Assessment and Treatment of Noise Hypersensitivity in a Teenager with Autism Spectrum Disorder: A Case Study.
COVID lockdowns did not immediately worsen ASD symptoms, but earlier work shows active listening programs—not quiet rooms—reduce sound distress.
01Research in Context
What this study did
The team followed one autistic teen who hated everyday sounds. They tracked parent ratings of autism traits, social skills, and daily living skills for four months.
This span covered the first COVID-19 stay-at-home orders. No new treatment was added; they simply watched for change.
What they found
Parents saw no clear shift in autism symptoms, social skills, or adaptive behavior. The teen’s sound sensitivity stayed about the same.
In short, lockdown life neither hurt nor helped the client’s everyday functioning during the first four months.
How this fits with other research
Krzysztofik (2026) extends this picture. That study shows sensory issues and family stress actually rose for many autistic youths as the pandemic dragged on. The difference: Karolina tracked kids who already had marked sensory problems, while C et al. watched a single teen with stable ratings.
Critchfield (1996) gives hope. That older trial found daily listening sessions—either special auditory training or plain music—cut sound distress and even lifted IQ scores for a dozen autistic children over a full year. It reminds us that passive lockdown is not treatment; active listening work can help.
Njardvik et al. (1999) adds context: one in five autistic youths may have undetected hearing or hyperacusis issues. Screening first, then trying structured listening, could prevent months of ‘wait and see’.
Why it matters
Four quiet months did not harm this teen, but silence is not therapy. Use brief periods of stability to screen for hidden hearing issues and to start evidence-based listening programs. If stress or sensory reports climb later, add parent coping tools and sensory breaks right away—don’t wait for the next crisis.
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02At a glance
03Original abstract
This study assessed the potential short-term effects of COVID-19 stay-at-home restrictions on ratings of ASD and comorbid symptoms severity and adaptive functioning of 69 youth, ages 8-16 years with ASD without intellectual disability. Parent/caregiver ratings were being collected in fall and spring over approximately two years when the restrictions were imposed four months prior to the final data collection point. Results indicated no significant changes in parent/caregiver ratings of ASD symptom severity, comorbid symptoms severity, social skills, or adaptive behaviors following the stay-at-home restrictions and little variability across the four data collection points. Although findings suggested minimal short-term effects on these symptoms and adaptive skills, ongoing monitoring is needed to assess longer-term impacts.
Journal of autism and developmental disorders, 2021 · doi:10.1016/j.cpr.2009.01.003