Unusual sensory experiences are reported in 69% of children with autism and these features are thought to have negative consequences on development, adaptive behavior, and family functioning. The purpose of this project is to explain the developmental course, functional impact, and pathogenesis of sensory features with implications for early detection and intervention. The project will study three commonly observed sensory response patterns: hyporesponsive, hyperresponsive, and sensory seeking.
The aims are to: 1) determine longitudinal changes in sensory features in children with autism and DD;2) measure how sensory features impact children's adaptive behaviors (daily living, functional communication/social skills, and level of participation in home/community activities), maladaptive behaviors (stereotyped features, social-emotional problems), and family functioning (parental strain);and 3) isolate specific neurocognitive and contextual risk factors that are associated with the observable sensory problems. Four interrelated studies (total n=210) will address these aims. Study 1 (prospective longitudinal design) uses an existing cohort to examine stability of sensory features from the preschool (2-6 yrs) to the school-age (6-12 yrs.) period, and the functional impact of these features on child/ family outcomes. Study 2 employs retrospective video analysis to identify precursors of sensory features in children with autism during infancy (9-18 months), differentiate these from controls, and predict to preschool/school-age developmental outcomes. Study 3 uses a combination of lab measures, personal accounts of parents and verbal children, and in-home behavioral observations to determine the environmental contexts that elicit unusual sensory features and their impact on family functioning in daily life. Study 4 uses electrophysiology (ERP) to test neurocognitive mechanisms (sensory detection, discrimination, involuntary orienting) that are predicted to underlie specific sensory phenotypes. Thus, in a subgroup of children, convergent data from 4 developmental time points (early infancy, later infancy, preschool and school years) will be secured to study change trajectories in sensory features in autism using mixed methods. Our findings may have implications for understanding brain-behavior linkages, early risk markers of unusual sensory features and their developmental course, and novel intervention strategies that may improve child and family functioning.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Research Project (R01)
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Study Section
Child Psychopathology and Developmental Disabilities Study Section (CPDD)
Program Officer
Kau, Alice S
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University of North Carolina Chapel Hill
Other Health Professions
Schools of Medicine
Chapel Hill
United States
Zip Code
Wilson, Kaitlyn P; Carter, Mary W; Wiener, Heather L et al. (2017) Object play in infants with autism spectrum disorder: A longitudinal retrospective video analysis. Autism Dev Lang Impair 2:
Belardi, Katie; Watson, Linda R; Faldowski, Richard A et al. (2017) A Retrospective Video Analysis of Canonical Babbling and Volubility in Infants with Fragile X Syndrome at 9-12 Months of Age. J Autism Dev Disord 47:1193-1206
Kirby, Anne V; Boyd, Brian A; Williams, Kathryn L et al. (2017) Sensory and repetitive behaviors among children with autism spectrum disorder at home. Autism 21:142-154
Kirby, Anne V; Little, Lauren M; Schultz, Beth et al. (2016) Development and Pilot of the Caregiver Strategies Inventory. Am J Occup Ther 70:7004360010p1-6
Cascio, Carissa J; Lorenzi, Jill; Baranek, Grace T (2016) Self-reported Pleasantness Ratings and Examiner-Coded Defensiveness in Response to Touch in Children with ASD: Effects of Stimulus Material and Bodily Location. J Autism Dev Disord 46:1528-37
Hurwitz, Sarah; Watson, Linda R (2016) Joint attention revisited: Finding strengths among children with autism. Autism 20:538-50
Sabatos-DeVito, Maura; Schipul, Sarah E; Bulluck, John C et al. (2016) Eye Tracking Reveals Impaired Attentional Disengagement Associated with Sensory Response Patterns in Children with Autism. J Autism Dev Disord 46:1319-33
Donkers, Franc C L; Schipul, Sarah E; Baranek, Grace T et al. (2015) Attenuated auditory event-related potentials and associations with atypical sensory response patterns in children with autism. J Autism Dev Disord 45:506-23
Kirby, Anne V; Dickie, Virginia A; Baranek, Grace T (2015) Sensory experiences of children with autism spectrum disorder: in their own words. Autism 19:316-26
Kirby, Anne V; Little, Lauren M; Schultz, Beth et al. (2015) Observational characterization of sensory interests, repetitions, and seeking behaviors. Am J Occup Ther 69:6903220010p1-9

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