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Updated: May 20, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Sleep disturbances and sensory processing and integration in children and adolescents with autism spectrum disorder:
Valeria Mammarella1, Maria Breda1, Luigi De Gennaro1
1Department of Psychology, Sapienza University of Rome, Via dei Marsi 78, Rome, 00185, Italy.
Insights
Autism spectrum disorder (ASD) often involves sleep disorders and sensory abnormalities. This review found a connection between sleep problems like insomnia and sensory issues, particularly in tactile and vestibular domains, in children with ASD.
Area of Science:
- Neuroscience
- Developmental Psychology
- Clinical Medicine
Background:
- Sleep disorders and sensory abnormalities are common in autism spectrum disorder (ASD), significantly impacting individuals and families.
- Understanding the link between these co-occurring issues is vital for developing effective interventions.
- Previous research has highlighted the prevalence but often lacks a comprehensive synthesis of the sleep-sensory relationship in ASD.
Purpose of the Study:
- To systematically review existing literature on the association between sleep disturbances and sensory abnormalities in children and adolescents with ASD.
- To identify specific sleep problems and sensory dysfunctions that frequently co-occur in this population.
- To evaluate the strength and nature of the relationship between sleep and sensory issues in ASD.
Main Methods:
- A systematic literature search was conducted across multiple databases (MEDLINE, PsycARTICLES, PsycInfo, etc.) following PRISMA 2020 guidelines.
- Studies included observational and interventional human research focusing on children/adolescents (2-18 years) with ASD and quantitative sleep-sensory outcomes.
- Sixteen studies met the inclusion criteria for the review.
Main Results:
- A significant positive association was found between sleep problems, particularly insomnia symptoms and night wakings, and sensory dysfunctions in ASD.
- Sensory sensitivity and avoidance, especially in the tactile and vestibular domains, were notably linked to sleep disturbances.
- Most studies focused on younger children, with limited research on older adolescents; longitudinal data suggested covariation over time.
Conclusions:
- Sleep issues and sensory dysfunctions appear interconnected in individuals with autism spectrum disorder.
- Further research, including longitudinal intervention trials and objective measures, is needed to establish causality.
- Investigating whether treating sleep or sensory symptoms improves outcomes in ASD is a key direction for future studies.
Abstract:
Sleep disorders and sensory abnormalities are highly represented in individuals with autism spectrum disorder and represent an important burden for these subjects and their families. Exploring the frequently co-occurring relationship between these two disturbances may be crucial for its therapeutic and rehabilitative implications. Following PRISMA 2020, we systematically reviewed studies examining associations between sleep disturbances and sensory abnormalities in children/adolescents (2-18 years) with autism spectrum disorder based on the following databases searched: MEDLINE, PsycARTICLES, PsycInfo, Psychology and Behavioral Sciences Collection, CINAHL (EBSCOhost), Scopus, and Web of Science. Final search: May 31st, 2025. Eligible designs included observational and interventional human studies reporting quantitative sleep-sensory outcomes. Sixteen studies met inclusion criteria; significant positive associations emerged between sleep problems (especially insomnia symptoms and night wakings) and sensory dysfunctions (notably sensory sensitivity/avoidance; tactile and vestibular domains). Only a minority of these studies have been conducted in older children/adolescents. Two longitudinal non-intervention studies suggested covariation over time. Use of predominantly parent-reported instruments and heterogeneous designs limited quantitative synthesis. Objective measures (e.g., actigraphy, electrodermal activity) were rarely used and showed variable concordance with questionnaires. Sleep issues and sensory dysfunctions appear connected in ASD, but more evidence is needed to determine causality. Future research should use longitudinal intervention trials and both objective and subjective assessments to see if treating sleep or sensory symptoms leads to improvement.
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