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Updated: Jul 7, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Sensory processing and neurodevelopmental disorder traits in 4- to 5-year-old Dutch children adjusted for sex,
Selena J Rosinda1,2,3, Pieter J Hoekstra4,5,6, Mijna Hadders-Algra7,6,8
1University of Groningen, University Medical Center Groningen, Department of Paediatrics, Beatrix Children's Hospital, Division of Developmental Neurology, Groningen, the Netherlands. s.j.rosinda@umcg.nl.
Insights
Sensory processing difficulties are common in young children and linked to neurodevelopmental traits. These challenges correlate with social, attention, and motor issues, impacting child development.
Area of Science:
- Child Development
- Neuroscience
- Developmental Psychology
Background:
- Sensory processing is crucial for children's overall development, influencing various developmental domains.
- Understanding sensory processing is key to identifying potential neurodevelopmental challenges early on.
Purpose of the Study:
- To investigate sensory processing in 4-5-year-old children.
- To examine the relationship between sensory processing and neurodevelopmental disorder traits (Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, Developmental Coordination Disorder).
Main Methods:
- A sample of 557 Dutch children aged 4-5 years was assessed.
- Sensory processing was measured using the Sensory Profile.
- Neurodevelopmental traits were evaluated using parent/teacher questionnaires and motor assessments, with covariates including infant neurodevelopment and intelligence.
Main Results:
- Sensory processing difficulties were identified in 35-44% of the children.
- Difficulties in seeking, avoiding, or being sensitive to sensory stimuli were associated with increased social responsiveness problems.
- These sensory issues also correlated with hyperactive/inattentive behavior and motor difficulties.
Conclusions:
- Sensory processing difficulties are prevalent in preschool-aged children, particularly those with atypical early development.
- Specific sensory processing challenges are significantly related to the severity of neurodevelopmental disorder traits.
Purpose:
Sensory processing is an important aspect of children's development and is closely linked to other developmental domains. We investigated sensory processing and its relation to the severity of neurodevelopmental disorder traits (i.e., traits associated with Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, Developmental Coordination Disorder) in a sample of 4-5-year-old children from the general population, with an oversampling of children with atypical infant neurodevelopment.
Methods:
The sample contained 557 Dutch 4-5-year-old children. Sensory processing was assessed with the Sensory Profile. Neurodevelopmental disorder traits were measured with parent- and teacher-reported questionnaires (Social Responsiveness Scale, Strengths and Difficulties Questionnaire, Conners Parent Rating Scale, Conners Teacher Rating Scale) and an assessment of motor abilities (Movement Assessment Battery for Children). Multivariate polynomial regression analyses were conducted to examine the relation between sensory processing and the severity of neurodevelopmental disorder traits. The child's sex, neurodevelopment in infancy (as assessed with the Standardized Infant Neuro Developmental Assessment and Infant Motor Profile) and intelligence level at 4-5 years (as measured with the Wechsler Primary and Preschool Scale of Intelligence) were included as covariates.
Results:
In 35-44% of the children sensory processing difficulties (varying per sensory processing quadrant) were present. Missing, seeking, avoiding and/or being sensitive to sensory stimuli was associated with more social responsiveness problems, hyperactive and/or inattentive behaviour and motor difficulties.
Conclusion:
Sensory processing difficulties are prevalent in a sample of 4- to 5-year-old children, enriched for the presence of atypical infant neurodevelopment. Additionally, specific types of sensory processing difficulties are related to more severe neurodevelopmental disorder traits.
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