Assessment & Research

Brief Report: Effects of Sensory Sensitivity and Intolerance of Uncertainty on Anxiety in Mothers of Children with Autism Spectrum Disorder.

Uljarević et al. (2016) · Journal of autism and developmental disorders 2016
★ The Verdict

For moms of kids with ASD, sensory sensitivity fuels anxiety mainly when they also hate uncertainty—so target uncertainty tolerance in parent support plans.

✓ Read this if BCBAs running parent-training or support groups for families with autism.
✗ Skip if Clinicians focused only on child skill acquisition with no parent component.

01Research in Context

01

What this study did

Uljarević et al. (2016) asked moms of kids with autism to fill out three short surveys. One asked how bright lights, loud sounds, or scratchy clothes bother them. Another asked how well they handle not knowing what will happen next. The last asked how worried or anxious they feel.

The team used statistics to see if sensory sensitivity raises anxiety only when moms also hate uncertainty.

02

What they found

Moms who reported more sensory discomfort did feel more anxious, but only if they also scored high on intolerance of uncertainty. When moms could handle not knowing what would happen, sensory issues barely affected their anxiety.

In plain words, uncertainty acts like a magnifying glass that turns everyday sensory annoyances into real worry.

03

How this fits with other research

Cai et al. (2020) ran a similar survey and found the same intolerance-of-uncertainty link, but they also showed that avoidant coping makes anxiety worse while problem-focused coping keeps moms well. Mirko’s finding is therefore not a one-off; it sits inside a bigger picture where both uncertainty and coping style matter.

Miezah et al. (2026) followed families for two years and showed that boosting social support and active coping lowers long-term parenting stress. Mirko’s cross-sectional snapshot aligns with this: if you reduce uncertainty or improve coping, you should see better mental health over time.

Nahar et al. (2022) compared moms of autistic kids with moms of dyslexic kids and typical kids and found the autism-group moms carry the heaviest mental-health load. Mirko helps explain part of that load by pointing to the sensory-uncertainty pathway.

04

Why it matters

You already screen for stress; now add two quick questions: 'Do unexpected changes upset you?' and 'Do loud lights or textures bother you?' If both get a big yes, teach uncertainty tolerance—simple scripts like 'First, then' schedules or short social stories. In 60 seconds you can spot the moms who need that extra layer of support before anxiety takes hold.

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Add two quick screening questions about intolerance of uncertainty to your parent intake and try a simple 'First schedule, then surprise' visual to cut worry.

02At a glance

Intervention
not applicable
Design
survey
Sample size
50
Population
autism spectrum disorder
Finding
not reported

03Original abstract

This study examined the relations between anxiety and individual characteristics of sensory sensitivity (SS) and intolerance of uncertainty (IU) in mothers of children with ASD. The mothers of 50 children completed the Hospital Anxiety and Depression Scale, the Highly Sensitive Person Scale and the IU Scale. Anxiety was associated with both SS and IU and IU was also associated with SS. Mediation analyses showed direct effects between anxiety and both IU and SS but a significant indirect effect was found only in the model in which IU mediated between SS. This is the first study to characterize the nature of the IU and SS interrelation in predicting levels of anxiety.

Journal of autism and developmental disorders, 2016 · doi:10.1007/s10803-015-2557-8