Purpose Sensory overresponsiveness is highly prevalent in individuals with autism spectrum disorders (ASD) and typically persist into adulthood. However, the role of sensory processing difficulties in influencing emotional well-being among adults with ASD remains unclear. Additionally, the associations between sensory overresponsiveness, anxiety, and loneliness are yet to be examined among adults with ASD. Therefore, to address these critical gaps in the literature, we aimed to investigate the relationships among sensory avoiding, anxiety, and loneliness in a sample of adults with ASD. Participants Seventy adults (age, 20–39 years) completed three self-reported measures. All participants had a documented diagnosis of ASD and had normal IQ. Methods Sensory processing, loneliness, and anxiety were assessed with the Adult Sensory Profile, short-form UCLA loneliness scale, and Beck Anxiety Inventory, respectively. Results Autism spectrum traits and sensory avoiding were associated with anxiety and loneliness. Participants who experienced sensory avoiding more frequently reported higher anxiety and feelings of loneliness, with loneliness mediating the relationship between sensory avoiding and anxiety. More anxiety symptoms in participants with greater sensory avoiding were associated with their higher level of loneliness. Conclusion This study demonstrates that the relationships existed between sensory processing difficulties, loneliness, and anxiety among adults with ASD. Interventions regarding sensory processing difficulties and emotional well-being are substantial need for adults with ASD, and our results highlight the importance of sensory overresponsiveness and anxiety in evaluating and improving the psychological well-being of adults with ASD.

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Introduction: Despite the highly prevailing rate of sensory over-responsivity, problem behaviors, and anxiety among emerging adults with autism spectrum disorder (ASD), little is known about the nature of their experiences. While previous studies have indicated potential relationships among these conditions, their connections still need to be clarified. This study aimed to examine the relationships between sensory over-responsivity, problem behaviors, and anxiety. Methods: Fifty-seven emerging adults with ASD (M age = 21.4, SD = 2.5; males = 80.7%) were recruited. The Adult Sensory Profile-Chinese version, Problem Behavior Scale of Scales of Independent Behavior-Revised, and Generalized Anxiety Disorder-7-Chinese version (GAD-7) were used. Results: The percentage of emerging adults with ASD who scored more than most people in the two quadrants were sensation sensitivity = 33.3% and sensation avoiding = 26.3%. Approximately 66.7%, 27.5%, and 50.9% of participants had internalizing behaviors, externalizing behaviors, and asocial behaviors, respectively. Approximately, 64.9% of the participants scored on or above the cutoff score of 6 on the GAD-7. Sensation sensitivity and sensation avoiding were significantly correlated to problem behaviors; and anxiety was a mediating variable that accounts for the relationships between sensory over-responsivity and problem behaviors. Conclusion: These results indicated that emerging adults with ASD showing problem behaviors might also report more exaggerated responses toward sensory inputs and experience more anxiety symptoms. The results indicate that sensory over-responsivity, problem behaviors, and anxiety may have common underlying mechanisms. Findings can be useful to understand the impacts of such difficulties for emerging adults with ASD.

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BackgroundSensory processing differences have been shown to impact involvement in community activities. However, relatively little is known about how these differences affect community participation in autistic adults.ObjectiveThe objective of this study was to explore how sensory processing patterns of autistic adults impact community participation, including where people go, what they do, the amount of time in the community, and preferred locations.MethodsWe used data gathered from six autistic adults and their caregivers who participated in two studies. From Study 1, we reviewed results of the Adolescent and Adult Sensory Profile (AASP) and transcripts from interviews with caregivers. From Study 2, we reviewed GPS tracking data and transcripts from structured interviews with autistic adults focused on community participation. We read transcript data, identified quotes related to sensory processing and community participation and constructed individual participant narratives which linked findings from interviews, AASP, and GPS tracking.ResultsParticipants included three males and three females ranging in age from 29 to 51. Each participant had a unique sensory processing profile that influenced where they went, the activities in which they engaged, how much time they spent in the community, and their preferred locations. Those whose sensory processing patterns indicated sensory sensitivity and sensory avoiding described the experience of certain environments as overwhelming and fatiguing and thus spent less time in the community and visited fewer places than those with other sensory processing patterns.ConclusionResults highlight the importance of sensory processing, especially as it impacts participation in the community. Sensory processing patterns should be considered along with other personal and contextual factors when assessing community participation and personal sensory processing patterns should be matched with activities and environmental demands.