Abstract

Hyperacusis is highly prevalent in the autism spectrum disorder (ASD) population. This auditory hypersensitivity can trigger pragmatically atypical reactions that may impact social and academic domains. Objective: The aim of this report is to describe the relationship between decreased sound tolerance disorders and the ASD population. Topics covered: The main topics discussed include (1) assessment and prevalence of hyperacusis in ASD; (2) etiology of hyperacusis in ASD; (3) treatment of hyperacusis in ASD. Conclusions: Knowledge of the assessment and treatment of decreased sound tolerance disorders within the ASD population is growing and changing.

Highlights

  • Decreased Sound Tolerance Disorders (DSTD) are routinely observed in autism spectrum disorder (ASD)

  • Hyperacusis is a class of decreased sound tolerance disorders in which a negative or incongruous reaction is triggered from exposure to sounds that are not described as threatening or uncomfortable by a neurotypical individual [1,2,3,4]

  • They suggested that a value of ULLmin equal to or below 77 dB hearing level (HL) should be taken as indicating the presence of hyperacusis [14]

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Summary

Introduction

Decreased Sound Tolerance Disorders (DSTD) are routinely observed in autism spectrum disorder (ASD). Hyperacusis is a class of decreased sound tolerance disorders in which a negative or incongruous reaction is triggered from exposure to sounds that are not described as threatening or uncomfortable by a neurotypical individual [1,2,3,4]. These reactions are in response to general sounds, rather than specific sounds (such as chewing and sniffling), as would be the case with misophonia [5]. Other theories propose the role of central gain enhancement in hyperacusis and the possibility of hyperacusis to be an indication of problems with the limbic system or auditory pathway [10,11,12]

Hyperacusis
Prevalence of Hyperacusis and Concomitant Diagnoses
Correlates of Hyperacusis in the ASD Population
Cognitive Behavioral Therapy
Auditory Integration Training
Findings
Conclusions
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