OTCohortMolecular autism2019

Sensory over-responsivity: parent report, direct assessment measures, and neural architecture.

Teresa Tavassoli, Anne Brandes-Aitken, Robyn Chu and 7 others

PMID 30740199

WHAT IT FOUND

Parent report and direct observation only partly agreed on children's auditory and tactile over-responsivity.

Parent report flagged more children with neurodevelopmental disorders. In 39 boys, three brain tracts showed lower integrity in children who were over-responsive to sound.

Key findings

01Parent report and direct observation agreed on auditory over-responsivity for 65% of children and on tactile over-responsivity for 50% of children.

02In children with neurodevelopmental disorders, parent report classified 62% as auditory over-responsive and 68% as tactile over-responsive, while direct assessment classified 31% and 27%.

03In the imaging subset, three tracts that showed lower white matter integrity remained different after correction.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study was retrospective, and not all children received all measures. Only 235 children had both parent report and direct assessment. Experiment 1 groups were not matched on age or cognitive ability. The table reports mean age 9.8 years for typically developing children and 8.9 years for children with neurodevelopmental disorders, with full-scale IQ 111.9 and 101.4. Gender distribution differed between groups. The table reports 66 boys and 62 girls in the typically developing group and 111 boys and 65 girls in the neurodevelopmental disorder group. Parent report is subjective and can be affected by parental bias and recollection. The imaging analysis was small and limited to 39 boys. Sixteen children were excluded for artifacts or movement, and only eight children had tactile over-responsivity imaging data. The brain tract findings were exploratory, and the authors say they require confirmation in larger studies. This study did not test an intervention, so it cannot show whether any treatment changes sensory over-responsivity or brain tracts.

Declared interests

The supplied text lists funding from the Wallace Research Foundation, the Mickelson and Brody Family Foundation, the Gates Family Foundation, the Gretsch Family Foundation, the Glass Family Foundation, the National Institutes of Health, and an SPD community of family and friends. It does not state a commercial sponsor or a conflict-of-interest declaration.

The easy way to misread this

Do not read the three brain tracts as a diagnostic biomarker or a treatment target. The imaging analysis included 39 boys, the tactile over-responsivity group had only eight children and was not analyzed, and the authors say the result requires confirmation in larger studies.

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