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Id 18ab7c2c-5de7-48ef-b4f5-0a69b99fd641

Year 2025

Abstract

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purpleRed

Aliases

Sensory Processing in Autism Spectrum Disorder
(Katikar et al., 2025)

Import Date 06-05-2026

Template Version Notes •corrected error in rendering the linked PDF in metadata section • added the tag “noted” to the definition of comments to ignore ( like with the “in another note” tag. this is so that when making notes on chapters of a textbook, i can still export things for manual addition to the obsidian note without having to keep track of what has already been added ). Also moved the version notes to the yaml section • this version added the bookmarks section to auto collect all bookmarks. it also dropped the template auto fill of the initial source field because we never got it working and just overwrote it manually anyway. this version also added logic to handle “in another note” tag. annotations marked with this are completely ignored. used when i have information covered in a bigger note, but still want to highlight that part in text for visual clarity (so as to avoid duplicates of the same information) • running the import more then once will overwrite the file, so do not import again if you have made changes in obsidian that are not in the zotero article.

Dv Authors Manasi Sadanand Katikar, Anuprarthana Devi, Prashanth Prabhu,

Dv Initial Source Misophonia MOC

Dv Status #status/reviewed

Dv Future Directions • Explore neurobiological mechanisms underlying sensory sensitivities in ASD. • Examine cultural, environmental, and gender-related influences on sensory responses. • Develop targeted, culturally responsive interventions. • Conduct targeted studies establishing precise misophonia prevalence rates in children with ASD.

Dv Relevance • looked at Misophonia and hyperacusis prevalence in autistic kids with an emphasis on gender differences and sensory processing issues. • found a common comorbidity of both conditions with autism, and a slightly higher occurrence in females, suggesting sensory sensitivities persist across developmental stages and are more pronounced in females

Notes Audited 2026-06-05T19:09:00

Audit Notes audited as review was done

•

Sensory Processing in Autism Spectrum Disorder: Insights into Misophonia, and Hyperacusis, in a Pediatric Population

Status:: #status/reviewed

Metadata

Item Type: #journalArticle
Authors:: Manasi Sadanand Katikar, Anuprarthana Devi, Prashanth Prabhu,
Date:
Date Added: 1738205194000
URL: https://linkinghub.elsevier.com/retrieve/pii/S016558762500028X
DOI: 10.1016/j.ijporl.2025.112241
Cite Key: katikarSensoryProcessingAutism2025
Topics: [object Object]
Tags:: #Autism, #Gender-differences, #Hyperacusis, #Misophonia, #reviewed, #sensory-processing,
PDF Attachments

Abstract


Background/Purpose	Background- • ASD is a neurodevelopmental condition with social-communication challenges and restricted, repetitive behaviors as core criteria. • ASD symptoms manifest before age 3 and persist throughout life. • Risk factors include advanced paternal age, maternal health conditions, environmental exposures, and genetic predisposition. • Atypical sensory processing is common in ASD. • 50–70% of individuals with ASD experience decreased sound tolerance. • DST is linked to anxiety, behavioral challenges, and difficulties in community participation, education, and employment. • Prior work identified a correlation between misophonia symptom severity and autistic traits. • Precise prevalence rates for misophonia in children with ASD are lacking. Purpose- • Investigate prevalence of misophonia and hyperacusis in children with ASD. • Examine gender differences in these sensory sensitivities. • Examine association between age and severity of sensory symptoms. • Compare Indian pediatric findings with Western population data.
Participants/samples	• N = 60 children diagnosed with ASD or ASD-related diagnoses. • 14 female, 46 male. • Age range 2–12 years; mean age 5.8 years. • Diagnoses included SLD secondary to ASD, ASD with ID, ASD with BIF, and ASD with ADHD. • Parental consent obtained for all participants.
Measures	• Misophonia Impact Questionnaire (Parent version), Hashir International Specialist Clinics. • Hyperacusis Impact Questionnaire (Parent version), Hashir International Specialist Clinics. • Both 8-item, 4-point rating scales (0–3) based on symptom-day frequency.
Procedures	• Parents completed both questionnaires (~15 min total). • Misophonia questionnaire assessed responses to disliked sounds, difficulty ignoring sounds, daily-activity disruption, anxiety/anger/irritation/low mood, and avoidance of loud-speaking family members. • Hyperacusis questionnaire assessed discomfort, anxiety, fatigue, low mood, daily-activity difficulty, and concentration challenges due to loud sounds.
Results	• Nearly half of children exhibited misophonia; over a third exhibited hyperacusis. • Misophonia and hyperacusis prevalence slightly greater in females than males. • No association between participant age and misophonia severity. • No association between participant age and hyperacusis severity.
Discussion/Limits	Conclusion- • Misophonia and hyperacusis are prevalent sensory challenges among children with ASD. • Females with ASD appear to show greater sensory sensitivity than males. • Sensory processing difficulties in ASD remain stable rather than diminishing with age. • Sensory sensitivities are linked to emotional distress, social withdrawal, and anxiety. • Early identification and gender-sensitive, sensory-focused interventions may benefit affected children. • Personalized sensory-focused therapy may reduce behavioral challenges and improve daily engagement. • Current hyperacusis prevalence aligns with prior meta-analytic estimates in ASD.
Limitations::
Future Directions::	• Explore neurobiological mechanisms underlying sensory sensitivities in ASD. • Examine cultural, environmental, and gender-related influences on sensory responses. • Develop targeted, culturally responsive interventions. • Conduct targeted studies establishing precise misophonia prevalence rates in children with ASD.
Relevance::	• looked at Misophonia and hyperacusis prevalence in autistic kids with an emphasis on gender differences and sensory processing issues. • found a common comorbidity of both conditions with autism, and a slightly higher occurrence in females, suggesting sensory sensitivities persist across developmental stages and are more pronounced in females

Notes

key terms and concepts

Misophonia – a condition characterized by extreme discomfort in response to specific sounds.
Hyperacusis – reduced tolerance/discomfort in response to loud sounds.
Decreased sound tolerance (DST) – reduced ability to tolerate environmental sounds, leading to distress and functional impairment.
Autism Spectrum Disorder (ASD) – neurodevelopmental condition defined by social-communication challenges and restricted, repetitive behaviors.

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Misc notes

Authors compare findings to Demopoulos & Lewine (37% sound sensitivity), Danesh et al. (69% hyperacusis in Asperger's), and Williams et al. meta-analysis (~41% hyperacusis prevalence in ASD).
Cross-cultural framing: Indian pediatric sample compared to Western data.
Note: paper's stated age range varies between sections (2–12 in abstract/methods; 2–10 in introduction).

contextual statement

In a 2025 study, Katikar attempted to determine the prevalence of misophonia and hyperacusis in children with ASD and examine gender and age associations by having parents of 60 ASD-diagnosed children (ages 2–12) complete the Misophonia Impact and Hyperacusis Impact Questionnaires.

Zettelkasten

Misophonia and hyperacusis prevalence in pediatric ASD, with higher female rates

From mechanisms to interventions for sound sensitivities in autistic children