Assessment & Research

Relationship Between Sensory Processing and Autism Spectrum Disorder-Like Behaviors in Prader-Willi Syndrome.

Saima et al. (2022) · American journal on intellectual and developmental disabilities 2022
★ The Verdict

In adults with Prader-Willi syndrome, worse sensory processing predicts more ASD-like and challenging behaviors—screen sensory issues early.

✓ Read this if BCBAs working with adults with Prader-Willi syndrome in residential, vocational, or day-program settings.
✗ Skip if Clinicians who only serve typically developing clients or young children without genetic syndromes.

01Research in Context

01

What this study did

Saima et al. (2022) asked adults with Prader-Willi syndrome to fill out sensory and behavior checklists.

They wanted to know if worse sensory scores would line up with more autism-like actions and other problem behaviors.

The team used simple rating forms so the adults or their caregivers could answer without long interviews.

02

What they found

Adults who scored high on sensory problems also scored high on ASD-like and aberrant behaviors.

The link was strong enough that sensory trouble could be used as an early red flag for bigger behavior issues.

03

How this fits with other research

Ogata et al. (2018) studied the same PWS adult pool first. They showed that autism-type behaviors drop after age thirty, but food issues stay. Sohei’s 2022 data add that sensory problems may drive those remaining autism-type behaviors even when the behaviors look milder.

Capio et al. (2013) saw the same sensory-repetitive behavior link in kids with Williams syndrome. The pattern now shows up in PWS adults, hinting that sensory overload feeds repetitive or rigid actions across very different syndromes.

Crane et al. (2009) found that almost every adult with classic ASD has extreme sensory scores, but each person’s pattern is unique. Sohei’s PWS adults follow the same rule: sensory profiles vary, yet higher scores still predict more challenging behavior.

04

Why it matters

If you support adults with PWS, give them a quick sensory screen during intake. When scores are high, plan for more structure, noise control, and visual cues before problem behaviors grow. The same screen can guide choice of leisure or worksite activities, because calming the senses may directly lower ASD-type outbursts and improve day-to-day coping.

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Add a 10-item sensory checklist to your intake packet for every adult with PWS and use high scores to set up noise-reducing headphones or visual schedules before problem behaviors start.

02At a glance

Intervention
not applicable
Design
other
Sample size
51
Population
other
Finding
positive
Magnitude
medium

03Original abstract

The relationship between sensory processing and ASD-like and associated behaviors in patients with Prader-Willi Syndrome (PWS) remains relatively unexplored. Examining this relationship, 51 adults with PWS were administered the Pervasive Developmental Disorders Autism Society Japan Rating Scale (PARS), Short Sensory Profile (SSP-J), Food-Related Problem Questionnaire (FRPQ), and Aberrant Behavior Checklist (ABC-J). Based on SSP-J z-scores, participants were classified into three severity groups. Analysis of variance was performed to compare the behavioral scores of these three groups. Statistically significant group differences were observed in PARS (p = .006, ηp2 = .194) and ABC-J (p = .006, ηp2 = .193) scores. Our findings suggest that the level of sensory processing may predict ASD-like and aberrant behaviors in adults with PWS, implying the importance of a proper assessment for early intervention.

American journal on intellectual and developmental disabilities, 2022 · doi:10.1352/1944-7558-127.3.249