Many of the most noticeable symptoms of autism involve trouble with the five senses. Sometimes people with the disorder are extremely sensitive — cowering from sudden noises or bright lights, for example, or reacting aggressively to being touched. Others seek out extra sensation, such as through hand flapping.
Surprisingly, though, most experts don’t consider these issues core features of the disorder. One reason is that no one has definitively calculated the extent to which these behaviors crop up in people with autism. Even if a high prevalence were confirmed, sensory impairments could simply be secondary consequences of a more fundamental deficit, such as a problem with attention or an aversion to social interactions.
But last week, a group of Australian researchers reported that these symptoms are probably universal among children on the autism spectrum. Their study also found that some children show both high and low sensitivities, and that specific combinations of sensory symptoms tend to arise more frequently than others.
For the study, the parents of 54 young children with autism filled out the Short Sensory Profile, a 38-item questionnaire designed to measure abnormal function of each sense.
Almost 90 percent of the kids in the study showed some kind of sensory difficulty. The most common were related to auditory filtering, such as responding to their name being called, and low tactile sensitivity, such as not noticing when their face or hands are messy.
Perhaps the study’s most interesting finding is that the types of sensory issues tended to cluster in distinct ways. One group of kids, for instance, showed extreme sensitivity to taste and smell, but normal reaction to sudden movements; another had fairly normal sensing, except that they were distracted easily by noises or sights, excessively touched things, and couldn’t stay focused on a task.
An obvious drawback of this study is that it’s based on parental reports, which may be incomplete or inaccurate. Still, if confirmed using different methods, it should spur more basic research on the brain circuitry behind these striking sensory patterns.

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August 8, 2009 at 9:40 pm
RAJ
Virginia you wrote:
“Even if a high prevalence were confirmed, sensory impairments could simply be secondary consequences of a more fundamental deficit, such as a problem with attention or an aversion to social interactions”.
To belabor a previous point, sensory impairments is secondary to the underlying brain damage associated with mental retardation, not necessarily a problem exclsive to a problem of attention or an aversion to social interactions.
Sensory impairments are also reported in mild mental retardation (Intellectual disability):
http://www.ncbi.nlm.nih.gov/pubmed/18557969?
Another study found sensory impairment present in mentally retarded children carrying a second diagnosis of autism, but found no sensory processing impairment in autistic children without mental retardation:
http://www.ncbi.nlm.nih.gov/pubmed/18313850?
Sensory impairment was not found in ASD subjects without mental retardation:
http://www.ncbi.nlm.nih.gov/pubmed/11926720?
Autism researchers do not apear to be able differentiate mental retardation (with secondary isolated symptoms suggestive of autism) from autism without mental retardation.
This study did not have a control group, but if they had a healthy control group they would still have find the same results and conclusions.
The only study design to effectively determine if a condition is related specifically to autism is to use comparison groups including the mentally retarded without autism, the learning disabled without autism, the developmentally delayed without autism and even schizophrenia which has also been reported, as a group, to have sensory processing impairments.
I continue to be puzzled by the lack of appropriate control groups in virtually every area of research in autism, including genetic research (no candidate autism gene specific to autism has ever been identified).
August 8, 2009 at 11:29 pm
mythusmage
It’s not that we have trouble with our senses, it’s more that we’re easily flustered. We’re not getting too much information, we have problems dealing with the information we get.
(Aspergers in case you’re wondering, and I’m better in writing than in conversation.)