Autism & Developmental

Brief report: significant differences in perceived odor pleasantness found in children with ASD.

Hrdlicka et al. (2011) · Journal of autism and developmental disorders 2011
★ The Verdict

Kids with autism often find common food odors less pleasant, so pre-check reinforcer smells and use exposure to build acceptance.

✓ Read this if BCBAs running feeding or preference assessments in clinic or school settings.
✗ Skip if Practitioners working only with non-food reinforcers or older adolescents who already show broad food acceptance.

01Research in Context

01

What this study did

Hrdlicka et al. (2011) asked kids to sniff two common food smells: cinnamon and pineapple.

The team compared children with autism to same-age peers without autism.

Each child rated how nice the smell felt on a simple scale.

02

What they found

Children with autism gave lower "nice" scores to both smells.

The difference was large enough to reach statistical significance.

This hints that the kids noses worked fine, yet the pleasant feeling was muted.

03

How this fits with other research

Bao et al. (2017) later pooled 14 papers and saw mixed results across odor tests. They explain that smell identification problems show up more often than simple detection problems, helping us trust the current pleasantness gap.

Luisier et al. (2019) took the finding a step further. They exposed autistic children to a once-neutral food smell for five weeks. Sixty-eight percent of the kids later picked a food carrying that smell, proving that repeated exposure can lift the low pleasantness reported in 2011.

Legiša et al. (2013) looked at faces, heart rate, and self-ratings while kids smelled odors. Autistic children showed the same facial and body reactions as peers, but their words did not match their faces. The 2011 pleasantness scores therefore capture a labeling or reporting gap, not a broken nose.

04

Why it matters

When you choose edible reinforcers, remember that cinnamon candy or pineapple chunks may smell less inviting to some autistic learners. Offer a sniff test first, or pick a neutral-to-positive odor from the childs history. If the learner rejects the item, try brief daily exposure sessions; Luisier et al. (2019) show liking can grow in about a month.

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→ Action — try this Monday

Let the learner sniff two edible options and quickly record "like," "okay," or "yuck" before you place them in the reinforcer menu.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
70
Population
autism spectrum disorder
Finding
negative
Magnitude
small

03Original abstract

The aim of our study was to explore possible differences in estimation of odor pleasantness in children with autism spectrum disorders (ASD) compared to controls. Thirty-five patients with Asperger's syndrome and high functioning autism (mean age 10.8 ± 3.6 years; 31 boys) were compared with 35 healthy control subjects (mean age 10.4 ± 2.4 years; 28 boys). Odor pleasantness was assessed on a 5-point scale using the Sniffin' Sticks test (Identification part of the test). Patients with ASD, compared to healthy controls, perceived the smell of cinnamon and pineapple as significantly less pleasant (p < 0.05); at the trend level, the same was true of cloves (p < 0.1). The possibility of olfactory dysfunctions as an autism biomarker is discussed.

Journal of autism and developmental disorders, 2011 · doi:10.1007/s10803-010-1084-x