Stop Making Noise! Auditory Sensitivity in Adults with an Autism Spectrum Disorder Diagnosis: Physiological Habituation and Subjective Detection Thresholds.
Marieke W M Kuiper, Elisabeth W M Verhoeven, Hilde M Geurts
PMID 30680585WHAT IT FOUND
Adults with autism and adults without autism did not differ in how their sweat response settled to repeated sounds or in hearing thresholds.
Adults with autism reported more auditory sensitivity and rated sounds more arousing.
Key findings
01The ASD and TD groups did not differ in habituation to repeated tones or sirens.
02The ASD and TD groups did not differ in auditory detection threshold.
03Adults with ASD reported more auditory sensitivity and rated both sounds as more arousing than TD adults.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs
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What it does not show
Five participants had unusable physiological data because of electrode problems, and non-responders were excluded from habituation analyses: 21.2% of the ASD group and 12.9% of the TD group. ASD non-responders had higher ADOS social affect and total scores than ASD responders, so the habituation results may not apply to adults with more visible ASD symptoms who did not respond physiologically. About 60% of the ASD group did not meet the ADOS-2 module 4 total score cut-off of 8, so the sample may have been milder than a typical ASD clinic group. The control group did not receive ADOS assessment, so some undetected ASD traits in the TD group cannot be ruled out. Detection threshold was measured only for a 1000 Hz tone, so it may not capture sensitivity across all frequencies. The study reports lab measures and self-report, not a therapy or intervention outcome.
The easy way to misread this
Do not conclude that adults with ASD habituate more slowly to sounds or hear sounds at lower levels than adults without ASD. The study found no group differences in skin conductance habituation or detection thresholds. The higher reported sensitivity and arousal ratings were subjective measures.