Sensory subtypes in children with autism spectrum disorder: latent profile transition analysis using a national survey of sensory features

J Child Psychol Psychiatry. 2014 Aug;55(8):935-44. doi: 10.1111/jcpp.12219. Epub 2014 Mar 27.

Abstract

Background: Sensory features are highly prevalent and heterogeneous among children with ASD. There is a need to identify homogenous groups of children with ASD based on sensory features (i.e., sensory subtypes) to inform research and treatment.

Methods: Sensory subtypes and their stability over 1 year were identified through latent profile transition analysis (LPTA) among a national sample of children with ASD. Data were collected from caregivers of children with ASD ages 2-12 years at two time points (Time 1 N = 1294; Time 2 N = 884).

Results: Four sensory subtypes (Mild; Sensitive-Distressed; Attenuated-Preoccupied; Extreme-Mixed) were identified, which were supported by fit indices from the LPTA as well as current theoretical models that inform clinical practice. The Mild and Extreme-Mixed subtypes reflected quantitatively different sensory profiles, while the Sensitive-Distressed and Attenuated-Preoccupied subtypes reflected qualitatively different profiles. Further, subtypes reflected differential child (i.e., gender, developmental age, chronological age, autism severity) and family (i.e., income, mother's education) characteristics. Ninety-one percent of participants remained stable in their subtypes over 1 year.

Conclusions: Characterizing the nature of homogenous sensory subtypes may facilitate assessment and intervention, as well as potentially inform biological mechanisms.

Keywords: Children; autism; latent profile transition analysis; sensory; subtypes.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Child Development Disorders, Pervasive / physiopathology
  • Child Development Disorders, Pervasive / psychology*
  • Child, Preschool
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Sensation* / physiology
  • Surveys and Questionnaires