) 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. [These aims are consistent with NIH Autism Research Matrix priorities #16, 19, 22, 23 &26.] Project Narrative Relevance Although sensory problems such as under/over-reactions to sounds, touch, and visual stimuli are very common in children with autism and other developmental disorders, there is little research defining how these features change over time, what causes them to occur, and how much they negatively impact upon a child's development, the parent's well-being, and social participation. Because so little is known about sensory features in autism, families are vulnerable to myriad non-efficacious sensory-based treatments that purport cures for these issues. Findings from this study will address the above limitations in the literature and may have implications for understanding potential brain-behavior linkages, early risk markers of unusual sensory features and their developmental course, and novel intervention strategies aimed at improving child and family functioning.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD042168-09
Application #
8292246
Study Section
Child Psychopathology and Developmental Disabilities Study Section (CPDD)
Program Officer
Kau, Alice S
Project Start
2002-04-01
Project End
2014-06-30
Budget Start
2012-07-01
Budget End
2014-06-30
Support Year
9
Fiscal Year
2012
Total Cost
$472,116
Indirect Cost
$146,534
Name
University of North Carolina Chapel Hill
Department
Other Health Professions
Type
Schools of Medicine
DUNS #
608195277
City
Chapel Hill
State
NC
Country
United States
Zip Code
27599
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Ausderau, Karla; Sideris, John; Furlong, Melissa et al. (2014) National survey of sensory features in children with ASD: factor structure of the sensory experience questionnaire (3.0). J Autism Dev Disord 44:915-25
Ausderau, Karla K; Furlong, Melissa; Sideris, John et al. (2014) Sensory subtypes in children with autism spectrum disorder: latent profile transition analysis using a national survey of sensory features. J Child Psychol Psychiatry 55:935-44
Watson, Linda R; Crais, Elizabeth R; Baranek, Grace T et al. (2013) Communicative gesture use in infants with and without autism: a retrospective home video study. Am J Speech Lang Pathol 22:25-39
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Patten, Elena; Baranek, Grace T; Watson, Linda R et al. (2013) Child and family characteristics influencing intervention choices in autism spectrum disorders. Focus Autism Other Dev Disabl 28:138-146
Cascio, Carissa J; Lorenzi, Jill; Baranek, Grace T (2013) 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 :
Bagby, Molly Shields; Dickie, Virginia A; Baranek, Grace T (2012) How sensory experiences of children with and without autism affect family occupations. Am J Occup Ther 66:78-86
Brock, M E; Freuler, A; Baranek, G T et al. (2012) Temperament and Sensory Features of Children with Autism. J Autism Dev Disord :

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