Assessment & Research

Olfactory Processing in Male Children with Autism: Atypical Odor Threshold and Identification.

Muratori et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Boys with high-functioning autism need stronger odors to notice and name them, and weaker smell links to more social and aggression problems.

✓ Read this if BCBAs working with school-age or teen clients who have high-functioning autism and social or aggression targets.
✗ Skip if Clinicians serving only toddlers or adults with profound autism, where smell testing is harder to deliver.

01Research in Context

01

What this study did

Muratori et al. (2017) compared smell skills in boys with high-functioning autism and typical boys.

They used lab tests to measure how faint an odor a child could detect and how well he could name common smells.

All kids could still tell two odors apart, so the nose wires were not broken—just set differently.

02

What they found

The autism group needed stronger smells before they noticed them.

They also named fewer odors correctly when smells were easy to detect.

Parents of boys with weaker smell scores rated their children as having more social and aggression problems.

03

How this fits with other research

Watson et al. (2007) interviewed families and found over 90% of people with autism have sensory quirks, including smell. The new lab data extend that parent report by showing exactly how smell is dampened.

Song et al. (2018) ran a similar lab test but for faces: kids with autism needed angrier, more disgusted faces to be extra intense before they could name the emotion. Both studies line up—autistic kids need stronger signals, whether nose or eye.

Schneider et al. (2015) showed adults with autism do not ramp up aggressive behavior when teased more. The odor paper adds a clue: lower smell sensitivity tracks with higher parent-rated aggression, hinting the same "low alert" system may run across senses.

04

Why it matters

If a client seems unaware of body odor, smoke, or spoiled food, do not assume willful behavior—test smell first.

Add scent cues to social stories only after you check the child can detect them; otherwise the lesson may miss its mark.

A quick smell screen can flag kids who might also miss subtle social cues, letting you pair sensory and social goals in one plan.

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Open a coffee packet or orange peel during session and note if the client notices at the same distance you do—if not, plan sensory-level accommodations before teaching odor-based cues.

02At a glance

Intervention
not applicable
Design
case control
Sample size
20
Population
autism spectrum disorder
Finding
negative
Magnitude
small

03Original abstract

Sensory issues are of great interest in ASD diagnosis. However, their investigation is mainly based on external observation (parent reports), with methodological limitations. Unobtrusive olfactory assessment allows studying autism neurosensoriality. Here, 20 male children with high-functioning ASD and 20 matched controls were administered a complete olfactory test battery, assessing olfactory threshold, identification and discrimination. ASD children show lower sensitivity (p = 0.041), lower identification (p = 0.014), and intact odor discrimination (p = 0.199) than controls. Comparing olfactory and clinical scores, a significant correlation was found in ASD between olfactory threshold and the CBCL social problems (p = 0.011) and aggressive behavior (p = 0.012) sub-scales. The pattern featuring peripheral hyposensitivity, high-order difficulties in odor identification and regular subcortical odor discrimination is discussed in light of hypo-priors hypothesis for autism.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3250-x