in gut microbiota such as increases in Bifidobacterium animalis and Dialister in both groups over time. In conclusion, synbiotics with or without GDH may help support standard care for autistic children who suffer comorbid DGBI. The trial was prospectively registered at clinicialtrials.gov on 16 November 2020 (NCTO4639141).
Related Concept Videos
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Behavior Therapy
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Operant Conditioning Intervention
In operant conditioning, behaviors that are...
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:

