A Meta-Analysis of Sensory Modulation Symptoms in Individuals with Autism Spectrum Disorders

  • Ayelet Ben-Sasson
  • Liat Hen
  • Ronen Fluss
  • Sharon A. Cermak
  • Batya Engel-Yeger
  • Eynat Gal
Original Paper

Abstract

Sensory modulation symptoms are common in persons with autism spectrum disorders (ASD); however have a heterogeneous presentation. Results from 14 studies indicated a significant high difference between ASD and typical groups in the presence/frequency of sensory symptoms, with the greatest difference in under-responsivity, followed by over-responsivity and sensation seeking. Three moderators that reduced the variability in findings among studies were: chronological age, severity of autism, and type of control group. Sensory differences were highest for studies of children ages 6–9 years, samples with more than 80% with an autism diagnosis, and compared to a CA matched versus a MA or DD matched group. It is important to consider these moderators in the design of studies and interventions addressing sensory symptoms.

Keywords

Sensory modulation Sensory processing Sensory profile Autism spectrum disorders Meta analysis Pervasive developmental disorders 

References

  1. Adamson, A., O’Hare, A., & Graham, C. (2006). Impairments in sensory modulation in children with autistic spectrum disorder. British Journal of Occupational Therapy, 69(8), 357–364.Google Scholar
  2. Ayres, J. A. (1985). Developmental dyspraxia and adult onset apraxia. Torrance, CA: Western Psychological Services.Google Scholar
  3. Baker, A. E., Lane, A., Angley, M. T., & Young, R. L. (2007). The relationship between sensory processing patterns and behavioural responsiveness in autistic disorder: A pilot study. Journal of Autism and Developmental Disorders [Epub ahead of print].Google Scholar
  4. *Baranek, G. T., David, F. J., Poe, M. D., Stone, W. L., & Watson, L. R. (2006). Sensory experience questionnaire: Discriminating sensory features in young children with autism, developmental delays, and typical development. Journal of Child Psychology and Psychiatry, 47(6), 591–601.PubMedCrossRefGoogle Scholar
  5. *Ben-Sasson, A., Cermak, S. A., Orsmond, G. I., Carter, A. S., Kadlec, M. B., & Dunn, W. (2007). Extreme sensory modulation behaviors in toddlers with autism. American Journal of Occupational Therapy, 61(5), 584–592.PubMedGoogle Scholar
  6. *Ben-Sasson, A., Cermak, S. A., Orsmond, G. I., Tager-Flusberg, H., Carter, A. S., & Kadlec, M. B. (in press). Sensory subgroups of toddlers with autism spectrum disorders: Differences in internalizing symptoms. Journal of Child Psychology and Psychiatry. Google Scholar
  7. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed. ed.). Hillsdale, NJ: Erlbaum.Google Scholar
  8. Dunn, W. (1997). The impact of sensory processing abilities on the daily lives of young children and their families: A conceptual model. Infants and Young Children, 9(4), 23–35.CrossRefGoogle Scholar
  9. Dunn, W. (1999). Sensory Profile manual. NY: The Psychological Corporation.Google Scholar
  10. Dunn, W. (2002). Infant/toddler Sensory Profile manual. NY: The Psychological Corporation.Google Scholar
  11. *Dunn, W., Smith-Myles, B., & Orr, S. (2002). Sensory processing issues associated with Asperger syndrome: A preliminary investigation. American Journal of Occupational Therapy, 56(1), 97–102.PubMedGoogle Scholar
  12. *Ermer, J., & Dunn, W. (1998). The Sensory Profile: A discriminant analysis of children with and without disabilities. American Journal of Occupational Therapy, 52(4), 283–290.PubMedGoogle Scholar
  13. *Gal, E. (2006). An investigation of the relationship of sensory differences and intellectual level to stereotyped and self injurious movements in children. Unpublished dissertation thesis, Griffith University, Australia.Google Scholar
  14. Gal, E., Cermak, S. A., & Ben-Sasson, A. (2007). Sensory processing disorders in children with autism: Nature, assessment, and intervention. In R. Gabriels & D. Hill (Eds.), Growing with autism: Working with school-age children and adolescents. NY: Guilford Publishers.Google Scholar
  15. *Gabriels, R. L., Agnew, J. A., Goldson, E., Ledbetter, J. C., & Cuccaro, M. L. (2005). May). Boston, MA: Repetitive behaviors and sensory profiles in children with autism spectrum disorders. Poster session presented at the International Meeting for Autism Research.Google Scholar
  16. Grandin, T. (1995). Thinking in pictures and other reports from my life with autism. NY: Vintage Books.Google Scholar
  17. Harrison, J., & Hare, D. J. (2004). Brief report: Assessment of sensory abnormalities in people with autistic spectrum. Journal of Autism and Developmental Disorders, 34(6), 727–730.PubMedCrossRefGoogle Scholar
  18. Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando, FL: Academic Press.Google Scholar
  19. Huebner, R. A., & Dunn, W. (2001). Understanding autism and the sensorimotor findings in autism; Introduction and basic concepts. In R. A. Huebner (Ed.), Autism, a sensorimotor approach to management. Maryland: Aspen.Google Scholar
  20. Iarocci, G., & McDonald, J. (2006). Sensory integration and the perceptual experience of persons with autism. Journal of Autism and Developmental Disorders, 36(1), 77–90.PubMedCrossRefGoogle Scholar
  21. Interdisciplinary Council on Developmental and Learning Disorders (ICDL-DMIC) Work Groups. (2005). Interdisciplinary Council on Developmental and Learning Disorders Diagnostic manual for infancy and early childhood mental health disorders, developmental disorders, regulatory-sensory processing disorders, language disorders, and learning challenges. Bethesda, MD: Author.Google Scholar
  22. Jones, R. S. P., Quigney, C., & Huws, J. C. (2003). First-hand accounts of sensory perceptual experiences in autism: A qualitative analysis. Journal of Intellectual & Developmental Disability, 28(2), 112–121.CrossRefGoogle Scholar
  23. Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–50.Google Scholar
  24. Kay, S. F. (2001). The relationship between sensory processing and self care for children with autism ages two to four. Unpublished dissertation thesis, Nova Southeastern University, Fort Lauderdale, FL.Google Scholar
  25. *Kern, J. K., Garver, C. R., Carmody, T., Andrews, A. A., Trivedi, M. H., & Mehta, J. A. (2007). Examining sensory quadrants in autism. Research in Autism Spectrum Disorders, 1, 185–193. Google Scholar
  26. Kern, J. K., Trivedi, M. H., Graver, C. R., Gannermann, B. D., Andrews, A. A., Savla, J. S., et al. (2006). The pattern of sensory processing abnormalities in autism. Autism, 10(5), 480–494.PubMedCrossRefGoogle Scholar
  27. Kientz, M. A., & Dunn, W. (1997). A comparison of the performance of children with and without autism on the Sensory Profile. American Journal of Occupational Therapy, 51(7), 530–537.PubMedGoogle Scholar
  28. Liss, M., Saulnier, C., Fein, D., & Kinsbourne, M. (2006). Sensory and attention abnormalities in autistic spectrum disorders. Autism, 10(2), 155–172.PubMedCrossRefGoogle Scholar
  29. Miller, L. J., Anzalone, M. E., Lane, S., Cermak, S. A., & Osten, E. (2007). Concept evolution in sensory integration: A proposed nosology for diagnosis. American Journal of Occupational Therapy, 61(2), 135–140.PubMedGoogle Scholar
  30. O’Neill, M., & Jones, R. S. P. (1997). Sensory-perceptual abnormalities in autism: A case for more research. Journal of Autism and Developmental Disorders, 27(3), 283–293.PubMedCrossRefGoogle Scholar
  31. Pfeiffer, B., Kinnealey, M., Reed, C., & Herzberg, G. (2005). Sensory modulation and affective disorders in children and adolescents with Asperger’s disorder. American Journal of Occupational Therapy, 59(3), 335–345.PubMedGoogle Scholar
  32. *Rogers, S. J., Hepburn, S., Wehner, E., (2003). Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders. Journal of Autism and Developmental Disorders, 33(6), 631–642.PubMedCrossRefGoogle Scholar
  33. Rogers, S. J., & Ozonoff, S. (2005). Annotation: What do we know about sensory dysfunction in autism? A critical review of the empirical evidence. Journal of Child Psychology and Psychiatry, 46(12), 1255–1268.PubMedCrossRefGoogle Scholar
  34. Sagarin, J. D. (1998). Toward a different model of autism: Exploring the sensory experiences of those diagnosed with autism or pervasive developmental disorder. Unpublished dissertation thesis, Clark University, Worcester, MA.Google Scholar
  35. *Saulnier, C. A. (2003). Sensory reactivity in children with and without autism. Unpublished master thesis, University of Connecticut, New Haven, CT.Google Scholar
  36. *Schaaf, R. C., Benevides, T., Miller, L. J., Brett-Green, B., & Schoen, S. (2006). Sensory dysfunction in children with autism. Poster presented at the American Occupational Therapy Association conference, Charlotte, NC.Google Scholar
  37. Shadish, W. R., & Haddock, C. K. (1994). Combining estimates of effect size. In H. Cooper & L. V. Hedges (Eds.), The handbook of research synthesis (pp. 261–281). NY: Russell Sage Foundation.Google Scholar
  38. Sigman, M. (1994). What are the core deficits in autism? In S. H. Broman & J. Grafman (Eds.), Atypical cognitive deficits in developmental disorders: Implications for brain functioning (pp. 139–158). Hillside, NJ: Lawrence Erlbaum Associates.Google Scholar
  39. *Talay-Ongan, A., & Wood, K. (2000). Unusual sensory sensitivities in autism: A possible crossroads. International Journal of Disability. Development and Education, 47(2), 201–212.Google Scholar
  40. *Tomcheck, S. D., & Dunn, W. (2007). Sensory processing in children with and without autism: A comparative study using the Short Sensory Profile. American Journal of Occupational Therapy, 61(2), 190–200.Google Scholar
  41. Watling, R. L., Deitz, J., & White, O. (2001). Comparison of Sensory Profile scores of young children with and without autism spectrum disorders. American Journal of Occupational Therapy, 55(4), 416–423.PubMedGoogle Scholar
  42. Yirmiya, N., & Shaked, M. (2005). Psychiatric disorders in parents of children with autism: A meta-analysis. Journal of Child Psychology and Psychiatry, 46(1), 69–83.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ayelet Ben-Sasson
    • 1
  • Liat Hen
    • 1
  • Ronen Fluss
    • 2
  • Sharon A. Cermak
    • 3
  • Batya Engel-Yeger
    • 1
  • Eynat Gal
    • 1
  1. 1.Department of Occupational TherapyHaifa UniversityHaifaIsrael
  2. 2.Department of Health Services ResearchMinistry of HealthJerusalemIsrael
  3. 3.Occupational Therapy and Rehabilitation Counseling Department, Sargent College of Health and Rehabilitation SciencesBoston UniversityBostonUSA

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