Skip to main content
Log in

Sensory Processing Problems and Comorbidities in Chinese Preschool Children with Autism Spectrum Disorders

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Little is known about the relationship between sensory processing problems and sleep disturbances, emotional and behavioral problems and mealtime behavioral problems in Chinese children with autism spectrum disorders (ASDs). This study examined those relationships in Chinese preschool children with ASD using a case–control design. Atypical sensory processing was associated with increased risks of sleep disturbances, emotional and behavioral problems, and abnormal mealtime behaviors in the children with ASD, whereas sensory processing problems were significantly correlated with abnormal mealtime behaviors only in the typically developing children. Based on our findings, clinicians must collect information about sensory problems when a child with ASD experiences sleep disturbances and emotional and behavioral problems or presents abnormal mealtime behaviors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (1996). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-V. Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Archer, L. A., Rosenbaum, P. L., & Streiner, D. L. (1991). The children’s eating behavior inventory: Reliability and validity results. Journal of Pediatric Psychology, 16(5), 629–642.

    Article  PubMed  Google Scholar 

  • Ashburner, J., Ziviani, J., & Rodger, S. (2008). Sensory processing and classroom emotional, behavioral, and educational outcomes in children with autism spectrum disorder. The American Journal of Occupational Therapy, 62(5), 564–573.

    Article  PubMed  Google Scholar 

  • Baker, A. E., Lane, A., Angley, M. T., & Young, R. L. (2008). The relationship between sensory processing patterns and behavioural responsiveness in autistic disorder: A pilot study. Journal of Autism and Developmental Disorders, 38(5), 867–875. https://doi.org/10.1007/s10803-007-0459-0.

    Article  PubMed  Google Scholar 

  • Ben-Sasson, A., Hen, L., Fluss, R., Cermak, S. A., Engel-Yeger, B., & Gal, E. (2009). A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(1), 1–11. https://doi.org/10.1007/s10803-008-0593-3.

    Article  PubMed  Google Scholar 

  • Berlin, K. S., Davies, W. H., Silverman, A. H., Woods, D. W., Fischer, E. A., & Rudolph, C. D. (2010). Assessing children’s mealtime problems with the Mealtime Behavior Questionnaire. Children’s Health Care, 39(2), 142–156. https://doi.org/10.1080/02739611003679956.

    Article  Google Scholar 

  • Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: Diagnostic validity. The British Journal of Psychiatry, 175, 444–451.

    Article  PubMed  Google Scholar 

  • Boyd, B. A., Baranek, G. T., Sideris, J., Poe, M. D., Watson, L. R., Patten, E., et al. (2010). Sensory features and repetitive behaviors in children with autism and developmental delays. Autism Research, 3(2), 78–87. https://doi.org/10.1002/aur.124.

    Article  PubMed  PubMed Central  Google Scholar 

  • Burns, C. O., Dixon, D. R., Novack, M., & Granpeesheh, D. (2017). A systematic review of assessments for sensory processing abnormalities in autism spectrum disorder. Review Journal of Autism and Developmental Disorders, 4(3), 209–224. https://doi.org/10.1007/s40489-017-0109-1.

    Article  Google Scholar 

  • Cermak, S., Curtin, C., & Bandini, L. (2010). Food selectivity and sensory sensitivity in children with autism spectrum disorders. Journal of the American Dietetic Association, 110(2), 238–246.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chang, Y., Owen, J., Desai, S., Hill, S., Arnett, A., Harris, J., et al. (2014). Autism and sensory processing disorders: Shared white matter disruption in sensory pathways but divergent connectivity in social–emotional pathways. PLoS ONE, 9(7), e103038.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chistol, L. T., Bandini, L. G., Must, A., Phillips, S., Cermak, S. A., & Curtin, C. (2018). Sensory sensitivity and food selectivity in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(2), 583–591. https://doi.org/10.1007/s10803-017-3340-9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Du, Y., Kou, J., & Coghill, D. (2008). The validity, reliability and normative scores of the parent, teacher and self report versions of the Strengths and Difficulties Questionnaire in China. Child and Adolescent Psychiatry and Mental Health, 2(1), 8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dunn, W. (1999). The sensory profile manual. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586.

    Article  PubMed  Google Scholar 

  • Green, D., Chandler, S., Charman, T., Simonoff, E., & Baird, G. (2016). Brief Report: DSM-5 sensory behaviours in children with and without an autism spectrum disorder. Journal of Autism and Developmental Disorders, 46(11), 3597–3606. https://doi.org/10.1007/s10803-016-2881-7.

    Article  PubMed  Google Scholar 

  • Green, S. A., Rudie, J. D., Colich, N. L., Wood, J. J., Shirinyan, D., Hernandez, L., et al. (2013). Overreactive brain responses to sensory stimuli in youth with autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 52(11), 1158–1172.

    Article  PubMed  Google Scholar 

  • Hollway, J., Aman, M., & Butter, E. (2013). Correlates and risk markers for sleep disturbance in participants of the Autism Treatment Network. Journal of Autism and Developmental Disorders, 43(12), 2830–2843.

    Article  PubMed  Google Scholar 

  • Huang, A. X., Jia, M., & Wheeler, J. J. (2013). Children with autism in the People’s Republic of China: Diagnosis, legal issues, and educational services. Journal of Autism and Developmental Disorders, 43(9), 1991–2001. https://doi.org/10.1007/s10803-012-1722-6.

    Article  PubMed  Google Scholar 

  • Ismael, N., Lawson, L., & Hartwell, J. (2018). Relationship between sensory processing and participation in daily occupations for children with autism spectrum disorder: A systematic review of studies that used Dunn’s sensory processing framework. The American Journal of Occupational Therapy, 72(3), 7203205030p1–7203205030p9.

    Article  PubMed  Google Scholar 

  • Li, G., & Wang, W. (2015). Reliability and validity of the Chinese version of Short Sensory Profile in children. Journal of Neuroscience and Mental Health, 6(15), 605–607.

    Google Scholar 

  • Liu, J., & Xu, X. (2015). The application of social communication questionnaire in primary screening for children with autism spectrum disorders (ASDs). Scientia Sinica Vitae, 45(08), 739–747.

    Article  Google Scholar 

  • Maski, K., Jeste, S., & Spence, S. (2011). Common neurological co-morbidities in autism spectrum disorders. Current Opinion in Pediatrics, 23(6), 609–615.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mazurek, M., & Petroski, G. (2015). Sleep problems in children with autism spectrum disorder: Examining the contributions of sensory over-responsivity and anxiety. Sleep Medicine, 16(2), 270–279.

    Article  PubMed  Google Scholar 

  • Nieto, C., Lopez, B., & Gandia, H. (2017). Relationships between atypical sensory processing patterns, maladaptive behaviour and maternal stress in Spanish children with autism spectrum disorder. Journal of Intellectual Disability Research, 61(12), 1140–1150. https://doi.org/10.1111/jir.12435.

    Article  PubMed  Google Scholar 

  • O’Donnell, S., Deitz, J., Kartin, D., Nalty, T., & Dawson, G. (2012). Sensory processing, problem behavior, adaptive behavior, and cognition in preschool children with autism spectrum disorders. The American Journal of Occupational Therapy, 66(5), 586–594. https://doi.org/10.5014/ajot.2012.004168.

    Article  PubMed  Google Scholar 

  • Pang, X., Zou, M., Wang, H., Lin, L., Sun, C., Wang, J., et al. (2014). Eating behavior problems of children with autism and cerebral palsy. Chinese Journal of School Health, 35(07), 992–994.

    Google Scholar 

  • Posar, A., & Visconti, P. (2018). Sensory abnormalities in children with autism spectrum disorder. Jornal de Pediatria, 94(4), 342–350. https://doi.org/10.1016/j.jped.2017.08.008.

    Article  PubMed  Google Scholar 

  • Robertson, C. E., & Baron-Cohen, S. (2017). Sensory perception in autism. Nature Reviews Neuroscience, 18(11), 671–684. https://doi.org/10.1038/nrn.2017.112.

    Article  PubMed  Google Scholar 

  • Rutter, M., Bailey, A., & Lord, C. (2003). The social communication questionnaire manual. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Saito, A., Stickley, A., Haraguchi, H., Takahashi, H., Ishitobi, M., & Kamio, Y. (2017). Association between autistic traits in preschool children and later emotional/behavioral outcomes. Journal of Autism and Developmental Disorders, 47(11), 3333–3346. https://doi.org/10.1007/s10803-017-3245-7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sang, B., & Miao, X. (1990). Peabody picture vocabulary test-revised (PPVT-R): The revised norm of Shanghai. Psychological Science, 5, 22–27.

    Google Scholar 

  • Schaaf, R. C., & Lane, A. E. (2015). Toward a best-practice protocol for assessment of sensory features in ASD. Journal of Autism and Developmental Disorders, 45(5), 1380–1395. https://doi.org/10.1007/s10803-014-2299-z.

    Article  PubMed  Google Scholar 

  • Schauder, K. B., & Bennetto, L. (2016). Toward an interdisciplinary understanding of sensory dysfunction in autism spectrum disorder: An integration of the neural and symptom literatures. Frontiers in Neuroscience, 10, 268. https://doi.org/10.3389/fnins.2016.00268.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schopler, E., Reichier, R. T., & Rochen Renner, B. (1988). The childhood autism rating scale. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). Journal of Autism and Developmental Disorders, 10(1), 91–103. https://doi.org/10.1007/bf02408436.

    Article  PubMed  Google Scholar 

  • Thye, M. D., Bednarz, H. M., Herringshaw, A. J., Sartin, E. B., & Kana, R. K. (2018). The impact of atypical sensory processing on social impairments in autism spectrum disorder. Developmental Cognitive Neuroscience, 29, 151–167. https://doi.org/10.1016/j.dcn.2017.04.010.

    Article  PubMed  Google Scholar 

  • Tomchek, S. D., & Dunn, W. (2007). Sensory processing in children with and without autism: A comparative study using the short sensory profile. The American Journal of Occupational Therapy, 61(2), 190–200.

    Article  PubMed  Google Scholar 

  • Tzischinsky, O., Meiri, G., Manelis, L., Bar-Sinai, A., Flusser, H., Michaelovski, A., et al. (2018). Sleep disturbances are associated with specific sensory sensitivities in children with autism. Molecular Autism, 9, 22. https://doi.org/10.1186/s13229-018-0206-8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wang, B., Cao, F., & Boyland, J. T. (2019). Addressing autism spectrum disorders in China. New Directions for Child and Adolescent Development, 2019(163), 137–162. https://doi.org/10.1002/cad.20266.

    Article  PubMed  Google Scholar 

  • Wang, G., Liu, Z., Xu, G., Jiang, F., Lu, N., Baylor, A., et al. (2016). Sleep disturbances and associated factors in Chinese children with autism spectrum disorder: A retrospective and cross-sectional study. Child Psychiatry and Human Development, 47(2), 248–258.

    Article  PubMed  Google Scholar 

  • Wang, G., Xu, G., Liu, Z., Lu, N., Ma, R., & Zhang, E. (2013). Sleep patterns and sleep disturbances among Chinese school-aged children: Prevalence and associated factors. Sleep Medicine, 14(1), 45–52.

    Article  PubMed  Google Scholar 

  • Wardle, J., Guthrie, C. A., Sanderson, S., & Rapoport, L. (2001). Development of the Children’s Eating Behaviour Questionnaire. Journal of Child Psychology and Psychiatry, 42(7), 963–970.

    Article  PubMed  Google Scholar 

  • Wu, X., Tao, S., Rutayisire, E., Chen, Y., Huang, K., & Tao, F. (2017). The relationship between screen time, nighttime sleep duration, and behavioural problems in preschool children in China. European Child and Adolescent Psychiatry, 26, 541–548.

    Article  PubMed  Google Scholar 

  • Yang, X., Chen, Z., Wang, Z., & Zhu, L. (2017). The relations between television exposure and executive function in Chinese preschoolers: The moderated role of parental mediation behaviors. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2017.01833.

    Article  PubMed  PubMed Central  Google Scholar 

  • Yang, X., Liang, S., Zou, M., Sun, C., Han, P., Jiang, X., et al. (2018). Are gastrointestinal and sleep problems associated with behavioral symptoms of autism spectrum disorder? Psychiatry Research, 259, 229–235.

    Article  PubMed  Google Scholar 

  • Zachor, D., Yang, J.-W., Itzchak, E. B., Furniss, F., Pegg, E., Matson, J. L., et al. (2011). Cross-cultural differences in comorbid symptoms of children with autism spectrum disorders: An international examination between Israel, South Korea, the United Kingdom and the United States of America. Developmental Neurorehabilitation, 14(4), 215–220. https://doi.org/10.3109/17518423.2011.568468.

    Article  PubMed  Google Scholar 

  • Zhao, Y., Kuang, G., Han, X., & Ma, A. (2016). Eating behaviors of children with autism spectrum disorder. Chinese Journal of School Health, 37(02), 184–186 + 189.

  • Zhou, Z., Tao, X., Zhu, J., Xu, W., Yang, L., & Tang, J. (2015). Investigation on diet behavior of children with autism spectrum disorder. Chinese Journal of Child Health Care, 23(06), 613–617.

    Google Scholar 

  • Zhu, R., Zhang, X., Yang, G., Wang, S., Xie, A., & Lu, M. (2017). The effect of abnormal sensory response on sleep problems in children with autism spectrum disorders. Chinese Journal of Special Education, 02, 37–43.

    Google Scholar 

Download references

Acknowledgments

The children and their parents involved in this study are gratefully acknowledged.

Funding

This work was supported by grants from the National Nature Science Foundation of China (No. 81773459). We are also grateful for the coordination and support provided by The China Disabled Persons Federation (CDPF) of Tianjin, which enabled us to collect data from special education schools.

Author information

Authors and Affiliations

Authors

Contributions

GW participated in developing the idea for the research article, conducted data collection, conducted data analysis, writing the article, revision of edits, and proofing the final manuscript. WL, YH, LG participated in developing the idea for the research article, writing, providing additional edits during revision, and proofing subsequent submissions. WD, YS conducted data collection, participated in writing, providing additional edits during revision. XZ participated in developing the idea for the research article, conducted data collection, participated in data analysis, providing additional edits during revision process, and proofing the final manuscript.

Corresponding author

Correspondence to Xin Zhang.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wang, Gf., Li, WL., Han, Y. et al. Sensory Processing Problems and Comorbidities in Chinese Preschool Children with Autism Spectrum Disorders. J Autism Dev Disord 49, 4097–4108 (2019). https://doi.org/10.1007/s10803-019-04125-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-019-04125-7

Keywords

Navigation