Assessment & Research

Sensory Features as a Marker of Autism Spectrum Disorders.

Bizzell et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

A quick SSP score ≤155 spots autism in boys with 47,XYY and idiopathic ASD—use it tomorrow.

✓ Read this if BCBAs who screen boys for ASD in clinics or schools.
✗ Skip if Practitioners working only with girls or adults.

01Research in Context

01

What this study did

The team gave the Short Sensory Profile (SSP) to three groups: boys with autism, boys with Down syndrome, and neurotypical boys.

They wanted a quick score that could flag autism in two specific populations—idiopathic ASD and boys with an extra X and Y chromosome (47,XYY).

A cut-off of 155 or below on the SSP best separated the autism group from the other two groups.

02

What they found

SSP scores at or below 155 caught most boys with autism while ruling out most boys without it.

The same cut-off worked for both idiopathic ASD and ASD plus 47,XYY, so one number fits both conditions.

03

How this fits with other research

Van Hanegem et al. (2014) had already shown that caregiver SSP answers cluster into four sensory subtypes inside autism. Bizzell et al. (2020) now give a single cut-off that separates autism from non-autism, turning the same tool into a diagnostic screener.

Pastor-Cerezuela et al. (2020) found that lower SSP scores inside autism predict weaker classroom memory and attention. Together the papers show: the SSP both flags who has autism and forecasts how hard school may be once they are in class.

Masi et al. (2022) link sensory issues to worse sleep in autistic youth. Ebonee’s cut-off can now be used to quickly spot the kids who may later struggle with both learning and bedtime.

04

Why it matters

You can add the 155 SSP cut-off to your intake packet. It takes parents five minutes, costs almost nothing, and gives you an early red flag for autism in boys with or without 47,XYY. If the score is low, move the child up the assessment queue and plan for sensory supports at school and bedtime.

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→ Action — try this Monday

Add the 155 SSP cut-off to your intake form and flag any boy who scores at or below it for full ASD evaluation.

02At a glance

Intervention
not applicable
Design
case control
Sample size
36
Population
autism spectrum disorder, down syndrome, neurotypical
Finding
positive

03Original abstract

We explored sensory features as distinguishing characteristics of Autism spectrum disorder (ASD). Four groups of males (n = 36): Six with 47, XYY syndrome and ASD (XYY+ASD), six with 47, XYY syndrome and no ASD (XYY-ASD), 12 with idiopathic ASD (ASD-I) and 12 typically developing (TYP). The short sensory profile (SSP) the sensory challenge protocol (SCP) were used to assess sensory features. SSP Total Score for the YY+ASD was significantly lower than the XYY-ASD (p = .002) and TYP (p < .001), but were not different from ASD-I (p = .714). The XYY+ASD group had significantly lower baseline heart rate variability during the SCP than TYP (p = .044). Findings provide preliminary support of sensory features as important in ASD diagnosis.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-03948-8