Modifying quantitative sensory testing to investigate tactile sensory function and behavioral reactivity in children with intellectual and developmental disabilities: establishing feasibility and testing sex, autism, and self-injury effects / Jaclyn GUNDERSON in Journal of Neurodevelopmental Disorders, 17 (2025)  

Public ISBD [article]  inJournal of Neurodevelopmental Disorders > 17 (2025) Titre : Modifying quantitative sensory testing to investigate tactile sensory function and behavioral reactivity in children with intellectual and developmental disabilities: establishing feasibility and testing sex, autism, and self-injury effects Type de document : texte imprimé Auteurs : Jaclyn GUNDERSON, Auteur ; Emma WORTHLEY, Auteur ; Breanne BYIERS, Auteur ; Alyssa MERBLER, Auteur ; Andrea HUEBNER, Auteur ; Deanna HOFSCHULTE, Auteur ; Jasmine LEE, Auteur ; Catherine RIODIQUE, Auteur ; Frank SYMONS, Auteur Langues : Anglais (eng) Mots-clés : Humans  Male  Child  Female  Self-Injurious Behavior/physiopathology/diagnosis  Feasibility Studies  Child, Preschool  Developmental Disabilities/physiopathology/complications  Autistic Disorder/physiopathology/complications  Intellectual Disability/physiopathology/complications  Touch/physiology  Touch Perception/physiology  Sex Factors  Reproducibility of Results  Autism  Intellectual developmental disability  Modified quantitative sensory test  Self-injurious behavior  Sensory responsivity  Tactile reactivity  obtained from Mayo Clinic and Fairview Health internal review boards. Written  informed consent was obtained for all participants. Consent for publication: Not  applicable. Competing interests: The authors declare no competing interests. Index. décimale : PER Périodiques Résumé : BACKGROUND: Sensory reactivity differences are common across neurodevelopmental disorders (NDDs), however very few studies specifically examine tactile or pain responses in children with NNDs, especially those with communication challenges. The current study aimed to (a) replicate the feasibility of a modified quantitative sensory test (mQST) with a sample of children with NDDs, (b) assess validity evidence based on behavioral reactivity during mQST application and the corresponding behavioral measurement coding system, and (c) explore group differences in behavioral reactivity to mQST stimuli by demographic (sex), clinical (autism status), and behavioral pathology (self-injury) variables. METHODS: The mQST protocol was implemented and blindly coded across 47 participants aged 2-12 years (M age = 6.7 years, SD = 2.6; 70% male) with NDDs. Feasibility was measured by completion of the mQST protocol and interobserver agreement. Validity was assessed using paired t-tests investigating differences between behavioral reactivity to active stimuli compared to a sham trial. Boxplots were used to visually explore differences in group characteristics (sex, autism status, and self-injurious behavior), with two-sample t-tests used to further characterize differences in SIB group characteristics in behavioral reactivity to mQST stimuli. RESULTS: The mQST provided codable data across 91% of stimuli applications with high IOA (84.7% [76.7-95%]). Behavioral reactivity was significantly higher for active vs. sham stimuli. Children reported to engage in self-injurious behavior showed significantly more reactivity to the second half of the repeated von Frey stimulus application compared to children without caregiver-reported self-injurious behavior (M = 6.14, SD = 3.44), t (40)= -2.247, p =.04). CONCLUSION: The mQST is a feasible approach to investigate tactile reactivity in children with NDDs and complex communication needs. The mQST may be useful in understanding sensory variables in relation to developmental and behavioral outcomes such as self-injurious behavior. En ligne : https://dx.doi.org/10.1186/s11689-025-09603-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=576 [article] Modifying quantitative sensory testing to investigate tactile sensory function and behavioral reactivity in children with intellectual and developmental disabilities: establishing feasibility and testing sex, autism, and self-injury effects [texte imprimé] / Jaclyn GUNDERSON, Auteur ; Emma WORTHLEY, Auteur ; Breanne BYIERS, Auteur ; Alyssa MERBLER, Auteur ; Andrea HUEBNER, Auteur ; Deanna HOFSCHULTE, Auteur ; Jasmine LEE, Auteur ; Catherine RIODIQUE, Auteur ; Frank SYMONS, Auteur. Langues : Anglais (eng) in Journal of Neurodevelopmental Disorders > 17 (2025) Mots-clés : Humans  Male  Child  Female  Self-Injurious Behavior/physiopathology/diagnosis  Feasibility Studies  Child, Preschool  Developmental Disabilities/physiopathology/complications  Autistic Disorder/physiopathology/complications  Intellectual Disability/physiopathology/complications  Touch/physiology  Touch Perception/physiology  Sex Factors  Reproducibility of Results  Autism  Intellectual developmental disability  Modified quantitative sensory test  Self-injurious behavior  Sensory responsivity  Tactile reactivity  obtained from Mayo Clinic and Fairview Health internal review boards. Written  informed consent was obtained for all participants. Consent for publication: Not  applicable. Competing interests: The authors declare no competing interests. Index. décimale : PER Périodiques Résumé : BACKGROUND: Sensory reactivity differences are common across neurodevelopmental disorders (NDDs), however very few studies specifically examine tactile or pain responses in children with NNDs, especially those with communication challenges. The current study aimed to (a) replicate the feasibility of a modified quantitative sensory test (mQST) with a sample of children with NDDs, (b) assess validity evidence based on behavioral reactivity during mQST application and the corresponding behavioral measurement coding system, and (c) explore group differences in behavioral reactivity to mQST stimuli by demographic (sex), clinical (autism status), and behavioral pathology (self-injury) variables. METHODS: The mQST protocol was implemented and blindly coded across 47 participants aged 2-12 years (M age = 6.7 years, SD = 2.6; 70% male) with NDDs. Feasibility was measured by completion of the mQST protocol and interobserver agreement. Validity was assessed using paired t-tests investigating differences between behavioral reactivity to active stimuli compared to a sham trial. Boxplots were used to visually explore differences in group characteristics (sex, autism status, and self-injurious behavior), with two-sample t-tests used to further characterize differences in SIB group characteristics in behavioral reactivity to mQST stimuli. RESULTS: The mQST provided codable data across 91% of stimuli applications with high IOA (84.7% [76.7-95%]). Behavioral reactivity was significantly higher for active vs. sham stimuli. Children reported to engage in self-injurious behavior showed significantly more reactivity to the second half of the repeated von Frey stimulus application compared to children without caregiver-reported self-injurious behavior (M = 6.14, SD = 3.44), t (40)= -2.247, p =.04). CONCLUSION: The mQST is a feasible approach to investigate tactile reactivity in children with NDDs and complex communication needs. The mQST may be useful in understanding sensory variables in relation to developmental and behavioral outcomes such as self-injurious behavior. En ligne : https://dx.doi.org/10.1186/s11689-025-09603-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=576

Self and caregiver report measurement of sensory features in autism spectrum disorder: a systematic review of psychometric properties / Jaclyn GUNDERSON in Journal of Neurodevelopmental Disorders, 15 (2023)  

Public ISBD [article]  inJournal of Neurodevelopmental Disorders > 15 (2023) Titre : Self and caregiver report measurement of sensory features in autism spectrum disorder: a systematic review of psychometric properties Type de document : texte imprimé Auteurs : Jaclyn GUNDERSON, Auteur ; Emma WORTHLEY, Auteur ; Breanne BYIERS, Auteur ; Frank SYMONS, Auteur ; Jason WOLFF, Auteur Langues : Anglais (eng) Mots-clés : Humans  Autism Spectrum Disorder/diagnosis  Psychometrics  Caregivers  Surveys and Questionnaires  Assessment  Autism spectrum disorder  Sensory  Sensory responsivity  Systematic review Index. décimale : PER Périodiques Résumé : BACKGROUND: Unusual responses to sensory stimuli are considered a diagnostic symptom of autism spectrum disorder with mounting research efforts put towards understanding, characterizing, and treating such symptoms. METHODS: This paper examines self and caregiver report tools used to measure sensory features in ASD through a systematic review of the psychometric evidence for their use. A total of 31 empirical papers were reviewed across 20 assessment tools. Substantial differences were identified in the specific sensory features defined across assessment tools. Sensory assessment questionnaires were evaluated against quality psychometric evidence criteria to provide a use recommendation. RESULTS: Five assessments were identified to be "appropriate with conditions," while no sensory assessment tools were identified to have sufficient quality psychometric evidence to provide a recommendation of "Appropriate" for measuring sensory features in ASD. CONCLUSION: Evidence from this review highlights potentially significant shortcomings among the current methods used to measure sensory features in ASD and suggests the need for more efforts in developing psychometrically sound sensory assessment tools for use in ASD populations. En ligne : https://dx.doi.org/10.1186/s11689-022-09473-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=575 [article] Self and caregiver report measurement of sensory features in autism spectrum disorder: a systematic review of psychometric properties [texte imprimé] / Jaclyn GUNDERSON, Auteur ; Emma WORTHLEY, Auteur ; Breanne BYIERS, Auteur ; Frank SYMONS, Auteur ; Jason WOLFF, Auteur. Langues : Anglais (eng) in Journal of Neurodevelopmental Disorders > 15 (2023) Mots-clés : Humans  Autism Spectrum Disorder/diagnosis  Psychometrics  Caregivers  Surveys and Questionnaires  Assessment  Autism spectrum disorder  Sensory  Sensory responsivity  Systematic review Index. décimale : PER Périodiques Résumé : BACKGROUND: Unusual responses to sensory stimuli are considered a diagnostic symptom of autism spectrum disorder with mounting research efforts put towards understanding, characterizing, and treating such symptoms. METHODS: This paper examines self and caregiver report tools used to measure sensory features in ASD through a systematic review of the psychometric evidence for their use. A total of 31 empirical papers were reviewed across 20 assessment tools. Substantial differences were identified in the specific sensory features defined across assessment tools. Sensory assessment questionnaires were evaluated against quality psychometric evidence criteria to provide a use recommendation. RESULTS: Five assessments were identified to be "appropriate with conditions," while no sensory assessment tools were identified to have sufficient quality psychometric evidence to provide a recommendation of "Appropriate" for measuring sensory features in ASD. CONCLUSION: Evidence from this review highlights potentially significant shortcomings among the current methods used to measure sensory features in ASD and suggests the need for more efforts in developing psychometrically sound sensory assessment tools for use in ASD populations. En ligne : https://dx.doi.org/10.1186/s11689-022-09473-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=575

Sensitivity and Specificity Between the Screening Tool for Autism in Toddlers and Young Children (STAT) and Autism Diagnostic Observation Schedule (ADOS-2) / Jaclyn GUNDERSON in Journal of Autism and Developmental Disorders, 56-8 (August 2026)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 56-8 (August 2026) . - p.2969-2976 Titre : Sensitivity and Specificity Between the Screening Tool for Autism in Toddlers and Young Children (STAT) and Autism Diagnostic Observation Schedule (ADOS-2) Type de document : texte imprimé Auteurs : Jaclyn GUNDERSON, Auteur ; Flora HOWIE, Auteur ; Sunil MEHTA, Auteur ; Annie REDLIN, Auteur ; Andrea HUEBNER, Auteur Article en page(s) : p.2969-2976 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The current study evaluated the agreement of the Screening Tool for Autism in Toddlers & Young Children (STAT) in differential diagnosis of autism in an outpatient clinical population, compared to the more time and resource-intensive Autism Diagnostic Observation Schedule-Second Edition (ADOS-2). Sensitivity and specificity comparative analyses were completed on 44 patients (aged 24–36 months) who were administered both the STAT and the ADOS. Sensitivity and specificity were also calculated independently on patients that received a STAT (n = 102, 24–36 months) or ADOS-2 (n = 72, 24–36 months) and multidisciplinary clinical evaluation. Using clinical diagnosis as the measure of truth, 33 of the 44 received a clinical diagnosis of ASD. Agreement between the STAT and ADOS-2 was 90.9% (40/44; 95% CI 78.3–97.5%). The sensitivity of the STAT was 90.9% (30/33; 95% CI 75.7–98.1%) and the sensitivity of the ADOS was 100% (33/33, 95% CI 89.4–100%) in our sample. The specificity of the STAT was 90.9% (10/11; 95% CI 58.7–99.8%) and the specificity of the ADOS was 100% (11/11; 95% CI 75.1–100.0%). The STAT showed high sensitivity and moderate specificity in differentiating children with autism from those with other neurodevelopmental disorders in this outpatient clinic population. There was excellent agreement between the STAT and ADOS-2. The STAT may be an acceptable diagnostic tool to refine clinic models and reduce wait times for evaluation in toddlers who present with concerns for autism. En ligne : https://doi.org/10.1007/s10803-025-06778-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=591 [article] Sensitivity and Specificity Between the Screening Tool for Autism in Toddlers and Young Children (STAT) and Autism Diagnostic Observation Schedule (ADOS-2) [texte imprimé] / Jaclyn GUNDERSON, Auteur ; Flora HOWIE, Auteur ; Sunil MEHTA, Auteur ; Annie REDLIN, Auteur ; Andrea HUEBNER, Auteur . - p.2969-2976. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 56-8 (August 2026) . - p.2969-2976 Index. décimale : PER Périodiques Résumé : The current study evaluated the agreement of the Screening Tool for Autism in Toddlers & Young Children (STAT) in differential diagnosis of autism in an outpatient clinical population, compared to the more time and resource-intensive Autism Diagnostic Observation Schedule-Second Edition (ADOS-2). Sensitivity and specificity comparative analyses were completed on 44 patients (aged 24–36 months) who were administered both the STAT and the ADOS. Sensitivity and specificity were also calculated independently on patients that received a STAT (n = 102, 24–36 months) or ADOS-2 (n = 72, 24–36 months) and multidisciplinary clinical evaluation. Using clinical diagnosis as the measure of truth, 33 of the 44 received a clinical diagnosis of ASD. Agreement between the STAT and ADOS-2 was 90.9% (40/44; 95% CI 78.3–97.5%). The sensitivity of the STAT was 90.9% (30/33; 95% CI 75.7–98.1%) and the sensitivity of the ADOS was 100% (33/33, 95% CI 89.4–100%) in our sample. The specificity of the STAT was 90.9% (10/11; 95% CI 58.7–99.8%) and the specificity of the ADOS was 100% (11/11; 95% CI 75.1–100.0%). The STAT showed high sensitivity and moderate specificity in differentiating children with autism from those with other neurodevelopmental disorders in this outpatient clinic population. There was excellent agreement between the STAT and ADOS-2. The STAT may be an acceptable diagnostic tool to refine clinic models and reduce wait times for evaluation in toddlers who present with concerns for autism. En ligne : https://doi.org/10.1007/s10803-025-06778-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=591

Social and non-social sensory responsivity in toddlers at high-risk for autism spectrum disorder / Jaclyn GUNDERSON in Autism Research, 14-10 (October 2021)  

Public ISBD [article]  inAutism Research > 14-10 (October 2021) . - p.2143-2155 Titre : Social and non-social sensory responsivity in toddlers at high-risk for autism spectrum disorder Type de document : texte imprimé Auteurs : Jaclyn GUNDERSON, Auteur ; Emma WORTHLEY, Auteur ; Rebecca GRZADZINSKI, Auteur ; Catherine BURROWS, Auteur ; Annette ESTES, Auteur ; Lonnie ZWAIGENBAUM, Auteur ; Kelly N. BOTTERON, Auteur ; Stephen R. DAGER, Auteur ; Heather C. HAZLETT, Auteur ; Robert T. SCHULTZ, Auteur ; Joseph PIVEN, Auteur ; Jason WOLFF, Auteur Article en page(s) : p.2143-2155 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Child, Preschool  Female  Humans  Infant  Male  Surveys and Questionnaires  context  environment  sensory functioning  sensory responsivity  social Index. décimale : PER Périodiques Résumé : Empirical evidence concerning sensory responsivity in young children who later develop autism spectrum disorder (ASD) remains relatively limited. It is unclear whether specific patterns or aspects of sensory responsivity underlay the emergence of the disorder. The goals of this study were to (a) examine whether social versus non-social context impacted the expression of sensory responsivity in infants at high risk for ASD, and (b) examine if sensory responsivity in social or non-social contexts was associated with severity of ASD symptoms. The Sensory Experiences Questionnaire 2.1 was collected for 338 infants (131 females, 207 males) at high-risk for ASD at 12 and/or 24 months of age. High-risk toddlers meeting diagnostic criteria for ASD (n = 75) showed elevated sensory responsivity in both social and non-social contexts at 12 months of age and differences widened over the second year of life. Individuals with ASD demonstrate higher responsivity in both contexts suggestive of generalized atypical sensory responsivity in ASD. LAY SUMMARY: Behaviors such as avoiding or noticing sensory input (e.g., sounds, touches) are often different in individuals with autism spectrum disorder (ASD) than those without. The reason for this is widely unknown. The findings from this study show that in toddlers, sensory responsivity increased in both social and non-social situations. Therefore, the setting of sensory input does not explain these differences. En ligne : http://dx.doi.org/10.1002/aur.2556 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 [article] Social and non-social sensory responsivity in toddlers at high-risk for autism spectrum disorder [texte imprimé] / Jaclyn GUNDERSON, Auteur ; Emma WORTHLEY, Auteur ; Rebecca GRZADZINSKI, Auteur ; Catherine BURROWS, Auteur ; Annette ESTES, Auteur ; Lonnie ZWAIGENBAUM, Auteur ; Kelly N. BOTTERON, Auteur ; Stephen R. DAGER, Auteur ; Heather C. HAZLETT, Auteur ; Robert T. SCHULTZ, Auteur ; Joseph PIVEN, Auteur ; Jason WOLFF, Auteur . - p.2143-2155. Langues : Anglais (eng) in Autism Research > 14-10 (October 2021) . - p.2143-2155 Mots-clés : Autism Spectrum Disorder  Child, Preschool  Female  Humans  Infant  Male  Surveys and Questionnaires  context  environment  sensory functioning  sensory responsivity  social Index. décimale : PER Périodiques Résumé : Empirical evidence concerning sensory responsivity in young children who later develop autism spectrum disorder (ASD) remains relatively limited. It is unclear whether specific patterns or aspects of sensory responsivity underlay the emergence of the disorder. The goals of this study were to (a) examine whether social versus non-social context impacted the expression of sensory responsivity in infants at high risk for ASD, and (b) examine if sensory responsivity in social or non-social contexts was associated with severity of ASD symptoms. The Sensory Experiences Questionnaire 2.1 was collected for 338 infants (131 females, 207 males) at high-risk for ASD at 12 and/or 24 months of age. High-risk toddlers meeting diagnostic criteria for ASD (n = 75) showed elevated sensory responsivity in both social and non-social contexts at 12 months of age and differences widened over the second year of life. Individuals with ASD demonstrate higher responsivity in both contexts suggestive of generalized atypical sensory responsivity in ASD. LAY SUMMARY: Behaviors such as avoiding or noticing sensory input (e.g., sounds, touches) are often different in individuals with autism spectrum disorder (ASD) than those without. The reason for this is widely unknown. The findings from this study show that in toddlers, sensory responsivity increased in both social and non-social situations. Therefore, the setting of sensory input does not explain these differences. En ligne : http://dx.doi.org/10.1002/aur.2556 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450

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