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Sensory Processing and Classroom Emotional, Behavioral, and Educational Outcomes in Children With Autism Spectrum Disorder
Abstract
OBJECTIVE. We explored the associations between sensory processing and classroom emotional, behavioral, and educational outcomes of children with autism spectrum disorder (ASD). METHOD. Twenty-eight children with ASD (with average-range IQ) were compared with 51 age- and gender-matched typically developing peers on sensory processing and educational outcomes. RESULTS. For children with ASD, the Short Sensory Profile scores Underresponsive/Seeks Sensation and Auditory Filtering explained 47% of the variance in academic performance, yet estimated intelligence was not a significant predictor of academic performance. Significant negative correlations were found between (1) auditory filtering and inattention to cognitive tasks, (2) tactile hypersensitivity and hyperactivity and inattention, and (3) movement sensitivity and oppositional behavior. CONCLUSION. A pattern of auditory filtering difficulties, sensory underresponsiveness, and sensory seeking was associated with academic underachievement in the children with ASD. Children who have difficulty processing verbal instructions in noisy environments and who often focus on sensory-seeking behaviors appear more likely to underachieve academically.
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“Empirical links between sensory atypicalities and behavioural difficulties (Baker, Lane, Angley, & Young, 2008; O'Donnell, Deitz, Kartin, Nalty, & Dawson, 2012), academic achievement (Ashburner, Ziviani, & Rodger, 2008) and anxiety and depression (Green, Ben-Sasson, Soto, & Carter, 2012; Mazurek et al., 2012) point to the often-debilitating impact that sensory difficulties can have on individuals'”
From The design and implementation of a CBT-based intervention for sensory processing difficulties in adolescents on the autism spectrum (2016) · cites this paper as Ashburner, Ziviani, & Rodger, 2008
In the citing paper
“Atypicalities in sensory processing can have a significant impact on autistic individuals' everyday quality of life, as suggested by links with behavioural difficulties (Baker et al., 2008; O'Donnell et al., 2012), academic achievement (Ashburner et al., 2008) and anxiety and depression (Green et al., 2012; Mazurek et al., 2013).”
From The design and implementation of a CBT-based intervention for sensory processing difficulties in adolescents on the autism spectrum (2016) · cites this paper as Ashburner et al., 2008
In the citing paper
“A strong and positive correlation has also been observed between difficulties in sensory processing and executive function deficits in various populations, such as premature children (21–23), children with ASDs (24–26), and children with attention deficit hyperactivity disorder (ADHD) (27–29).”
From Assessment of Sensory Processing and Executive Functions in Childhood: Development, Reliability, and Validity of the EPYFEI (2018) · cites this paper as [24]
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“…material is presented through verbal instruction, which is by nature rapid and transient and thought to be difficult for children with autism to process (Ashburner, Ziviani, and Rodger 2008) which in turn may hinder responding to teachers and negatively impact understanding of task requirements.”
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“Ashburner et al. 13 reported that auditory filtering difficulties are associated with academic underachievement.”
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“This longitudinal evidence adds to the prior cross-sectional finding of a concurrent association between hyporesponsiveness and academic performance (Ashburner et al., 2008).”
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“Using a parent-reported sensory measure, Ashburner, Ziviani, and Rodger (2008) found that frequent tactile sensitivity, hypo-responsive/ seeking sensation, and auditory filtering responses were associated with lower academic performance and cognitive inattention.”
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“Previous literature identifies auditory sensitivity as negatively associated with academic performance for children with ASD (Ashburner et al., 2008).”
BackgroundThe sensory school: working with teachers, parents and pupils to create good sensory conditions
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“A correlation between sensory reactivity differences and poorer academic performance has been demonstrated among autistic students in mainstream classrooms (Ashburner et al., 2008).”
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“Importantly, such issues can often in part be the result of disordered sensory processing [4,5] which negatively impacts a person’s participation in everyday life, social relating [6] engagement with education [7] and general quality of life [8].”
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“The results have also highlighted auditory processing difficulties in ASD and ADHD, in accordance with previous studies that link these difficulties to poor academic performance and impaired social functioning [56,57].”
ResultElise, F., Irvine, B., Brinkert, J., Hamilton, C., Farran, E. K., Milne, E., Scerif, G., & Remington, A. (2024) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.13326 · Cited by 7
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“The relationship between sensory processing preferences and participation has been widely researched within groups of children with known clinical diagnoses (Allen and Casey, 2017; Ashburner et al., 2008; Jirikowic et al., 2008; Kojovic et al., 2019).”
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“Sensory processing is significantly associated with social and behavioral functioning [4, 5] and is listed as a criterion for diagnosis of ASD in the Diagnostic and Statistical Manual of Mental Disorders [3].”
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“…in several aspects of daily functioning, including emotional regulation (Ben-Sasson et al., 2009), anxiety (Green et al., 2012), academic ability (Ashburner et al., 2008; Dunn, 2001), sleep (Mazurek & Petroski, 2015), social behavior (Ben-Sasson et al., 2009), and motor skill performance (Liu,…”
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“The overload of stimuli experienced by these students and their inability to filter background noise and hypersensitivity to certain sounds can lead to catastrophic responses (Ashburner et al., 2008; McLaren, 2013).”
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BackgroundInfluentialThe Effects of Menarche upon the Sensory Features of Girls with Autism Spectrum Disorder
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“A primary aim of the current study was to test the hypothesis that difficulty with sensory processing is related to academic outcomes in school-aged autistic children (Ashburner et al., 2008; Butera et al., 2020; Jones et al., 2020) and children with ADHD (Davis et al., 2009).”
InfluentialPrevalence of psychomotor retardation and its relation to the sensory profi le in preschool children
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“This finding corroborates previous research suggesting that autistic children display difficulties with sensory processing and often seek ways to stimulate their needs (Ashburner et al., 2008).”
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“, 2007), mental health (Mazefsky & White, 2014) and school readiness (Ashburner et al., 2008).”
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“In fact, sensory modulation disorders (Bar-Shalita et al., 2008; Bar-Shalita et al., 2009) could be a good example of this, as can be seen in children with ASD and other population with sensory modulation challenges (Ashburner et al., 2008; Ben-Sasson et al., 2007; Lipskaya-Velikovsky et al., 2015).”
BackgroundAlsaedi, R. H., Carrington, S. B., & Watters, J. J. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-023-05937-4 · Cited by 7
“Children with ASD tend to display mixed types of sensory responses, and they frequently engage in all four sensory quadrants (Ashburner et al., 2008; Baranek et al., 2006; Ben-Sasson et al., 2007; Cheung & Siu, 2009; Tomchek & Dunn, 2007).”
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“Research suggests that children with ASD have attention deficits, sensory processing difficulties, in particular auditory filtering difficulties (Ashburner et al., 2008).”
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“Furthermore, some sensory symptoms have been associated with academic underachievement in children with ASD in regular education classes (Ashburner et al., 2008).”
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Mohammed, H. O., Elsayed, S. A. A., & Mahmoud, N. F. (2024) · The Egyptian Journal of Otolaryngology · doi:10.1186/s43163-023-00554-5 · Cited by 3
“Many studies [26, 81] have found that auditory processing and touch processing deficits are the most affected and differentiating sensory modalities among children with ASD, while others have claimed that evidence is nonconclusive [79].”
BackgroundUnwin, K., Wales, K., Johnson, T., Leonard, C., Dixon, G., English, L., & Lane, A. E. (2024) · American Journal of Occupational Therapy · doi:10.5014/ajot.2024.050766 · Cited by 2
“…autistic children typically un-derachieve academically and experience high rates of school exclusion (Brede et al., 2017; Keen et al., 2016), with sensory processing challenges identified as a primary factor affecting poor educational outcomes (e.g., Ashburner et al., 2008; Jones et al., 2020).”
The Third Teacher: An analysis of aesthetic and intentionality of space in the classroom
Brown, M. F. (2020) · JMU Scholoraly Commons (James Madison University) · Cited by 3
Suarez, M. A. (2018) · The Open Journal of Occupational Therapy · doi:10.15453/2168-6408.1336 · Cited by 2
Can sharing education between home and school benefit the child with autism?
Lawrence, C. (2017) · Sheffield Hallam University · doi:10.7190/shu-thesis-00030 · Cited by 2
Lau, B. K., Maddox, R. K., Estes, A. M., Dager, S. R., & Lee, A. K. C. (2018) · Proceedings of meetings on acoustics · doi:10.1121/2.0000971 · Cited by 3
Harrington, C. (2014) · The University of Queensland · doi:10.14264/uql.2014.475 · Cited by 3
Ashburner, J. K., Tomkins, V., Taylor, J., Saggers, B. R., & Bobir, N. (2025) · Journal of Research in Special Educational Needs · doi:10.1111/1471-3802.70032 · Cited by 2
Self-citationSystematic Literature Review: Indoor Lighting and Color Effects on Persons With ASD
Zaikina, V., Thorud, H.-M. S., Rustad, S. F., & Falkenberg, H. K. (2025) · HERD Health Environments Research & Design Journal · doi:10.1177/19375867251373096 · Cited by 4
“…in ASD research involves sensory processing differences, as many with ASD exhibit atypical responses to sensory stimuli — commonly referred to as hyper-responsiveness (over-sensitivity) and hyporespon-siveness (under-sensitivity) (Ashburner et al., 2008; Helsenorge, 2023; Marco et al., 2011).”
Promoting Positive Behaviour in Learners With Special Education Needs
Mpolomoka, D. L. (2025) · IGI Global eBooks · doi:10.4018/979-8-3373-3351-9.ch011 · Cited by 2
Canal, M. M., Yeserdir, N. Y., Hynds, E., & Pocock, T. (2026) · Frontiers in Education · doi:10.3389/feduc.2026.1813799 · Cited by 4
Field-Testing Reusable Learning Objects Related to Sensory Over-Responsiveness
Gee, B. M., Moholy, K., Lloyd, K., & Seikel, A. (2015) · The Open Journal of Occupational Therapy · doi:10.15453/2168-6408.1152 · Cited by 2
Topography and Ensemble Activity in the Auditory Cortex of a Mouse Model of Fragile X Syndrome
Wadle, S. L., Ritter, T. C., Wadle, T. T. X., & Hirtz, J. J. (2024) · eNeuro · doi:10.1523/eneuro.0396-23.2024 · Cited by 3
“…are prevalent in ASD, most often described as impaired auditory fi ltering and dif fi culties of understanding speech in noise (Alcántara et al., 2004; Tomchek and Dunn, 2007; Ashburner et al., 2008; Groen et al., 2009; DePape et al., 2012; Schafer et al., 2013; Schelinski and von Kriegstein, 2020).”
BackgroundSoler, N., Perkes, I. E., Dale, R. C., & Bray, P. (2024) · Disability and Rehabilitation · doi:10.1080/09638288.2024.2403727 · Cited by 2
Chen, Y., Yang, C., Gao, B., Chen, K., Keehn, R. J. J., Müller, R.-A., Yuan, L., & You, Y. (2024) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2024.10.014 · Cited by 3
Bäckström, M. K., Eggink, I. N., Falkmer, T., & Orban, K. (2024) · Occupational Therapy In Health Care · doi:10.1080/07380577.2024.2429134 · Cited by 4
Tsuji, Y., Nishiguchi, Y., Noda, A., & Imaizumi, S. (2025) · Multisensory Research · doi:10.1163/22134808-bja10160 · Cited by 3
Metadata
- Authors
- Ashburner, J., Ziviani, J., & Rodger, S.
- Affiliations
- Jill Ashburner, BOccThy, PhD, is Principal Research and Development Officer, Autism Queensland, PO Box 354, Sunnybank, Queensland, Australia 4109;
- The University of Queensland (AU)
- Venue
- American Journal of Occupational Therapy
- Publisher
- SAGE Publications
- Published
- 2008-09
- Volume
- 62
- Issue
- 5
- Pages
- 564-573
- ISSN
- 0272-9490 (ISSN-L)
- 1943-7676
- OpenAlex
- W2053804096
- Cited by
- 515
- References
- 6
- Citations by year
- 2026: 98 · 2025: 38 · 2024: 36 · 2023: 36 · 2022: 24 · 2021: 32 · 2020: 35 · 2019: 23 · 2018: 30 · 2017: 31 · 2016: 23 · 2015: 23 · 2014: 24 · 2013: 18 · 2012: 11
- FWCI
- 5.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- autism spectrum disorder, sensory processing, academic performance, academic underachievement, auditory filtering, sensory seeking, tactile hypersensitivity, movement sensitivity, inattention, hyperactivity, oppositional behavior, classroom behavior, children
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Child Development Disorders, Pervasive, Educational Status, Female, Humans, Male, Sensation Disorders, Case-Control Studies
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