Related Experiment Video
Updated: Jul 16, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Sensory profile in infants and toddlers with behavioral insomnia and/or feeding disorders
R Tauman1, H Avni2, A Drori-Asayag3
1The Pediatric Sleep Center, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.
Insights
Children with behavioral insomnia (BI) or feeding disorders (FDs) show distinct sensory processing differences compared to healthy peers. These sensory profiles, often hypersensitive, may contribute to the development and co-occurrence of these common childhood conditions.
Area of Science:
- Pediatric Psychology
- Developmental Pediatrics
- Sensory Processing Research
Background:
- Sleep and feeding difficulties are prevalent in early childhood.
- These conditions frequently co-occur, suggesting shared underlying factors.
- Child-specific characteristics significantly influence both sleep and feeding disorders.
Purpose of the Study:
- To investigate the sensory profiles of infants and toddlers diagnosed with behavioral insomnia (BI) or feeding disorders (FDs).
- To compare the sensory profiles of children with BI or FDs against healthy, age-matched controls.
- To explore potential links between sensory processing and the co-occurrence of sleep and feeding issues.
Main Methods:
- Recruitment of children aged 7-36 months with BI or FDs from specialized clinics.
- Inclusion of healthy controls from well-baby clinics for comparison.
- Parental completion of a questionnaire including demographics and the Infant/Toddler Sensory Profile (ITSP) for sensory evaluation.
Main Results:
- Children with BI (n=25) and FDs (n=28) exhibited significantly lower oral processing scores compared to controls (n=32).
- The FD group showed lower auditory processing scores than controls.
- FD group demonstrated significantly lower scores in Low Registration, Sensory Sensitivity, and Sensation Avoiding quadrants of the ITSP; the BI group showed lower Sensation Avoiding scores.
Conclusions:
- Significant differences in parental-reported sensory processing exist between children with BI/FDs and healthy controls, often indicating a hypersensitive profile.
- These sensory processing variations may contribute to the etiology and explain the comorbidity of behavioral insomnia and feeding disorders.
- Sensory profiling presents a potential therapeutic target for managing sleep and feeding disorders in early childhood.
Background:
Sleep and feeding difficulties are two common disorders in early childhood. It has been shown that feeding difficulties are more common among children with sleep disorders and vice versa. Since a child's characteristics play a substantial role in these two conditions, we aimed to investigate the sensory profile of infants and toddlers with behavioral insomnia (BI) or feeding disorders (FDs) in comparison with healthy age-matched controls.
Methods:
Children aged 7-36 months with BI or FD were recruited from the sleep and feeding disorders clinics. Healthy controls were recruited from well-baby clinics. Parents completed a questionnaire which included demographics and socioeconomic status, as well as a sensory profile evaluation using the Infant/Toddler Sensory Profile (ITSP).
Results:
Twenty-five children with BI, 28 with FDs and 32 controls were recruited. Oral processing scores were significantly lower in both BI and FD groups vs the controls (p = 0.015 and 0.001, respectively). Auditory processing scores were lower in the FD group vs the controls (p = 0.028). The scores of three out of the four ITSP sensory quadrants (Low Registration, Sensory Sensitivity, and Sensation Avoiding) were significantly lower in the FD group vs the controls (p = 0.027, 0.025, and 0.001, respectively), and in one quadrant (Sensation Avoiding) in the BI group vs the controls (p = 0.037).
Conclusions:
There were considerable differences in sensory processing, as reported by parents between children with BI and those with FDs compared to healthy controls, most often in the direction of the 'hypersensitive' profile. These differences may underlie the development and partially explain the coexistence of the two disorders. Sensory profile may be a target of intervention as part of the management of sleep and feeding disorders in early childhood.
Related Concept Videos
Management of Insomnia
Insomnia
Multiple factors contribute...
REM Sleep Behavior Disorder
RBD is significantly associated with...
Nightmares and Night Terrors
Nightmares often...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...

