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- W3107266555 abstract "Atypical behavioral responses to environmental sounds are common in autistic children and adults, with 50-70 % of this population exhibiting decreased sound tolerance (DST) at some point in their lives. This symptom is a source of significant distress and impairment across the lifespan, contributing to anxiety, challenging behaviors, reduced community participation, and school/workplace difficulties. However, relatively little is known about its phenomenology or neurocognitive underpinnings. The present article synthesizes a large body of literature on the phenomenology and pathophysiology of DST-related conditions to generate a comprehensive theoretical account of DST in autism. Notably, we argue against conceptualizing DST as a unified construct, suggesting that it be separated into three phenomenologically distinct conditions: hyperacusis (the perception of everyday sounds as excessively loud or painful), misophonia (an acquired aversive reaction to specific sounds), and phonophobia (a specific phobia of sound), each responsible for a portion of observed DST behaviors. We further elaborate our framework by proposing preliminary neurocognitive models of hyperacusis, misophonia, and phonophobia that incorporate neurophysiologic findings from studies of autism." @default.
- W3107266555 created "2020-12-07" @default.
- W3107266555 creator A5023877905 @default.
- W3107266555 creator A5024855510 @default.
- W3107266555 creator A5026204120 @default.
- W3107266555 creator A5037154386 @default.
- W3107266555 date "2021-02-01" @default.
- W3107266555 modified "2023-10-17" @default.
- W3107266555 title "A review of decreased sound tolerance in autism: Definitions, phenomenology, and potential mechanisms" @default.
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