OTOtherAutism research : official journal of the International Society for Autism Research2020

Sensory Processing Patterns and Fusiform Activity During Face Processing in Autism Spectrum Disorder.

Ayaka Kuno-Fujita, Toshiki Iwabuchi, Keisuke Wakusawa and 6 others

PMID 32058662

WHAT IT FOUND

Adults with autism who avoided sensory input more showed stronger activity in a face-processing brain area during a face-memory task.

Controls did not show this pattern. It is a small observational link, not evidence that treatment changes face processing.

Key findings

01In adults with autism, higher self-reported sensation avoiding scores were associated with greater right fusiform activity during face processing.

02The same association was not found in controls, and no significant correlations were found in the amygdala.

03Sensation avoiding scores were not significantly correlated with autism symptom severity scores.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The sample was small: 18 adults with autism and 19 controls. Sensory processing was measured only by one self-reported questionnaire, the Adolescent/Adult Sensory Profile. The study did not test treatment, so it cannot show that sensation avoiding causes face-processing differences or that treatment changes them. The autism group had a marginally significant full-scale IQ difference from controls, although IQ was controlled in the correlation analysis. The subgroup comparison used very few participants in the high sensation avoiding groups: 5 with autism and 4 controls. Background differences, including age and sensory sensitivity scores, were marginally different between autism subgroups and may have affected the subgroup result. Participants were recruited without considering sensory processing patterns, and only Low Registration scores differed between groups; this variation may have made it hard to see links. The main brain result was a correlation in a small sample, and the authors caution against proposing a causal relationship.

Declared interests

The authors declared no conflicts of interest. The study was supported by the Japan Society for the Promotion of Science.

The easy way to misread this

Do not conclude that sensation avoiding causes abnormal face processing or that treatment focused on sensation avoiding will improve face recognition. The study measured a correlation in 18 adults with autism and 19 controls, and the subgroup result had only 5 autism participants in the high sensation avoiding group.

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