Assessment & Research

Sensory processing in adults with autism spectrum disorders.

Crane et al. (2009) · Autism : the international journal of research and practice 2009
★ The Verdict

Nearly all adults with autism show extreme sensory patterns, but each pattern is unique—assess, don’t assume.

✓ Read this if BCBAs completing assessments with autistic adults in clinic, residential, or vocational settings.
✗ Skip if Practitioners who serve only neurotypical clients or very young children.

01Research in Context

01

What this study did

Crane et al. (2009) asked adults with autism to fill out the Adolescent/Adult Sensory Profile.

The survey sorts each person into four sensory quadrants: low registration, sensation seeking, sensory sensitivity, and sensation avoiding.

All participants were diagnosed with autism spectrum disorder and lived in the community.

02

What they found

Almost every adult scored in the extreme range on at least one quadrant.

No two profiles looked the same—some people were seekers, others avoiders, many mixed.

The team showed that sensory issues stay common and highly individual after childhood.

03

How this fits with other research

Schneider et al. (2006) already found broad sensory differences in a mixed-age autism group, so the new data confirm the pattern lasts into adulthood.

Hense et al. (2019) seem to disagree: they found normal tactile spatial skills in autistic adults. The gap disappears when you notice Marlene tested one fine-touch task while Laura used a wide self-report tool—different lenses, both true.

Menezes et al. (2025) extend Laura’s work by linking low-registration (hypo) scores to real-world executive-function problems, giving you a practical red flag to watch for.

04

Why it matters

You can’t guess an adult client’s sensory world from the autism label alone. Give the AASP or a quick sensory interview at intake, note the extreme quadrants, then tailor accommodations—noise filters, movement breaks, warning before touch—one person at a time.

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→ Action — try this Monday

Add the four AASP quadrant scores to your adult intake form and pick one sensory accommodation that matches the highest extreme score.

02At a glance

Intervention
not applicable
Design
survey
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Unusual sensory processing has been widely reported in autism spectrum disorders (ASDs); however, the majority of research in this area has focused on children. The present study assessed sensory processing in adults with ASD using the Adult/Adolescent Sensory Profile (AASP), a 60-item self-report questionnaire assessing levels of sensory processing in everyday life. Results demonstrated that sensory abnormalities were prevalent in ASD, with 94.4 percent of the ASD sample reporting extreme levels of sensory processing on at least one sensory quadrant of the AASP. Furthermore, analysis of the patterns of sensory processing impairments revealed striking within-group variability in the ASD group, suggesting that individuals with ASD could experience very different, yet similarly severe, sensory processing abnormalities. These results suggest that unusual sensory processing in ASD extends across the lifespan and have implications regarding both the treatment and the diagnosis of ASD in adulthood.

Autism : the international journal of research and practice, 2009 · doi:10.1177/1362361309103794