Sensory overresponsivity and anxiety in typically developing children and children With autism and attention deficit hyperactivity disorder: Cause or coexistence?

Lane, Shelly J.; Reynolds, Stacey; Dumenci, Levent

doi:10.5014/ajot.2012.004523

Cited by 116Autism Spectrum Disorder ResearchOccupational Therapy Practice and ResearchAttention Deficit Hyperactivity Disorder

Sensory overresponsivity and anxiety in typically developing children and children With autism and attention deficit hyperactivity disorder: Cause or coexistence?

Lane, Shelly J., Reynolds, Stacey, Dumenci, Levent·2012·American Journal of Occupational Therapy

DOI 10.5014/ajot.2012.004523

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Abstract

OBJECTIVE. To explore the relationship between sensory overresponsivity (SOR) and anxiety in children with autism, attention deficit hyperactivity disorder, and typical development. METHOD. Path analysis was used to examine the primary SOR model (Green & Ben-Sasson, 2010) using both physiological and behavioral data. RESULTS. The magnitude of physiological responses to sensory challenge was a mediator variable between predictors (baseline arousal and attention) and outcomes (anxiety and physiological recovery). Behavioral SOR was correlated with anxiety but not with physiological variables. CONCLUSION. The intensity or magnitude of sensory responsivity mediates the relationship between baseline arousal and attention and outcome anxiety and physiologic recovery from sensory challenge. Behavioral tools used to measure SOR do not reflect physiological responsiveness; this mismatch warrants further investigation. SOR can prevent children from participating in the occupations of childhood; the greater the understanding of SOR, the more successful occupational therapy practitioners will be in developing effective interventions.

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Sensory atypicalities have also been observed in individuals with intellectual disability and other neurodevelopmental disorders.
“it is worth noting that sensory atypicalities have also been observed in individuals with intellectual disability and other neurodevelopmental disorders (Green et al., 2003, 2016; Lane et al., 2012; Tomchek and Dunn, 2007; Watling et al., 2001)”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Lane et al., 2012

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Background
Sensory over responsivity and obsessive compulsive symptoms: A cluster analysis
Ben‐Sasson, A., & Podoly, T. Y. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2016.10.013 · Cited by 45 · see citing works
Autism Traits, Sensory Over-Responsivity, Anxiety, and Stress: A Test of Explanatory Models
Amos, G. A., Byrne, G., Chouinard, P. A., & Godber, T. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3695-6 · Cited by 46 · see citing works
Brief report: effects of sensory sensitivity and intolerance of uncertainty on anxiety in mothers of children with autism spectrum disorder
Uljarević, M., Carrington, S., & Leekam, S. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2557-8 · Cited by 39 · see citing works
“2012) and ASD population (Lane et al. 2012; Lidstone, Uljarević et al. 2014), anxiety in mothers was highly associated with SS.”
Structural Covariance of Sensory Networks, the Cerebellum, and Amygdala in Autism Spectrum Disorder
Cardon, G. J., Hepburn, S., & Rojas, D. C. (2017) · Frontiers in Neurology · doi:10.3389/fneur.2017.00615 · Cited by 38 · see citing works
First evidence of sensory atypicality in mothers of children with Autism Spectrum Disorder (ASD)
Uljarević, M., Prior, M. R., & Leekam, S. (2014) · Molecular Autism · doi:10.1186/2040-2392-5-26 · Cited by 36 · see citing works
“Sensory atypicalities are associated with affective disorders in both general [11] and clinical populations including ADHD and ASD [20,21].”
Background
The neurobiological presentation of anxiety in autism spectrum disorder: A systematic review
McVey, A. J. (2019) · Autism Research · doi:10.1002/aur.2063 · Cited by 31 · see citing works
“, 2015] and sensory over-responsivity [Lane et al., 2012], may influence the relation between anxiety and salivary cortisol in autism.”
BackgroundMethodResultInfluential
A co-twin-control study of altered sensory processing in autism
Neufeld, J., Taylor, M. J., Remnélius, K. L., Isaksson, J., Lichtenstein, P., & Bölte, S. (2021) · Autism · doi:10.1177/1362361321991255 · Cited by 32 · see citing works
“Sensory processing alterations are not specific to ASD (Posar & Visconti, 2018), but co-occur also within other neurodevelopmental and psychiatric conditions, including attention deficit hyperactivity disorder (ADHD) and anxiety disorders (Ghanizadeh, 2011; Lane et al., 2012; Liss et al., 2005).”
Background
Interventions for Sensory Over-Responsivity in Individuals with Autism Spectrum Disorder: A Narrative Review
Yuan, H.-L., Lai, C. Y. Y., Wong, M., Kwong, T. C., Choy, Y. S., Mung, S. W. Y., & Chan, C. C. H. (2022) · Children · doi:10.3390/children9101584 · Cited by 35 · see citing works
“Some studies have found that sensory symptoms and repetitive behaviors frequently co-occurred in children and adolescents with ASD (aged 6–17 years old) by parent report measures [35–37], and these are also associated with heightened emotional symptoms [38,39], particularly anxiety [40,41].”
Background
Evaluating a virtual reality sensory room for adults with disabilities
Mills, C., Tracey, D., Kiddle, R., & Gorkin, R. A., III (2023) · Scientific Reports · doi:10.1038/s41598-022-26100-6 · Cited by 30 · see citing works
Anxiety in adults with autism: Perspectives from practitioners
Ainsworth, K., Robertson, A. E., Welsh, H., Day, M., Watt, J., Barry, F., Stanfield, A., & Melville, C. (2020) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2019.101457 · Cited by 24 · see citing works
Relationships among Sensory Responsiveness, Anxiety, and Ritual Behaviors in Children with and without Atypical Sensory Responsiveness
Bart, O., Bar‐Shalita, T., Mansour, H. A., & Dar, R. (2016) · Physical & Occupational Therapy In Pediatrics · doi:10.1080/01942638.2016.1185504 · Cited by 26 · see citing works
“Indeed, research indicates that the intensity of response to sensory stimuli serves as a mediating variable between baseline arousal and attention, on the one hand, and anxiety on the other, suggesting that high arousal and hyper-vigilance influence the magnitude of response to sensation (Lane et al., 2012).”
BackgroundInfluential
Sensory Modulation in Children Exposed to Continuous Traumatic Stress
Yochman, A., & Pat‐Horenczyk, R. (2019) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-019-00254-4 · Cited by 26 · see citing works
Sensory curation: theorizing media use for sensory regulation and implications for family media conflict
Harrison, K., Vallina, L., Bue, A. C. C., Wenhold, H., & Moorman, J. D. (2018) · Media Psychology · doi:10.1080/15213269.2018.1496024 · Cited by 24 · see citing works
“, 2009), increasing anxiety in both typically developing children and children with autism and attention deficit hyperactivity disorder (Lane et al., 2012).”
BackgroundInfluential
Sensory processing profiles and autistic symptoms as predictive factors in autism spectrum disorder and Williams syndrome
Glod, M., Riby, D. M., & Rodgers, J. (2020) · Journal of Intellectual Disability Research · doi:10.1111/jir.12738 · Cited by 21 · see citing works
The relationship between communication skills, sensory difficulties, and anxiety in children with autism spectrum disorder
Khaledi, H., Aghaz, A., Mohammadi, A., Dadgar, H., & Meftahi, G. H. (2022) · Middle East Current Psychiatry · doi:10.1186/s43045-022-00236-7 · Cited by 31 · see citing works
“Sensory processing difficulties in ASD children are significantly associated with stereotyped behaviors, and anxiety acts as a mediator between the two [26, 27].”
Background
The Relationship Between Social Skills and Sensory Profile, Emotion Regulation, and Empathizing/Systemizing in Adolescents on the Autism Spectrum
Köse, S., Türer, F., Inal-Kaleli, I., Senturk, H. N. C., Uyar, D. H. O., & Bildik, T. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-023-06190-5 · Cited by 21 · see citing works
“(Lane et al., 2012).”
Early developmental profiles of sensory features and links to school-age adaptive and maladaptive outcomes: A birth cohort investigation
Chen, Y., Sideris, J. H., Watson, L. R., Crais, E. R., & Baranek, G. T. (2022) · Development and Psychopathology · doi:10.1017/s0954579422001195 · Cited by 20 · see citing works
“…hyperactivity disorder (ADHD), developmental delay, and even in children without a developmental diagnosis (Ben-Sasson et al., 2017; Delgado-Lobete et al., 2020; Lane et al., 2012; Watson et al., 2011), to date there has been a lack of evidence on sensory subtypes beyond autistic populations.”
Neural Correlates of Sensory Abnormalities Across Developmental Disabilities
Cardon, G. J. (2018) · International review of research in developmental disabilities · doi:10.1016/bs.irrdd.2018.08.001 · Cited by 18 · see citing works
Sensory Habituation as a Shared Mechanism for Sensory Over-Responsivity and Obsessive–Compulsive Symptoms
Podoly, T. Y., & Ben‐Sasson, A. (2020) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2020.00017 · Cited by 20 · see citing works
Use of sensory adaptive environments with autistic children: A scoping review
Williams, K. L., Dumont, R. L., Schiano, N. R., Lawlor, K. F., Greaney, K., Kim, R., Duryea, E., Rios-Vega, L., Simms, K., & Schaaf, R. C. (2024) · Research in Autism · doi:10.1016/j.rasd.2024.102362 · Cited by 18 · see citing works
Prevalence Models to Support Participation: Sensory Patterns as a Feature of All Children’s Humanity
Dean, E. E., Little, L. M., Tomchek, S. D., Wallisch, A. M., & Dunn, W. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.875972 · Cited by 17 · see citing works
A prospective study of associations between early fearfulness and perceptual sensitivity and later restricted and repetitive behaviours in infants with typical and elevated likelihood of autism
Narvekar, N., Leno, V. C., Pasco, G., Johnson, M. H., Jones, E. J. H., & Charman, T. (2022) · Autism · doi:10.1177/13623613211068932 · Cited by 15 · see citing works
“We extend cross-sectional findings (Lane et al., 2012; Lidstone et al., 2014; Neil et al., 2016; Wigham et al., 2015) by testing the directionality of associations between anxiety and sensory sensitivity in early infancy.”
The Role of Sensory Features in Mediating Associations Between Autism Symptoms and Anxiety in Boys with Autism Spectrum Disorder
Bitsika, V., Arnold, W. M., & Sharpley, C. F. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-03917-1 · Cited by 15 · see citing works
An Exploration of the Association Between Sensory Processing and Interoceptive Awareness in Neurotypical School-Aged Children
Grist, N., Brown, T., Yu, M., & Clark, E. (2023) · Journal of Occupational Therapy Schools & Early Intervention · doi:10.1080/19411243.2023.2215759 · Cited by 14 · see citing works
“…frequently present with sensory processing challenges (Cervin, 2023; Costa-López et al., 2021; Courtney & Brandon, 2021; Crasta et al., 2020; Jakobson & Rigby, 2021; Lane et al., 2012; Liss et al., 2008; McMahon et al., 2019; Paquet et al., 2022; Shimizu et al., 2014; van den Boogert et al., 2022).”
State of the Science: A Roadmap for Research in Sensory Integration
Schaaf, R. C., Schoen, S. A., May-Benson, T. A., Parham, L. D., Lane, S. J., Roley, S. S., & Mailloux, Z. (2015) · American Journal of Occupational Therapy · doi:10.5014/ajot.2015.019539 · Cited by 14 · see citing works
Alterations in electrophysiological indices of perceptual processing and discrimination are associated with co-occurring emotional and behavioural problems in adolescents with autism spectrum disorder
Leno, V. C., Chandler, S., White, P., Yorke, I., Charman, T., Pickles, A. R., & Simonoff, E. A. (2018) · Molecular Autism · doi:10.1186/s13229-018-0236-2 · Cited by 15 · see citing works
Sensory Integration Concerns in Children With Functional Defecation Disorders: A Scoping Review
Beaudry‐Bellefeuille, I., Lane, S. J., & Lane, A. E. (2019) · American Journal of Occupational Therapy · doi:10.5014/ajot.2019.030387 · Cited by 17 · see citing works
“…medical and behavioral diagnoses can demonstrate problems with sensory reactivity and perception (Baranek et al., 2002; Ben-Sasson et al., 2007; Lane et al., 2012; Rogers et al., 2003; Roley et al., 2015), the interface between these sensory issues and bowel management issues has not been suf…”
The Contribution of Sensory Sensitivity to Emotional Lability in Children with ADHD Symptoms
DeSerisy, M. L., Hirsch, E., & Roy, A. K. (2019) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2019.1647122 · Cited by 13 · see citing works
The Role of Occupational Therapy with Children with Attention Deficit Hyperactivity Disorder (ADHD): A Canadian National Survey
Ianni, L., Mazer, B. L., Thomas, A., & Snider, L. (2020) · Journal of Occupational Therapy Schools & Early Intervention · doi:10.1080/19411243.2020.1822259 · Cited by 12 · see citing works
Neurophysiological Correlates of Sensory-Based Phenotypes in ASD
DeBoth, K. K., Reynolds, S., Lane, S. J., Carretta, H. J., Lane, A. E., & Schaaf, R. C. (2021) · Child Psychiatry & Human Development · doi:10.1007/s10578-021-01266-8 · Cited by 13 · see citing works
The Parent-completed Glasgow Sensory Questionnaire: Exploring Children’s Sensory Sensitivities and Their Relationship to Well-being
Smees, R., Rinaldi, L. J., Simmons, D. R., & Simner, J. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02489-6 · Cited by 12 · see citing works
“Other differences are that hypo- outcomes are often enjoyable (Kapp et al., 2019) in contrast to hyper-sensitivities, and may help regulate sensory input and reduce stress (Liss et al., 2005; Steward, 2015).”
Background
Sensory Processing Patterns and Internalizing Behaviors in the Pediatric and Young Adult General Population: A Scoping Review
Kotsiris, K., Westrick, J. C., & Little, L. M. (2020) · The Open Journal of Occupational Therapy · doi:10.15453/2168-6408.1624 · Cited by 12 · see citing works
“In children with ASD, Lane, Reynolds, and Dumenci (2012) found that children’s physiological reactivity to sensory stimulation mediated the relationship between arousal/attention and anxiety.”
BackgroundInfluential
Exploring Sensory Processing Dysfunction, Parenting Stress, and Problem Behaviors in Children With Autism Spectrum Disorder
Chiang, W.-C., Tseng, M., Fu, C.-P., Chuang, I., Lu, L., & Shieh, J. (2019) · American Journal of Occupational Therapy · doi:10.5014/ajot.2019.027607 · Cited by 12 · see citing works
“Only Lecavalier (2006) compared problem behaviors between preschool and school-age children with ASD.”
Background
The moderating effect of cognitive abilities on the association between sensory processing and emotional and behavioural problems and social participation in autistic individuals
Werkman, M. F., Brouwer, S., Dijkxhoorn, Y. M., van Berckelaer‐Onnes, I. A., Reijneveld, S. A., Landsman-Dijkstra, J., & Begeer, S. (2020) · Research in Autism · doi:10.1016/j.rasd.2020.101663 · Cited by 12 · see citing works
Atypical Sensory Characteristics in Autism Spectrum Disorders
Morimoto, Y., Imamura, A., Yamamoto, N., Kanegae, S., Ozawa, H., & Iwanaga, R. (2021) · Autism Spectrum Disorders · doi:10.36255/exonpublications.autismspectrumdisorders.2021.atypicalsensorycharacteristics · Cited by 12 · see citing works
Higher Intersubject Variability in Neural Response to Narrative Social Stimuli Among Youth With Higher Social Anxiety
Camacho, M. C., Balser, D., Furtado, E., Rogers, C. E., Schwarzlose, R. F., Sylvester, C. M., & Barch, D. M. (2023) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2023.08.020 · Cited by 11 · see citing works
Social Anxiety in Neurodevelopmental Disorders: The Case of Fragile X Syndrome
Crawford, H. (2023) · American Journal on Intellectual and Developmental Disabilities · doi:10.1352/1944-7558-128.4.302 · Cited by 11 · see citing works
Touch and olfaction/taste differentiate children carrying a 16p11.2 deletion from children with ASD
Osório, J. M. A., Rodríguez‐Herreros, B., Romascano, D., Junod, V., Habegger, A., Pain, A., Richetin, S., Yu, P., Isidor, B., Maldergem, L. V., et al. (2021) · Molecular Autism · doi:10.1186/s13229-020-00410-w · Cited by 10 · see citing works
The sensory school: working with teachers, parents and pupils to create good sensory conditions
Martin, N. C., Milton, D. E. M., Krupa, J., Brett, S., Bulman, K., Callow, D., Copeland, F., Cunningham, L., Ellis, W. R., Harvey, T., et al. (2019) · Advances in Autism · doi:10.1108/aia-09-2018-0034 · Cited by 9 · see citing works
Family Accommodation Scale for Sensory Over-Responsivity: A Measure Development Study
Ben‐Sasson, A., Podoly, T. Y., & Lebowitz, E. R. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.867508 · Cited by 7 · see citing works
“Note: ADHD, attention deficit hyperactivity disorder; FTT, failure to thrive; and ASD, autism spectrum disorder.”
BackgroundInfluential
Behavioural phenotype of SYNGAP1‐related intellectual disability
Kranak, M. P., Rooker, G. W., & Smith‐Hicks, C. L. (2024) · Journal of Intellectual Disability Research · doi:10.1111/jir.13145 · Cited by 7 · see citing works
A Community-Based Sensory Training Program Leads to Improved Experience at a Local Zoo for Children with Sensory Challenges
Kong, M. Y. F., Pritchard, M., Dean, L., Talley, M. H., Torbert, R., & Maha, J. (2017) · Frontiers in Pediatrics · doi:10.3389/fped.2017.00193 · Cited by 7 · see citing works
Sensory Processing Difficulties in Opsoclonus-Myoclonus Syndrome
Green, D., Lim, M. J., Lang, B., Pohl, K., & Turk, J. (2016) · Journal of Child Neurology · doi:10.1177/0883073816634856 · Cited by 7 · see citing works
“It has been conceptually and empirically associated with a number of behavioral manifestations particularly among individuals with neurodevelopmental disorders(14-22) Atypical sensory processing has been suggested as a major factor reducing participation and engagement in daily activities across a number of developmen…”
Background
Sensory reactivity assessment in children: A systematic review
Watkyns, A. F., Cloete, L. G., & Parham, L. D. (2023) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.15758 · Cited by 7 · see citing works
Perceptual alterations in the relationship between sensory reactivity, intolerance of uncertainty, and anxiety in autistic children with and without ADHD
Powell, 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
“…sensory differences and anxiety in autisim is well documented and has also been shown to exist in other developmental disorders such as ADHD, as well as in neurotypical children (Carpenter et al., 2019; Lane et al., 2010a, 2010b; MacLennan et al., 2021; Neil et al., 2016; Wigham et al., 2015).”
Background
Media sensory curation and family media conflict: replication and validation of short-form measures
Harrison, K., & Bue, A. C. C. (2020) · Media Psychology · doi:10.1080/15213269.2020.1758145 · Cited by 7 · see citing works
Development, reliability, and validity of the Sensory Adventure Measure
Liberman, L., Sevillia, M., Shaviv, Y., & Bart, O. (2021) · Australian Occupational Therapy Journal · doi:10.1111/1440-1630.12716 · Cited by 5 · see citing works
Sensorik Inventar (SI) – Selbstbeurteilung der sensorischen Sensitivität für Erwachsene und Jugendliche
Zamoscik, V., Niemeyer, C., Gerchen, M. F., Fenske, S. C., Witthöft, M., & Kirsch, P. (2017) · Fortschritte der Neurologie · Psychiatrie · doi:10.1055/s-0043-117885 · Cited by 4 · see citing works
Early Sensory and Temperament Features in Infants Born to Mothers With Asthma: A Cross-Sectional Study
Mallise, C. A., Murphy, V. E., Campbell, L., Woolard, A. J., Whalen, O. M., Milton, G., Mattes, J. E., Collison, A., Gibson, P. G., Karayanidis, F., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.713804 · Cited by 4 · see citing works
Relationship Between Sensory Processing and Autism Spectrum Disorder-Like Behaviors in Prader-Willi Syndrome
Saima, S., Ihara, H., Ogata, H., Gito, M., Murakami, N., Oto, Y., Ishii, A., Takahashi, A., & Nagai, T. (2022) · American Journal on Intellectual and Developmental Disabilities · doi:10.1352/1944-7558-127.3.249 · Cited by 4 · see citing works
ADHD and Sensory Processing: Theory, Research, and Clinical Implications"
Egli, C. J. (2014) · Cited by 4 · see citing works
Examining the Sensory Characteristics of Preschool Children With Retentive Fecal Incontinence
Lane, S. J., & Beaudry‐Bellefeuille, I. (2015) · American Journal of Occupational Therapy · doi:10.5014/ajot.2015.69s1-po6099 · Cited by 4 · see citing works
A Systematic Review of Autistic Adults' Experiences of Anxiety From a Qualitative Perspective.
Silva, A. B. D., Berry, E., Craig, S., & Doumas, M. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-07025-1 · Cited by 2 · see citing works
The Role of Pediatric Sensory Over-responsivity and Anxiety Symptoms in the Development of Family Accommodations
Ben‐Sasson, A., Podoly, T. Y., & Lebowitz, E. R. (2023) · Child Psychiatry & Human Development · doi:10.1007/s10578-023-01547-4 · Cited by 3 · see citing works
Global Sensory Features are Linked to Executive and Attentional Impairments in Autism Spectrum Disorders
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
“…have used cluster analysis, such as Latent Profile Analysis (LPA), to split their study sample according to common characteristics, particularly regarding sensory features (Ausderau et al., 2014a, 2014b; Lane et al., 2010, 2012, 2014; Liss et al., 2006; Little et al., 2017; Tomchek et al., 2018).”
Sensory Family Accommodation for Autistic and Sensory Overresponsive Children: The Mediating Role of Parenting Distress Tolerance
Ben‐Sasson, A., & Zisserman, A. (2025) · American Journal of Occupational Therapy · doi:10.5014/ajot.2025.050790 · Cited by 3 · see citing works
The Influence of Music on the Behaviour of Persons with Autism Spectrum Disorder (ASD) and Low Cognitive Functioning: A Systematic Observational Study
Pinos, C. C. D. L., & López, I. B. (2021) · International Journal of Disability Development and Education · doi:10.1080/1034912x.2021.1940882 · Cited by 3 · see citing works
Feasibility Exploration of Electrodermal Response to Food in Children with ASD Compared to Typically Developing Children
Suarez, M. A. (2018) · The Open Journal of Occupational Therapy · doi:10.15453/2168-6408.1336 · Cited by 2 · see citing works
The Berlin Misophonia Questionnaire (BMQ): Development and validation of a symptom-oriented diagnostical instrument for the measurement of misophoniaPreprint
Remmert, N., Schmidt, K. M. B., Mussel, P., & Eid, M. (2021) · doi:10.31234/osf.io/mujya · Cited by 3 · see citing works
Exploring Effects of Interactive Virtual Reality Sensory Environment on Anxiety Reduction in Adolescents with Autism
Keys, A., Oyekoya, O., & Chan, D. (2024) · ACM International Conference on Interactive Surfaces and Spaces (ISS) · doi:10.1145/3696762.3698051 · Cited by 2 · see citing works
“Sensory processing difficulties are prevalent in individuals with ASD and often co-exist with anxiety [11].”
Internalizing/Externalizing Problems and Sensory Processing Alteration in Children Referred to Child Mental Health Centers
Valencia, M., D'Ocon, A., Plata, R., Simó, S., & Cantero, M. J. (2025) · Children · doi:10.3390/children12060664 · Cited by 2 · see citing works
“More specifically, regarding the relationship between internalizing problems and SPD [24], an association between sensory over-responsivity (SOR; low threshold, sensory hyperreactivity) and anxiety in children aged 6 to 10 years old with diagnoses of ASD and ADHD and typically developing children…”
The development and validation of the “SENSE” − Sensory and Behavioral Modulation Questionnaire for adults
Engel‐Yeger, B. (2024) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2024.104715 · Cited by 2 · see citing works
State of the Journal, 2012
Gutman, S. A. (2012) · American Journal of Occupational Therapy · doi:10.5014/ajot.2012.006346 · Cited by 2 · see citing works
Theoretical Bases of Intervention in Infant and Early Childhood Mental Health
Shulman, C. (2016) · Children's well-being · doi:10.1007/978-3-319-31181-4_8 · Cited by 2 · see citing works
Étude clinique des processus sous-jacents de l’attention conjointe de très jeunes enfants avec trouble du spectre autistique
de Gaulmyn, A., Miljkovitch, R., & Montreuil, M. (2017) · L Encéphale · doi:10.1016/j.encep.2016.12.002 · Cited by 2 · see citing works
Factor Structure of Autism Symptoms in 5-6-Year-Old Children: Age Perspective
Nasledov, A., Tkacheva, L. O., & Александрович, М. С. (2024) · OBM Neurobiology · doi:10.21926/obm.neurobiol.2404259 · Cited by 1 · see citing works
Problematic Screen Exposure and Sleep Disturbances in Children With Autism Spectrum Disorder: The Mediating Role of Sensory Processing
Varmış, D. A., & Çelebi, S. B. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07306-3 · Cited by 1 · see citing works
Behavioral and kinematic outcomes of adaptive pauses in VR social cognition training for autistic children
Maddalon, L., Altozano, A., Minissi, M. E., Romero, G. L., Martínez, S. G., Marín‐Morales, J., Amaia Hervas, G., & Alcañíz, M. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1827283 · Cited by 2 · see citing works
Autism-Linked Traits and Creativity: Empathy and Sensory Sensitivities in Children Predict Creative Activities and Openness
Smees, R., Rinaldi, L. J., & Simner, J. (2024) · Creativity Research Journal · doi:10.1080/10400419.2024.2333633 · Cited by 1 · see citing works
“…It is possible that absorbing creative arts activities also serve an ameliorative function for the higher anxieties associated with sensory sensitivities in children (Green, Ben-Sasson, Soto, & Carter, 2012; Lane, Reynolds, & Dumenci, 2012; Neil, Olsson, & Pellicano, 2016; Reynolds & Lane, 2009).”
An Increasing Emphasis of Evidence-Based Practice in Children with Developmental Disabilities
Allyson, M. S. P. (2020) · Annals of Physiotherapy & Occupational Therapy · doi:10.23880/aphot-16000183 · Cited by 1 · see citing works
Early Intervention for Young Children at Risk for Developmental Mental Health Disorders
Wallace, K. (2014) · doi:10.1002/9781118913536.ch15
Parent-Reported Behavioural Symptoms of Anxiety in Children with Autism Spectrum Disorders across Levels of Functioning
Dault, L. (2013) · QSpace (Queen's University Library)

ORIGINAL PAPER Anxiety Disorders and Sensory Over-Responsivity in Children with Autism Spectrum Disorders: Is There a Causal Relationship?
Green, S. A., & Ben‐Sasson, A. (2010)
Shared and distinct biological mechanisms for anxiety and sensory over‐responsivity in youth with autism versus anxiety disorders
Cummings, K. K., Jung, J., Zbozinek, T. D., Wilhelm, F. H., Dapretto, M., Craske, M. G., Bookheimer, S. Y., & Green, S. A. (2023) · Journal of Neuroscience Research · doi:10.1002/jnr.25250 · Cited by 19 · see citing works
Sensory Overresponsivity and Anxiety in Children With ADHD
Reynolds, S., & Lane, S. J. (2009) · American Journal of Occupational Therapy · doi:10.5014/ajot.63.4.433 · Cited by 100 · see citing works
Sensory Over-Responsivity in a Sample of Children Seeking Treatment for Anxiety
Conelea, C. A., Carter, A. S., & Freeman, J. B. (2014) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000092 · Cited by 65 · see citing works
Anxiety Disorders and Sensory Over-Responsivity in Children with Autism Spectrum Disorders: Is There a Causal Relationship?
Green, S. A., & Ben-Sasson, A. (2010) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-010-1007-x · Cited by 327 · see citing works

Authors: Lane, S. J., Reynolds, S., & Dumenci, L.
Affiliations: Virginia Commonwealth University (US)
ORCID: Lane, Shelly J.
Reynolds, Stacey
Dumenci, Levent
Venue: American Journal of Occupational Therapy
Publisher: SAGE Publications
Published: 2012-09
Volume: 66
Issue: 5
Pages: 595-603
ISSN: 0272-9490 (ISSN-L)
1943-7676
DOI: 10.5014/ajot.2012.004523
OpenAlex: W1967592788
Cited by: 116
References: 47
Citations by year: 2026: 8 · 2025: 3 · 2024: 9 · 2023: 8 · 2022: 10 · 2021: 12 · 2020: 9 · 2019: 13 · 2018: 7 · 2017: 8 · 2016: 12 · 2015: 6 · 2014: 5 · 2013: 5 · 2012: 1
FWCI: 2.78
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: American Journal of Occupational Therapy (publishedVersion)
PubMed (publishedVersion)
Funders: National Center for Research Resources (M01-RR-00065, M01RR000065)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Keywords: sensory hypersensitivity, anxiety, autism spectrum disorder, attention deficit hyperactivity disorder, typically developing children, attention, physiological recovery, sensory challenges, mediation, occupational therapy intervention
MeSH terms: Anxiety, Arousal, Attention, Attention Deficit Disorder with Hyperactivity, Autistic Disorder, Child, Child, Preschool, Female, Humans, Male, Occupational Therapy, Sensation Disorders

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Sensory overresponsivity and anxiety in typically developing children and children With autism and attention deficit hyperactivity disorder: Cause or coexistence?

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