Autism & Developmental

The impact of sensory processing on executive and cognitive functions in children with autism spectrum disorder in the school context.

Pastor-Cerezuela et al. (2020) · Research in developmental disabilities 2020
★ The Verdict

Sensory issues in school-aged autistic kids directly forecast weaker auditory attention, inhibitory control, and verbal memory—so treat sensory supports as front-line cognitive accommodations.

✓ Read this if BCBAs writing education-based plans for elementary students with ASD.
✗ Skip if Clinicians who only serve toddlers or adults outside school settings.

01Research in Context

01

What this study did

Gemma and her team tested 52 autistic kids and 52 same-age classmates in Italy. All kids were 8-11 years and attended regular public schools.

They gave three short tests: a stop-signal game for inhibitory control, a listen-for-beeps task for auditory attention, and a repeat-the-words game for verbal short-term memory. Parents also filled out a sensory checklist about noises, lights, and touch.

02

What they found

Autistic children scored worse on every test. They hit the stop button later, missed more beeps, and repeated fewer words correctly.

The bigger the sensory problems, the worse the scores. A child who covers his ears in the cafeteria, for example, was likely to miss twice as many beeps during the listening task.

03

How this fits with other research

Luckasson et al. (2017) saw no extra visual interference in autistic kids. Gemma’s group did find auditory and executive gaps. The difference is sense mode: visual clutter may not disturb them, but background noise clearly does.

Bachrach et al. (2026) show that schools often place autistic preschoolers by IQ and irritability. Gemma adds sensory processing as another must-measure piece. Ignoring it could under-estimate the support a child needs in a noisy classroom.

Némorin et al. (2025) split ASD into four subtypes at diagnosis. Gemma’s results say, within any subtype, always check sensory scores—they predict real-time attention and memory performance.

04

Why it matters

Before you write a BIP, add a quick sensory profile. If scores are high, build in noise-reducing headphones, seat the child away from the pencil sharpener, and use visual cues to support verbal instructions. These cheap tweaks can save executive bandwidth for learning.

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→ Action — try this Monday

Put a five-item sensory checklist in the teacher’s hand and trial a 10-minute headphone break before tasks that demand listening or impulse control.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
80
Population
autism spectrum disorder
Finding
negative

03Original abstract

BACKGROUND: Theoretical approaches propose a hierarchical organization of sensory and higher-order cognitive processes, in which sensory processing influence some cognitive and executive functions. AIMS: The main objective of this study was to analyze whether sensory processing dysfunctions can predict the cognitive and executive dysfunctions evaluated in a group of children with level 2 autism spectrum disorder (ASD) in the school context. METHODS AND PROCEDURES: Two groups of children participated: an ASD group (n = 40) and a group of children with typical development (the comparison group, n = 40). The children's sensory processing was evaluated based on their teachers' perceptions, and the children's executive and cognitive functions were evaluated using direct performance measures. RESULTS: In the ASD group, the sensory processing difficulties predicted executive and cognitive dysfunctions in the specific domains of inhibitory control, auditory sustained attention, and short-term verbal memory, after controlling the possible effect of ASD severity. Moreover, the ASD group showed higher levels of sensory, executive, and cognitive dysfunction than the comparison group. CONCLUSIONS AND IMPLICATIONS: Future research should investigate whether adequate sensory interventions in children with ASD in the school context can improve these specific executive and cognitive functions.

Research in developmental disabilities, 2020 · doi:10.1016/j.ridd.2019.103540