Examining Sensory Processing in Preschool-Aged Children Prenatally Exposed to Opioids

The purpose of this study is to explore sensory processing patterns in children aged 3–5 years with a history of prenatal opioid exposure (POE). A cohort of 61 children participated in comprehensive evaluations at a multidisciplinary clinic. Sensory processing issues were identified as a common concern based on a shared decision-making tool completed by caregivers. The Sensory Processing Measure Preschool (SPM-P) was administered to assess sensory processing abilities. Results indicated sensory processing difficulties in multiple domains, with over 50% of participants exhibiting “Some Problems” or “Definite Dysfunction” in all descriptive scales of the SPM. Children identified as receiving medication for withdrawal symptoms at birth demonstrated significantly higher sensory processing dysfunction scores on some SPM scales compared to those who did not receive medication. This study highlights the importance of understanding sensory processing patterns in children with POE and demonstrates the need for comprehensive screening and targeted interventions. Ongoing monitoring and collaborative efforts among healthcare providers, educators, and families are essential to address persistent challenges and tailor therapeutic approaches for sensory processing and its impact on daily life.