OTOtherJournal of autism and developmental disorders2024

Could Sensory Differences Be a Sex-Indifferent Biomarker of Autism? Early Investigation Comparing Tactile Sensitivity Between Autistic Males and Females.

Magdalini Asaridou, Ericka L Wodka, Richard A E Edden and 3 others

PMID 36272043

WHAT IT FOUND

Tactile sex differences were not specific to autism.

Girls were less sensitive than boys on discrimination and order tasks, but not simple detection or reaction time. The study was preliminary and not enough to change assessment.

Key findings

01Sex differences in tactile sensitivity were not specific to autism.

02Females had higher amplitude discrimination, frequency discrimination and order judgement thresholds than males, suggesting less tactile sensitivity.

03No sex differences were found for response time or detection thresholds.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The final sample included only 18 autistic females, so the sex comparisons were underpowered. The study was exploratory and used existing data, so the authors describe the results as preliminary. Children with intellectual disability, seizures, brain injury, identifiable causes of autism, or reading learning disabilities were excluded, so the findings may not apply to children with those conditions. The sample was children only, so it says nothing about adolescents or adults. Co-occurring ADHD was common: 41 of the 54 autistic children met criteria for ADHD, but the sample was too small to analyse ADHD as a separate factor. The matching process was not designed to compare males and females across diagnosis groups directly, although the authors checked age and IQ and found them comparable. No treatment was tested, so it cannot show that any therapy works.

The easy way to misread this

Do not conclude that tactile testing can identify autism in girls. The sex differences were also present in non-autistic girls, and the study was exploratory with only 18 autistic females.

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The study

Participants
Original sample 322; final matched sample 36 autistic males, 18 autistic females, 34 typically developing males and 20 typically developing females
Certainty of evidence
Low

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Magdalini Asaridou, Ericka L Wodka, Richard A E Edden, et al. Could Sensory Differences Be a Sex-Indifferent Biomarker of Autism? Early Investigation Comparing Tactile Sensitivity Between Autistic Males and Females. Journal of autism and developmental disorders. 2024.

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