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Extreme Sensory Modulation Behaviors in Toddlers With Autism Spectrum Disorders
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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“Concretamente, la hipersensibilidad/ hiperreactividad sensorial se ha relacionado con la ansiedad en niños y niñas autistas (Baranek et al., 2006;Ben-Sasson et al., 2007;Green y Ben-Sasson, 2010).”
From Ansiedad y trastornos del espectro del autismo: notas para la intervención psicoeducativa (2022) · cites this paper as Ben-Sasson et al., 2007
In the citing paper
“Recent evidence supports both hypo-and-hyper-reactivity to tactile stimuli in ASD, with these responses varying according to stimuli and context (Lane et al., 2011, Crane et al., 2009, Ben-Sasson et al., 2007, Tomchek and Dunn, 2007, Allely, 2013, Brown and Dunn, 2010, Cascio et al., 2008).”
From The impact of atypical sensory processing on social impairments in autism spectrum disorder (2018) · cites this paper as Ben-Sasson et al., 2007
In the citing paper
“(b) these symptoms lessen with age;”
From Vision in autism spectrum disorders (2009) · cites this paper as Ben-Sasson et al., 2007
In the citing paper
“These tell the broadly similar story that (a) particular sensory symptoms appear to be more common in ASD than in other developmental disorders;”
From Vision in autism spectrum disorders (2009) · cites this paper as Ben-Sasson et al., 2007
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“…MA comparison group also is necessary because many children with autism show some degree of intellectual disability (American Psychiatric Association, 2000), and extreme sensory modulation patterns are prevalent in other clinical groups with low MA (e.g., Baranek et al., 2006; Rogers et al., 2003).”
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Metadata
- 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)
- 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
- 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
- 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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