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Related Experiment Video

Updated: Jan 10, 2026

Measuring Cardiac Autonomic Nervous System ANS Activity in Toddlers - Resting and Developmental Challenges
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Psychosocial profiles of autonomic dysfunction.

William S Frye1, Sydney Ward1, Daniel Mauriello2

  • 1Department of Psychology, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

Autonomic Neuroscience : Basic & Clinical
|November 26, 2025
PubMed
Summary

Youth with autonomic dysfunction experience significant symptom and psychosocial burdens, regardless of heart rate response. Comprehensive care addressing medical, mental health, and daily life challenges is crucial for all affected young individuals.

Keywords:
Autonomic dysfunctionDysautonomiaOrthostatic intolerancePsychosocialQuality of Life

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Area of Science:

  • Pediatric Health
  • Autonomic Nervous System Disorders
  • Psychosocial Medicine

Background:

  • Dysautonomia, including Postural Orthostatic Tachycardia Syndrome (POTS), affects youth.
  • Psychosocial aspects of autonomic dysfunction in youth are under-researched, especially in non-POTS diagnosed patients.
  • Understanding the clinical and psychosocial profiles of youth with autonomic dysfunction is essential.

Purpose of the Study:

  • To examine the clinical and psychosocial profiles of youth with autonomic dysfunction.
  • To compare findings between youth with higher and lower heart rate responses to orthostatic testing.
  • To highlight the pervasive symptom and psychosocial burden in this population.

Main Methods:

  • Retrospective review of demographics, symptoms, quality of life (QoL), and mental health variables.
  • Utilized PedsQL™ for QoL assessment and Malmö POTS Symptom Score (MAPS) for symptom severity.
  • Extracted data from electronic medical records, including medical history and psychosocial concerns.

Main Results:

  • Symptom severity scores exceeded clinical cutoffs in the full sample and across heart rate response groups.
  • No significant differences were found between higher and lower heart rate response groups for any variable.
  • High prevalence of pain (92.5%), impaired eating (42.5%), clinically impaired QoL, and common mental health concerns like anxiety (83.3%) and depression (54.3%).

Conclusions:

  • Youth with autonomic dysfunction face a pervasive symptom and psychosocial burden, irrespective of heart rate response.
  • Emphasizes the need for comprehensive care addressing medical, mental health, and daily life challenges for all patients.
  • Recommends expanding research and clinical focus to include all youth with autonomic dysfunction for equitable care.