Sensory subtypes and anxiety in older children and adolescents with autism spectrum disorder

This study aimed to identify sensory subtypes in older children and adolescents with Autism Spectrum Disorders (ASD) and examine the relationship of sensory subtypes with anxiety levels in this group. Mothers of 57 children and adolescents with ASD aged 11–17 years (Mean age = 14 years. 2.4 months, SD = 1.81) completed the short sensory profile and Spence anxiety scales. Model‐based cluster analysis was applied to sensory profile scores to identify sensory subtypes. Three sensory subtypes, sensory adaptive (N = 19), sensory moderate (N = 29) and sensory severe (N = 9) were identified. The results indicated that the differences between the subtypes were well characterised by the severity of sensory symptoms and were not attributable to sensory modality or varying types of sensory‐related behaviors. Children and adolescents from the adaptive subtype had significantly lower anxiety scores when compared with other two subtypes. There were no differences between subtypes based on chronological age, expressive language, or severity of autism diagnostic features as measured by the social communication questionnaire (SCQ total score). This is the first study to identify the existence of sensory subtypes among older children and adolescents with ASD and explore their association with anxiety levels. Autism Res 2016, 9: 1073–1078. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.

[1]  Madhukar H. Trivedi,et al.  The pattern of sensory processing abnormalities in autism , 2006, Autism : the international journal of research and practice.

[2]  K. Sofronoff,et al.  Anxiety and social worries in children with Asperger syndrome. , 2005, The Australian and New Zealand journal of psychiatry.

[3]  H. McConachie,et al.  The Interplay Between Sensory Processing Abnormalities, Intolerance of Uncertainty, Anxiety and Restricted and Repetitive Behaviours in Autism Spectrum Disorder , 2014, Journal of Autism and Developmental Disorders.

[4]  S. Leekam,et al.  The Diagnostic Interview for Social and Communication Disorders: background, inter-rater reliability and clinical use. , 2002, Journal of child psychology and psychiatry, and allied disciplines.

[5]  H. McConachie,et al.  Repetitive Behaviour and Play in Typically Developing Children and Children with Autism Spectrum Disorders , 2007, Journal of autism and developmental disorders.

[6]  H. Tager-Flusberg,et al.  Sensory clusters of toddlers with autism spectrum disorders: differences in affective symptoms. , 2008, Journal of child psychology and psychiatry, and allied disciplines.

[7]  Micah O. Mazurek,et al.  Anxiety, Sensory Over-Responsivity, and Gastrointestinal Problems in Children with Autism Spectrum Disorders , 2013, Journal of abnormal child psychology.

[8]  W. Stone,et al.  Sensory Experiences Questionnaire: discriminating sensory features in young children with autism, developmental delays, and typical development. , 2006, Journal of child psychology and psychiatry, and allied disciplines.

[9]  Atta Abbas,et al.  DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, FIFTH EDITION , 2013 .

[10]  G. Baranek,et al.  National Survey of Sensory Features in Children with ASD: Factor Structure of the Sensory Experience Questionnaire (3.0) , 2013, Journal of Autism and Developmental Disorders.

[11]  I. Noens,et al.  Atypical sensory processing in adolescents with an autism spectrum disorder and their non-affected siblings , 2012 .

[12]  Marcel Kinsbourne,et al.  Sensory and attention abnormalities in autistic spectrum disorders , 2006, Autism : the international journal of research and practice.

[13]  Judith Gould,et al.  Describing the Sensory Abnormalities of Children and Adults with Autism , 2007, Journal of autism and developmental disorders.

[14]  S. Green,et al.  Anxiety Disorders and Sensory Over-Responsivity in Children with Autism Spectrum Disorders: Is There a Causal Relationship? , 2010, Journal of autism and developmental disorders.

[15]  Adrian E. Raftery,et al.  Model-based Methods of Classification: Using the mclust Software in Chemometrics , 2007 .

[16]  Anxiety and Sensory Over-Responsivity in Toddlers with Autism Spectrum Disorders: Bidirectional Effects Across Time , 2012, Journal of autism and developmental disorders.

[17]  W. Dunn,et al.  Factor analysis on the Sensory Profile from a national sample of children without disabilities. , 1997, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[18]  R. Rapee,et al.  A parent-report measure of children's anxiety: psychometric properties and comparison with child-report in a clinic and normal sample. , 2004, Behaviour research and therapy.

[19]  A. Talay-Ongan,et al.  Unusual Sensory Sensitivities in Autism: A possible crossroads , 2000 .

[20]  S. Leekam,et al.  Brief Report: Effects of Sensory Sensitivity and Intolerance of Uncertainty on Anxiety in Mothers of Children with Autism Spectrum Disorder , 2016, Journal of autism and developmental disorders.

[21]  M. Prior,et al.  First evidence of sensory atypicality in mothers of children with Autism Spectrum Disorder (ASD) , 2014, Molecular Autism.

[22]  M. Trivedi,et al.  Examining sensory quadrants in autism , 2007 .

[23]  M. Prior,et al.  Relations among restricted and repetitive behaviors, anxiety and sensory features in children with autism spectrum disorders , 2014 .

[24]  Joydeep Ghosh,et al.  A Unified Framework for Model-based Clustering , 2003, J. Mach. Learn. Res..

[25]  W. Dunn,et al.  Sensory processing in children with and without autism: a comparative study using the short sensory profile. , 2007, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[26]  Madhukar H. Trivedi,et al.  Sensory correlations in autism , 2007, Autism : the international journal of research and practice.

[27]  R. Carleton The intolerance of uncertainty construct in the context of anxiety disorders: theoretical and practical perspectives , 2012, Expert review of neurotherapeutics.

[28]  A. Lane,et al.  Classification of Children With Autism Spectrum Disorder by Sensory Subtype: A Case for Sensory‐Based Phenotypes , 2014, Autism research : official journal of the International Society for Autism Research.

[29]  Eynat Gal,et al.  A Meta-Analysis of Sensory Modulation Symptoms in Individuals with Autism Spectrum Disorders , 2009, Journal of autism and developmental disorders.

[30]  J. Huws,et al.  First-hand accounts of sensory perceptual experiences in autism: a qualitative analysis , 2003 .

[31]  Alison E. Lane,et al.  Sensory Processing Subtypes in Autism: Association with Adaptive Behavior , 2010, Journal of autism and developmental disorders.

[32]  Alison E Lane,et al.  Brief Report: Further Evidence of Sensory Subtypes in Autism , 2011, Journal of autism and developmental disorders.