Sensory processing related to attention in children with ASD, ADHD, or typical development: Results from the ELENA cohort
Abstract
Autism-spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD) are early neurodevelopmental conditions that share clinical characteristics, raising important issues in clinical diagnosis. We aimed to compare (1) sensory processing in four groups of children: ASD alone, ASD + ADHD, ADHD alone, and typical development (TD) and (2) the association between sensory processing and attention in the three groups with neurodevelopmental disorders. Our sample included 120 children aged from 6 to 12 years divided into four groups: ASD alone (N = 43), ASD + ADHD (N = 18), ADHD alone (N = 28), and TD (N = 31). Atypical sensory processing was more frequent in ASD and/or ADHD than in TD, without a significant difference between ASD and ADHD. However, the variance analysis of attention problems revealed differences between the ADHD and ASD groups. Thus, the rate of atypical sensory processing was comparable between the ASD and ADHD groups, suggesting that further studies are needed to explore atypical SP in all neurodevelopmental disorders.
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Atypical sensory responses may persist throughout the life of people affected with ASD.
“In addition, those atypical sensory responses may persist throughout the life of people affected with ASD [36,37,38].”
From Food Selectivity and Its Implications Associated with Gastrointestinal Disorders in Children with Autism Spectrum Disorders (2022) · cites this paper as [37]
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“However, similar studies with similar sample sizes have been published (Dellapiazza et al. 2021).”
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“Basic sensory stimuli processing is fundamental in gaining access to social information from the environment and therefore in further shaping social behavior (Dellapiazza et al., 2021).”
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“Given the significant overlap in experiences between autistic and non-autistic neurodivergent individuals (Dellapiazza et al., 2021), it stands to reason that sensory-sensitive accommodations would broadly benefit neurodivergent students.”
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“These sensory processing difficulties are strongly associated with inattention (Dellapiazza et al., 2021; Little et al., 2018), behavioral problems (Mangeot et al., 2001; Rani et al., 2023; Reynolds & Lane, 2009), leisure activity preferences (Engel-Yeger & Ziv-On, 2011), and socialization…”
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“Higher rates of atypical sensory processing were found in children diagnosed with both ASD and ADHD than children without special needs (Dellapiazza et al., 2021).”
BackgroundSensory processing, executive function, and behavior in children with ADHD
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“Evidence suggests that an estimated 50–60% of children with ADHD experience SP problems (Dellapiazza et al., 2021).”
InfluentialPowell, H. J., He, J. L., Khalil, N., Wodka, E. L., Deronda, A. C., Edden, R. A. E., Vasa, R. A., Mostofsky, S. H., & Puts, N. A. J. (2023) · Development and Psychopathology · doi:10.1017/s0954579423001360 · Cited by 6 · see citing works
“Evidence for both distinct and overlapping sensory processing patterns has been found in autism and ADHD, though these have not been clearly defined (Bijlenga et al., 2017; Dellapiazza et al., 2021; He et al., 2021b; Little et al., 2018; Scheerer et al., 2022).”
BackgroundADHD and ASD traits are indirectly associated with sensory changes through anxiety
Varbanov, V., Overton, P. G., & Stafford, T. (2023) · Current Psychology · doi:10.1007/s12144-022-04217-1 · Cited by 6 · see citing works
“ADHD and ASD map similarly onto sensory processing as well, and their symptoms in clinical cases are often intertwined and manifest with sensory integration difficulties (Panagiotidi et al., 2017a, b; Ben-Sasson et al., 2009; Billstedt & Gillberg, 2007; Dellapiazza et al., 2020).”
BackgroundLundqvist, S., & Kerekes, N. (2023) · The European Journal of Psychiatry · doi:10.1016/j.ejpsy.2023.100228 · Cited by 6 · see citing works
“9,10 Furthermore, a comprehensive review recently examined the occurrence of chronic pain in youth with ADHD, the prevalence of ADHD in individuals with chronic pain, and the intricate connection between chronic pain and ADHD in the younger population.”
BackgroundNehme, S. B. S., Sánchez‐Sarasúa, S., Adel, R., Tuifua, M., Ali, A. M., Essawy, A. E., Salam, S. A., Hleihel, W., Boué‐Grabot, É., & Landry, M. (2024) · Frontiers in Pharmacology · doi:10.3389/fphar.2023.1288994 · Cited by 6 · see citing works
Sensory modulation and negative affect in children at familial risk of ADHD
Keating, J., Bramham, J., & Downes, M. (2021) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2021.103904 · Cited by 6 · see citing works
“Infant studies have observed a relationship between sensory processing and negative affect (DeGangi, Craft, & Castellan, 1991; DeSantis et al., 2004).”
BackgroundCremone‐Caira, A., Braverman, Y., MacNaughton, G. A., Nikolaeva, J. I., & Faja, S. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-023-06005-7 · Cited by 5 · see citing works
“…as sensory processes are antecedents of, and contribute to, functions that are often impaired among groups of autistic children including attention (Dellapiazza et al., 2021), executive function (Pastor-Cerezuela et al., 2020), and social interaction and communication (Thye et al., 2018).”
Dang, C., Luo, X., Zhu, Y., Li, B., Feng, Y., Xu, C., Kang, S., Yin, G., Johnstone, S. J., Wang, Y., et al. (2024) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-023-01695-7 · Cited by 4 · see citing works
Nauman, J., & Ingersoll, B. R. (2022) · Research in Autism · doi:10.1016/j.rasd.2022.102091 · Cited by 4 · see citing works
Kedar, M., & Bauminger‐Zviely, N. (2022) · Autism Research · doi:10.1002/aur.2852 · Cited by 3 · see citing works
“These patterns may appear in any of the senses (Dellapiazza et al., 2019, 2020; Hilton et al., 2010; Sanz-Cervera et al., 2017; Thye et al., 2018).”
BackgroundJi, Y., Zhu, F.-L., Yin, P.-P., Zeng, S.-T., & Huang, Z. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1696983 · Cited by 3 · see citing works
Augé, P., Maruani, A., Humeau, É., Ellul, P., Cartigny, A., Lefebvre, A., Dellapiazza, F., Delorme, R., & Peyre, H. (2024) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-024-06385-4 · Cited by 3 · see citing works
“However, other studies showed that the seeking behavior dimension was strongly correlated with attentional difficulties (Alateyat et al., 2022; Dellapiazza et al., 2021; Sabatos-DeVito et al., 2016).”
Population-based detection of children ASD/ADHD comorbidity from atypical sensory processing
Fernández-Delgado, M., Cruz, S., Cernadas, E., Alateyat, H., Tubío-Fungueiriño, M., Sampaio, A., Carracedo, Á., & Fernández‐Prieto, M. (2024) · Applied Intelligence · doi:10.1007/s10489-024-05655-z · Cited by 3 · see citing works
“Difficulties in sensory processing are frequent and one of the earliest and common clinical observations in children with neurodevelopmental disorders, especially in those with ASD and behavioral problems [17], compared to typically developing children [18].”
Gaze Analysis and Concentration Monitoring for Children With Attention Disorder Using Eye-Tracking
Dan, G., Ruxandra, M.-O., Domuţă, C., Fanca, A., Puscasiu, A. P., Stan, O. P., Vălean, H., & Miclea, L. C. (2022) · IEEE International Conference on Automation, Quality and Testing, Robotics (AQTR) · doi:10.1109/aqtr55203.2022.9802014 · Cited by 3 · see citing works
“Autism Spectrum Disorder and AttentionDeficit/Hyperactivity Disorder are neurodevelopmental conditions that have common clinical characteristics [1].”
BackgroundChen, Y., Harrop, C., Sabatos‐DeVito, M., Bulluck, J., Belger, A., & Baranek, G. T. (2022) · Research in Autism · doi:10.1016/j.rasd.2022.102035 · Cited by 3 · see citing works
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“These findings support those reported in previous studies of children with ADHD, demonstrating a significant relationship between this disorder and SP problems [22,33].”
Head-Toes for Neurodiverse Learners: Adapting an Existing Behavioral Self-regulation Assessment
Cameron, C. E., Priore, M., Kenny, S. A., Cook‐Cottone, C. P., McClelland, M. M., & Gigante, V. (2025) · Child & Youth Care Forum · doi:10.1007/s10566-025-09894-0 · Cited by 2 · see citing works
“These obser-1 vations align with research suggesting that some neurodiverse children face difficulties processing the everyday sensory aspects of their environment, especially when exposed to change and unfamiliar situations (Dellapiazza et al., 2021).”
Constipation in Children with Autism: A Comprehensive Review
Chogle, A. S., Wong, G., & Megerian, J. T. (2024) · Current Treatment Options in Pediatrics · doi:10.1007/s40746-024-00304-6 · Cited by 2 · see citing works
“Sensory sensitivities, prevalent in both ASD and ADHD, are closely linked to behaviors such as withholding bowel movements, further complicating constipation (36).”
Fernández-Pires, P., Valera‐Gran, D., Hurtado‐Pomares, M., Espinosa-Sempere, C., Pérez, A. S., Juárez-Leal, I., Muñoz-Sánchez, R., León-García, A.-S., Peral‐Gómez, P., & Navarrete‐Muñoz, E. M. (2024) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2024.10.001 · Cited by 2 · see citing works
Moore, J., Farquharson, K., & Lotter, C. B. (2025) · Healthcare · doi:10.3390/healthcare13050465 · Cited by 3 · see citing works
“Autistic children often experience challenges with tactile and auditory sensory input [68,69].”
Azim, S. I., Mallitt, K., Wong, T. Y., Lin, P., Lam‐Cassettari, C., Masi, A., Diaz, A. M., Montgomery, A. K., McHugh, C. M., Whitehouse, A., et al. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-06983-w · Cited by 2 · see citing works
Effects of auditory and tactile distraction in adults with low and high ADHD symptoms
Elbe, P., Marsja, E., Sörman, D. E., Vega‐Mendoza, M., Nyberg, L. H., & Ljungberg, J. K. (2024) · Journal of Cognitive Psychology · doi:10.1080/20445911.2024.2349331 · Cited by 2 · see citing works
Udhnani, M. D., Becker, L., & Lecavalier, L. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-06857-1 · Cited by 1 · see citing works
Barthes, H. J., Rainey, V. R., Schantz, A. D., & Black, E. R. (2025) · Research in Neurodiversity · doi:10.1016/j.rin.2025.100002 · Cited by 1 · see citing works
Varbanov, V., Overton, P. G., & Stafford, T. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1632880 · Cited by 1 · see citing works
Sensory Profiles in Children with Speech Sound Disorders
Björelius, H., Tükel, Ş., Tsilingaridis, G., Malmenholt, A., & Terband, H. (2025) · Folia Phoniatrica et Logopaedica · doi:10.1159/000548782 · Cited by 1 · see citing works
Gad, H., Alobaidi, A., Kamal, M., Elhag, S. F., Aden, M., Khan, A., Baraka, A., Bennabhaktula, S., Joseph, S., Alhamadi, A. Y., et al. (2026) · PLoS ONE · doi:10.1371/journal.pone.0342439 · Cited by 1 · see citing works
“A growing body of evidence shows altered sensory processing in ADHD [4,23–27].”
Neurodivergent College Students from an Inclusive Campus to the Workplace
McFalls, T. A., Heasley, C., & Newell, M. A. (2024) · Palgrave studies in equity, diversity, inclusion, and indigenization in business · doi:10.1007/978-3-031-55072-0_15 · Cited by 1 · see citing works
A importância do diagnóstico precoce de TDAH para o desenvolvimento infantil
dos Santos, K. S., Marinho, M. D. O., Santos, M. S. B., Trambaioli, V. S., & Bhering, C. A. (2024) · Revista Eletrônica Acervo Médico · doi:10.25248/reamed.e14497.2024 · Cited by 1 · see citing works
Child–physician rapport at a neurodevelopmental clinic: In the eyes of the beholder
Karni‐Visel, Y., Gordon-Feliks, S., Lam, M., Klein, M., & Schertz, M. (2024) · Patient Education and Counseling · doi:10.1016/j.pec.2024.108586 · Cited by 1 · see citing works
SENSORY PROCESSING IN CHILDREN WITH AUTISM- A SCOPING REVIEW
Bukva, A. (2023) · Multidisciplinarni Pristupi u Edukaciji i Rehabilitaciji · doi:10.59519/mper5206
Mnenje staršev glede predelave senzornih prilivov pri otrocih z motnjo pozornosti in hiperaktivnosti
Turel, A. A., Gričar, N., & Černe, T. (2023) · Revija za zdravstvene vede · doi:10.55707/jhs.v10i2.150
“Other stu - dies also report statistically significant differences on these two scales (Cheung & Siu, 2009; Dellapiazza et al., 2021; Dunn and Bennett, 2002; Yochman et al., 2004).”
BackgroundKurasawa, S., Tateyama, K., Iwanaga, R., Kimura, D., Fujita, T., & Tanba, H. (2024) · American Journal of Occupational Therapy · doi:10.5014/ajot.2024.050271
“…infancy to older adulthood, and that people with neurodevelopmental disorders, such as attention deficit hyperactivity disorder and autism spectrum disorder, have distinct and more intense patterns of sensory processing (Delgado-Lobete et al., 2020; Dellapiazza et al., 2021; Wang et al., 2019).”
Patrones de procesamiento sensorial de adultos con dificultades de aprendizaje autorreferidas
Armstrong-Gallegos, S., & Muñoz, M. J. S. (2023) · Revista Costarricense de Psicología · doi:10.22544/rcps.v42i02.04
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Devenir de la pensée d'André Bullinger
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Pathogenese funktioneller Störungen der Nahrungsaufnahme im Kindesalter
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Digestive Dimensions of Autism: A Multiscale Exploration of Gut-Brain InteractionsPreprint
Robas, R., Tripathi, U., Rike, W. A., Sharma, O., & Stern, S. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.07.29.667422
“In addition, about 90% of children with ASD exhibit atypical sensory responses (compared to about 33% of children without ASD) (141,142) due to hyper-or hyposensitivity to different stimuli caused by altered generation and processing of information in their somatosensory system (143–145).”
Robas, R., Tripathi, U., Rike, W. A., Sharma, O., & Stern, S. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26199580
“In addition, about 90% of children with ASD exhibit atypical sensory responses (compared to about 33% of children without ASD) [110,111] due to hyper-or hyposensitivity to different stimuli caused by altered generation and processing of information in their somatosensory system [112–114].”
Muszynska, M., Dalton, R., Serino, G., Kumar, S., Pinti, P., Farran, E. K., & Ossmy, O. (2025) · IEEE International Conference on Development and Learning (ICDL) · doi:10.1109/icdl63968.2025.11204431
“Overall, sensory processing problems are more common in children with ADHD compared to typically developing peers [16].”
InfluentialLi, J., Gao, Y., Dong, M., Wang, W., Li, H., Pan, M., Yue, X., Liu, N., Qian, Q., Wang, Y., et al. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07636-z
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“In addition to the core symptoms of ADHD, patients may experience associated impairments, such as deficits in perceptual functions, 222 — 224 as well as additional health-related conditions or difficulties.”
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Diversity-Friendly Initiatives: Substance or Show? The Case of Silent Clapping
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“On the other hand, however, sensory sensitivities are also commonly associated with ADHD, with more recent evidence suggesting that sensory alterations in ADHD are comparable, or may even exceed, those of the autistic population (19-21).”
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Extreme sensory processing in high intellectual potential individuals : a systematic review
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“Sensory processing disorders are frequently associated with neurodevelopmental [1–4], or psychiatric conditions [5–7].”
- Authors
- for ELENA study group, Dellapiazza, F., Michelon, C., Vernhet, C., Muratori, F., Blanc, N., Picot, M.-C., & Baghdadli, A.
- Affiliations
- Centre Hospitalier Universitaire de Montpellier (FR)
- Inserm (FR)
- Fondazione Stella Maris (IT)
- Université Paul-Valéry Montpellier (FR)
- Corresponding author
- Baghdadli, Amaria
- Venue
- European Child & Adolescent Psychiatry
- Published
- 2020-03-25
- Volume
- 30
- Issue
- 2
- Pages
- 283-291
- ISSN
- 1018-8827 (ISSN-L)
- 1435-165X
- OpenAlex
- W3013318331
- Cited by
- 107
- References
- 38
- Citations by year
- 2026: 12 · 2025: 25 · 2024: 27 · 2023: 15 · 2022: 17 · 2021: 11
- FWCI
- 5.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
- Funders
- French Health Ministry (DGOS-PHRC-N-2013-13-0232)
- CHU of Montpellier
- Caisse nationale de solidarité pour l'autonomie (CNSA 030319)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- sensory processing, attention deficits, autism spectrum disorder, attention deficit hyperactivity disorder, neurodevelopmental disorders, children
- MeSH terms
- Autism Spectrum Disorder, Attention, Attention Deficit Disorder with Hyperactivity, Child, Female, Humans, Male, Perception
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