Assessment & Research

Comparison of the Sensory Profile Among Autistic Individuals and Individuals with Williams Syndrome.

Hirai et al. (2025) · Journal of autism and developmental disorders 2025
★ The Verdict

Sensory sensitivity, not other sensory quadrants, separates autism from Williams syndrome and stays stable with age.

✓ Read this if BCBAs completing sensory profiles for differential diagnosis in clinic or school teams.
✗ Skip if Practitioners serving only single-syndrome caseloads where diagnosis is already clear.

01Research in Context

01

What this study did

Masahiro and colleagues compared sensory profiles of autistic individuals and individuals with Williams syndrome. They used caregiver questionnaires to map how each group reacts to sounds, textures, movement, and visual input. The study tracked age-related changes to see if sensory patterns shift as children grow.

02

What they found

Only one clear difference emerged: autistic participants scored higher on Sensory Sensitivity than those with Williams syndrome. Both groups showed sensory seeking and avoiding behaviors, but these changed with age in opposite directions. The findings were mixed overall, suggesting more overlap than contrast between the two syndromes.

03

How this fits with other research

The result sharpens earlier work. Schneider et al. (2006) first showed broad sensory issues across modalities in autism; Masahiro narrows the signal to sensitivity alone when autism is compared with Williams syndrome.

Capio et al. (2013) linked sensory problems to repetitive behaviors inside Williams syndrome. The new study keeps that syndrome’s sensory profile steady, showing it is autism’s extra sensitivity that stands out.

MacFarland et al. (2025) recently argued sensory sensitivity is a core autism trait even after removing ADHD effects. Masahiro’s cross-syndrome comparison supports that claim by showing sensitivity, not other sensory quadrants, uniquely flags autism.

04

Why it matters

If you assess a child with developmental delays, a spike in Sensory Sensitivity scores can nudge you toward an autism evaluation rather than Williams syndrome. Track this quadrant over time; the new data show it stays high in autism while seeking and avoiding behaviors can wax or wane differently in each condition. Use this single clear difference to explain referral choices to families and to prioritize sensitivity-focused interventions such as gradual exposure or noise-reducing headphones.

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Score the Sensory Sensitivity quadrant first; flag marked elevations as autism-specific evidence for the diagnostic team.

02At a glance

Intervention
not applicable
Design
other
Sample size
99
Population
autism spectrum disorder, other
Finding
mixed

03Original abstract

PURPOSE: With the current study, we aimed to reveal the similarities and differences in sensory profiles between Williams syndrome (WS) and autism spectrum disorder. METHODS: Using the sensory profile questionnaire completed by the caregivers, we analyzed the WS (n = 60, 3.4-19.8 years) and autistic (n = 39, 4.2-14.0 years) groups. RESULTS: The Severity Analysis revealed a significant group difference in Sensory Sensitivity but not in Low Registration, Sensation Seeking, and Sensation Avoiding subscales. Age can modulate the subscale scores differently across groups. For Sensation Seeking, the scores of both groups decreased with development. However, the scores of Sensory Sensitivity decreased with age in the autistic group but not in the WS group. Sensation Avoiding scores increased with development in the WS group but not in the autistic group. No significant developmental changes were observed in Low Registration. CONCLUSION: This study highlights the cross-syndrome similarities and differences in sensory profiles and developmental changes in autistic individuals and individuals with WS.

Journal of autism and developmental disorders, 2025 · doi:10.4992/jjpsy.77.534