Cited by 281Autism Spectrum Disorder ResearchChild Nutrition and Feeding IssuesOccupational Therapy Practice and Research

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Extreme Sensory Modulation Behaviors in Toddlers With Autism Spectrum Disorders

Ben-Sasson, Ayelet, Cermak, Sharon A., Orsmond, Gael I., Tager-Flusberg, Helen, Carter, Alice S., Kadlec, Mary Beth, Dunn, Winnie·2007·American Journal of Occupational Therapy

DOI 10.5014/ajot.61.5.584

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Abstract

This study examined the incidence of extreme sensory modulation behaviors in toddlers with autism spectrum disorders (ASD) and investigated the consistency of sensory information across measures. Parent report of sensory behaviors in 101 toddlers with ASD was compared with 100 toddlers who were typically developing matched on chronological age and 99 additional infants or toddlers matched on mental age. Measures included the Infant/Toddler Sensory Profile, Infant-Toddler Social Emotional Assessment, Autism Diagnostic Interview-Revised, and Autism Diagnostic Observation Schedule-Generic. Toddlers with ASD were most distinct from typically developing groups in their high frequency of underresponsiveness and avoiding behaviors and their low frequency of seeking. Within the toddlers with ASD, there were significant associations across sensory parent report measures, but parent report was not correlated with clinical observation. Findings point to the early onset of an extreme sensory profile in ASD. Occupational therapists need to assess multiple domains of sensory behaviors to accurately identify the needs of toddlers with ASD.

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Authors: Ben-Sasson, A., Cermak, S. A., Orsmond, G. I., Tager-Flusberg, H., Carter, A. S., Kadlec, M. B., & Dunn, W.
Affiliations: Ayelet Ben-Sasson, ScD, MAEd, OT, is Postdoctoral Fellow, Psychology Department, University of Massachusetts. Mailing Address: 15 Vitkin Street, Haifa 34757 Israel;
Boston University (US)
University of Massachusetts System (US)
Mary Beth Kadlec, OTR/L, ScD, is Research Project Manager, Child and Family Project, Studies to Advance Autism Research and Treatment Center, Boston
University of Kansas Medical Center (US)
ORCID: Cermak, Sharon A.
Orsmond, Gael I.
Tager-Flusberg, Helen
Carter, Alice S.
Dunn, Winnie
Venue: American Journal of Occupational Therapy
Publisher: SAGE Publications
Published: 2007-09
Volume: 61
Issue: 5
Pages: 584-592
ISSN: 0272-9490 (ISSN-L)
1943-7676
DOI: 10.5014/ajot.61.5.584
OpenAlex: W2085437864
Cited by: 281
References: 32
Citations by year: 2026: 11 · 2025: 6 · 2024: 9 · 2023: 20 · 2022: 20 · 2021: 29 · 2020: 17 · 2019: 18 · 2018: 12 · 2017: 16 · 2016: 26 · 2015: 16 · 2014: 25 · 2013: 17 · 2012: 12
FWCI: 2.84
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 Institute of Mental Health (U54MH066398)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
Keywords: autism spectrum disorder, toddlers, sensory seeking, sensory avoidance, parent report, autism diagnosis, early intervention, occupational therapy assessment
MeSH terms: Attention, Autistic Disorder, Child, Preschool, Communication, Family Health, Female, Humans, Infant, Interviews as Topic, Language Development Disorders, Male, Parents, Play and Playthings, Sensory Thresholds, Videotape Recording, Age of Onset, Disabled Children, Children with Disabilities, Somatosensory Disorders

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Extreme Sensory Modulation Behaviors in Toddlers With Autism Spectrum Disorders

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