Assessment & Research

A comparison of patterns of sensory processing in children with and without developmental disabilities.

Cheung et al. (2009) · Research in developmental disabilities 2009
★ The Verdict

The Chinese Sensory Profile waves a bright flag when autism or ADHD is present, but stays quiet on which one it is.

✓ Read this if BCBAs doing intake screens in clinic or school settings.
✗ Skip if Practitioners who already have full diagnostic batteries.

01Research in Context

01

What this study did

The team gave the Chinese Sensory Profile to three groups of kids: some with autism, some with ADHD, and some with no diagnosis.

They wanted to see if the scores could tell the groups apart.

02

What they found

The profile easily flagged kids with autism or ADHD from neurotypical peers.

It could not tell autism from ADHD — the two clinical groups looked the same on paper.

Age changed the scores, but in different ways for each diagnosis.

03

How this fits with other research

Fabio et al. (2024) repeated the idea with teens and saw the same split: big gap between ADHD and neurotypical, no gap inside the clinical group.

MacFarland et al. (2025) went one step further. They removed ADHD noise with statistics and showed that sensory sensitivity still predicted autism traits.

Together the papers say: sensory scores are great for spotting that something is going on, but you will need more data to decide if it is autism or ADHD.

04

Why it matters

Use the Chinese Sensory Profile as a red-flag tool, not a label maker. A high score tells you to dig deeper, not which box to check. Pair it with attention and social checks to finish the picture.

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Add the CSP to your intake packet; treat any high quadrant as a cue to run follow-up social and attention probes.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder, adhd, neurotypical
Finding
positive
Magnitude
medium

03Original abstract

This study compared the patterns of sensory processing among children with autism spectrum disorder (ASD), attention deficit and hyperactivity disorder (ADHD), and children without disabilities. Parents reported on the frequency of sensory processing issues by completing the Chinese Sensory Profile (CSP). Children with disabilities (ASD or ADHD) exhibited significantly more sensory processing issues than children without disabilities. The results of GLM and discriminant analyses showed that the CSP effectively differentiated between children with and without developmental disabilities. But it failed to identify major differences in sensory processing issues between children with either ASD or ADHD. Sensory processing issues could be one of many criteria that characterize and differentiate the features of children with different developmental disabilities. Although no significant gender differences in sensory processing issues appeared, age was a significant cofounding factor in evaluating sensory processing. Children without disabilities showed some small decreases in sensory processing issues as they aged from 6 to 12 years old. Children with ASD showed some decrease in sensory processing issues over the span of their childhood, while children with ADHD showed a significant increase in auditory processing issues as well as small increases in many aspects of sensory processing.

Research in developmental disabilities, 2009 · doi:10.1016/j.ridd.2009.07.009