Abstract
This study evaluated attention, sensory processing, and social responsiveness and the relationship between these constructs among autistic and neurotypical adults. Participants included 24 autistic adults (17–30 years) and 24 neurotypical peers who completed the Test of Everyday Attention, Adolescent/Adult Sensory Profile (AASP), and the Social Responsiveness Scale-2. Autistic individuals showed greater attention, sensory processing, and social responsiveness challenges compared to neurotypical peers. Using mediation models, we showed that the relationship between attention and social responsiveness was mediated by sensory processing, specifically the low registration and sensation-seeking AASP quadrants. The relationship between attention, sensory processing, and social responsiveness suggests that adults with greater attention issues may have greater sensory and social challenges. Specifically, having poor attention may lead to poor sensory processing skills which compound poor social responsiveness. Understanding the relationships between these domains is critical for developing effective interventions and support for autistic adults.
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Data will be made available upon request to the corresponding author.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Ames, C., & Fletcher-Watson, S. (2010). A review of methods in the study of attention in autism. Developmental Review, 30(1), 52–73. https://doi.org/10.1016/j.dr.2009.12.003
Ashburner, J., Ziviani, J., & Rodger, S. (2008). Ovid: Sensory processing and classroom emotional, behavioral, and educational outcomes in children with autism spectrum disorder. American Journal of Occupational Therapy, 62, 564–573.
Baranek, G. T., Woynaroski, T. G., Nowell, S., Turner-Brown, L., DuBay, M., Crais, E. R., & Watson, L. R. (2018). Cascading effects of attention disengagement and sensory seeking on social symptoms in a community sample of infants at-risk for a future diagnosis of autism spectrum disorder. Developmental Cognitive Neuroscience, 29, 30–40. https://doi.org/10.1016/j.dcn.2017.08.006
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182. https://doi.org/10.1037/0022-3514.51.6.1173
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(1), 5–17. https://doi.org/10.1023/a:1005653411471
Bottema-Beutel, K. (2016). Associations between joint attention and language in autism spectrum disorder and typical development: A systematic review and meta-regression analysis. Autism Research, 9(10), 1021–1035. https://doi.org/10.1002/aur.1624
Brace, N., Snelgar, R., & Kemp, R. (2012). SPSS for Psychologists. Macmillan International Higher Education.
Bradshaw, J., Schwichtenberg, A. J., & Iverson, J. M. (2022a). Capturing the complexity of autism: Applying a developmental cascades framework. Child Development Perspectives, 16(1), 18–26. https://doi.org/10.1111/cdep.12439
Bradshaw, J., Shi, D., Hendrix, C. L., Saulnier, C., & Klaiman, C. (2022b). Neonatal neurobehavior in infants with autism spectrum disorder. Developmental Medicine & Child Neurology, 64(5), 600–607. https://doi.org/10.1111/dmcn.15096
Brewer, N., Young, R. L., Norris, J. E., Maras, K., Michael, Z., & Barnett, E. (2021). A quick measure of theory of mind in autistic adults: Decision accuracy, latency and self-awareness. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-021-05166-7
Brown, C., & Dunn, W. (2002). Adolescent/adult sensory profile. Pearson.
Brown, C., & Dunn, W. (2006). Sensory ProfileTM Adolescent/Adult Sensory Profile® Adolescent/Adult Sensory Profile Summary Report. https://www.pearsonassessments.com/content/dam/school/global/clinical/us/assets/sensory-profile/aasp-qglobal-full-report-sample.pdf
Bruni, T. P. (2014). Test review: Social responsiveness scale-second edition (SRS-2). Journal of Psychoeducational Assessment, 32(4), 365–369. https://doi.org/10.1177/0734282913517525
Camarata, S., Miller, L. J., & Wallace, M. T. (2020). Evaluating sensory integration/sensory processing treatment: issues and analysis. Frontiers in Integrative Neuroscience. https://doi.org/10.3389/fnint.2020.556660
Canu, D., Van der Paelt, S., Canal-Bedia, R., Posada, M., Vanvuchelen, M., & Roeyers, H. (2021). Early non-social behavioural indicators of autism spectrum disorder (ASD) in siblings at elevated likelihood for ASD: A systematic review. European Child & Adolescent Psychiatry, 30(4), 497–538. https://doi.org/10.1007/s00787-020-01487-7
Cascio, C. J., Woynaroski, T., Baranek, G. T., & Wallace, M. T. (2016). Toward an interdisciplinary approach to understanding sensory function in autism spectrum disorder. Autism Research, 9(9), 920–925. https://doi.org/10.1002/aur.1612
Chun, M. M., Golomb, J. D., & Turk-Browne, N. B. (2011). A Taxonomy of External and Internal Attention. Annual Review of Psychology, 62(1), 73–101. https://doi.org/10.1146/annurev.psych.093008.100427
Constantino, J. N., & Guber, C. P. (2012). Social Responsiveness Scale Second Edition (SRS-2): Manual. Western Psychological Services.
Crane, L., Goddard, L., & Pring, L. (2009). Sensory processing in adults with autism spectrum disorders. Autism, 13(3), 215–228. https://doi.org/10.1177/1362361309103794
Crasta, J. E., Salzinger, E., Lin, M.-H., Gavin, W. J., & Davies, P. L. (2020). Sensory processing and attention profiles among children with sensory processing disorders and autism spectrum disorders. Frontiers in Integrative Neuroscience. https://doi.org/10.3389/fnint.2020.00022
Dellapiazza, F., Vernhet, C., Blanc, N., Miot, S., Schmidt, R., & Baghdadli, A. (2018). Links between sensory processing, adaptive behaviours, and attention in children with autism spectrum disorder: A systematic review. Psychiatry Research, 270, 78–88. https://doi.org/10.1016/j.psychres.2018.09.023
DuBois, D., Lymer, E., Gibson, B. E., Desarkar, P., & Nalder, E. (2017). Assessing sensory processing dysfunction in adults and adolescents with autism spectrum disorder: A scoping review. Brain Sciences. https://doi.org/10.3390/brainsci7080108
Dunn, W. (1997). The impact of sensory processing abilities on the daily lives of young children and their families: A conceptual model. Infants & Young Children, 9(4), 23–35.
Dunn, W. (2014). Sensory Profile 2. User’s manual. Pearson.
Elsabbagh, M., Fernandes, J., Jane Webb, S., Dawson, G., Charman, T., & Johnson, M. H. (2013). Disengagement of Visual Attention in Infancy is Associated with Emerging Autism in Toddlerhood. Biological Psychiatry, 74(3), 189–194. https://doi.org/10.1016/j.biopsych.2012.11.030
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
Fernandez-Prieto, M., Moreira, C., Cruz, S., Campos, V., Martínez-Regueiro, R., Taboada, M., Carracedo, A., & Sampaio, A. (2021). Executive functioning: A mediator between sensory processing and behaviour in autism spectrum disorder. Journal of Autism and Developmental Disorders, 51(6), 2091–2103. https://doi.org/10.1007/s10803-020-04648-4
Guillon, Q., Hadjikhani, N., Baduel, S., & Rogé, B. (2014). Visual social attention in autism spectrum disorder: Insights from eye tracking studies. Neuroscience & Biobehavioral Reviews, 42, 279–297. https://doi.org/10.1016/j.neubiorev.2014.03.013
Hannant, P., Tavassoli, T., & Cassidy, S. (2016). The role of sensorimotor difficulties in autism spectrum conditions. Frontiers in Neurology. https://doi.org/10.3389/fneur.2016.00124
Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis (2nd ed.). Guilford Publications.
Ismael, N., Lawson, L. M., & Hartwell, J. (2018). Relationship between sensory processing and participation in daily occupations for children with autism spectrum disorder: a systematic review of studies that used Dunn’s sensory processing framework. American Journal of Occupational Therapy, 72(3), 1–9. https://doi.org/10.5014/ajot.2018.024075
Johnston, K., Dittner, A., Bramham, J., Murphy, C., Knight, A., & Russell, A. (2013). Attention deficit hyperactivity disorder symptoms in adults with autism spectrum disorders. Autism Research, 6(4), 225–236. https://doi.org/10.1002/aur.1283
Johnston, K., Murray, K., Spain, D., Walker, I., & Russell, A. (2019). Executive function: Cognition and behaviour in adults with autism spectrum disorders (ASD). Journal of Autism and Developmental Disorders, 49(10), 4181–4192. https://doi.org/10.1007/s10803-019-04133-7
Keehn, B., Lincoln, A. J., Müller, R., & Townsend, J. (2010). Attentional networks in children and adolescents with autism spectrum disorder. Journal of Child Psychology & Psychiatry, 51(11), 1251–1259. https://doi.org/10.1111/j.1469-7610.2010.02257.x
Keehn, B., Müller, R.-A., & Townsend, J. (2013). Atypical attentional networks and the emergence of autism. Neuroscience & Biobehavioral Reviews, 37(2), 164–183. https://doi.org/10.1016/j.neubiorev.2012.11.014
Kern, J. K., Trivedi, M. H., Garver, C. R., Grannemann, B. D., Andrews, A. A., Savla, J. S., Johnson, D. G., Mehta, J. A., & Schroeder, J. L. (2006). The pattern of sensory processing abnormalities in autism. Autism, 10(5), 480–494. https://doi.org/10.1177/1362361306066564
Kojovic, N., Ben Hadid, L., Franchini, M., & Schaer, M. (2019). Sensory processing issues and their association with social difficulties in children with autism spectrum disorders. Journal of Clinical Medicine, 8(10), 1508. https://doi.org/10.3390/jcm8101508
Lachenbruch, P. A., & Goldstein, M. (1979). Discriminant analysis. Biometrics, 35(1), 69–85. https://doi.org/10.2307/2529937
Lai, M.-C., & Baron-Cohen, S. (2015). Identifying the lost generation of adults with autism spectrum conditions. The Lancet Psychiatry, 2(11), 1013–1027. https://doi.org/10.1016/S2215-0366(15)00277-1
Landry, R., & Bryson, S. E. (2004). Impaired disengagement of attention in young children with autism. Journal of Child Psychology and Psychiatry, 45(6), 1115–1122. https://doi.org/10.1111/j.1469-7610.2004.00304.x
Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule–2nd edition (ADOS-2). Western Psychological Services.
Maenner, M. J., Shaw, K. A., Bakian, A. V., Bilder, D. A., Durkin, M. S., Esler, A., Furnier, S. M., Hallas, L., Hall-Lande, J., Hudson, A., Hughes, M. M., Patrick, M., Pierce, K., Poynter, J. N., Salinas, A., Shenouda, J., Vehorn, A., Warren, Z., Constantino, J. N., et al. (2021). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018. MMWR Surveillance Summaries, 70(11), 1–16. https://doi.org/10.15585/mmwr.ss7011a1
Marco, E. J., Hinkley, L. B. N., Hill, S. S., & Nagarajan, S. S. (2011, May 1). Sensory Processing in Autism: A Review of Neurophysiologic Findings [Special Features]. Pediatric Research. https://doi.org/10.1203/PDR.0b013e3182130c54
Mayer, J. (2017). The relationship between autistic traits and atypical sensory functioning in neurotypical and ASD adults: A spectrum approach. Journal of Autism & Developmental Disorders, 47(2), 316–327. https://doi.org/10.1007/s10803-016-2948-5
Mayer, J. L., & Heaton, P. F. (2014). Age and sensory processing abnormalities predict declines in encoding and recall of temporally manipulated speech in high-functioning adults with ASD. Autism Research, 7(1), 40–49. https://doi.org/10.1002/aur.1333
Mazza, M., Mariano, M., Peretti, S., Masedu, F., Pino, M. C., & Valenti, M. (2017). The role of theory of mind on social information processing in children with autism spectrum disorders: A mediation analysis. Journal of Autism and Developmental Disorders, 47(5), 1369–1379. https://doi.org/10.1007/s10803-017-3069-5
Minshew, N. J., Johnson, C., & Luna, B. (2000). The cognitive and neural basis of autism: A disorder of complex information processing and dysfunction of neocortical systems. In International Review of Research in Mental Retardation (Vol. 23, pp. 111–138). Academic Press. https://doi.org/10.1016/S0074-7750(00)80008-7
Morrison, S., Armitano, C. N., Raffaele, C. T., Deutsch, S. I., Neumann, S. A., Caracci, H., & Urbano, M. R. (2018). Neuromotor and cognitive responses of adults with autism spectrum disorder compared to neurotypical adults. Experimental Brain Research, 236(8), 2321–2332. https://doi.org/10.1007/s00221-018-5300-9
Mundy, P. (2017). A review of joint attention and social-cognitive brain systems in typical development and autism spectrum disorder. European Journal of Neuroscience, 47(6), 497–514. https://doi.org/10.1111/ejn.13720
Petersen, S. E., & Posner, M. I. (2012). The attention system of the human brain: 20 years after. Annual Review of Neuroscience, 35, 73–89.
Reynolds, S., Bendixen, R. M., Lawrence, T., & Lane, S. J. (2011). A Pilot study examining activity participation, sensory responsiveness, and competence in children with high functioning autism spectrum disorder. Journal of Autism and Developmental Disorders, 41(11), 1496–1506. https://doi.org/10.1007/s10803-010-1173-x
Robertson, I. H., Ward, T., Ridgeway, V., & Nimmo-Smith, I. (1994). The Test of Everyday Attention (TEA) (Vol. 4). Psychological Corporation.
Sarrett, J. C. (2018). Autism and accommodations in higher education: Insights from the autism community. Journal of Autism and Developmental Disorders, 48(3), 679–693. https://doi.org/10.1007/s10803-017-3353-4
Tavassoli, T., Miller, L. J., Schoen, S. A., Nielsen, D. M., & Baron-Cohen, S. (2014). Sensory over-responsivity in adults with autism spectrum conditions. Autism, 18(4), 428–432. https://doi.org/10.1177/1362361313477246
Thye, M. D., Bednarz, H. M., Herringshaw, A. J., Sartin, E. B., & Kana, R. K. (2018). The impact of atypical sensory processing on social impairments in autism spectrum disorder. Developmental Cognitive Neuroscience, 29, 151–167. https://doi.org/10.1016/j.dcn.2017.04.010
Tomchek, S. D., Little, L. M., & Dunn, W. (2015). Sensory pattern contributions to developmental performance in children with autism spectrum disorder. American Journal of Occupational Therapy, 69(5), 1–10. https://doi.org/10.5014/ajot.2015.018044
van den Boogert, F., Sizoo, B., Spaan, P., Tolstra, S., Bouman, Y. H. A., Hoogendijk, W. J. G., & Roza, S. J. (2021). Sensory processing and aggressive behavior in adults with autism spectrum disorder. Brain Sciences. https://doi.org/10.3390/brainsci11010095
Voos, A. C., Pelphrey, K. A., & Kaiser, M. D. (2013). Autistic traits are associated with diminished neural response to affective touch. Social Cognitive and Affective Neuroscience, 8(4), 378–386. https://doi.org/10.1093/scan/nss009
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This study was funded in part by a graduate student grant by the Organization of Autism Research to JEC.
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JEC: Conception and design of the study, data collection and analyses, drafting and critical revision of the article. OJG: data analysis, drafting, and critical revision of the article. WJG: design of the study, data analysis, critical revision of the article. PLD: design of the study, data analysis, critical revision of the article.
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Crasta, J.E., Green, O.J., Gavin, W.J. et al. The Relationship Between Attention, Sensory Processing, and Social Responsiveness Among Adults on the Autism Spectrum. J Autism Dev Disord (2023). https://doi.org/10.1007/s10803-023-06019-1
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DOI: https://doi.org/10.1007/s10803-023-06019-1