Sensory Over-Responsivity, Psychopathology, and Family Impairment in School-Aged Children
Sensory Over-Responsivity, Psychopathology, and Family Impairment in School-Aged Children
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DOI：
10.1016/j.jaac.2011.09.010
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发表时间：
2011-12-01
影响因子：
13.3
通讯作者：
Briggs-Gowan, Margaret J.
中科院分区：
文献类型：
--
作者：
Carter, Alice S.;Ben-Sasson, Ayelet;Briggs-Gowan, Margaret J.
目的：为了建立感觉过度反应（SOR）的诊断有效性，有必要记录SOR的发生率以及SOR与其他精神疾病的共同发生率。虽然这不是一项SOR的诊断研究，但本研究旨在调查SOR症状升高的发生率以及SOR症状升高、精神障碍状态和家庭损害之间的相关性。方法：从一个更大的出生队列，从婴儿期到学龄，338名7至10岁的儿童（51%的男孩，49%的女孩）和他们的父母参加了密集的评估。父母进行了采访，诊断采访时间表为儿童（DISC），并完成了SensOR库存和家庭生活损害量表。结果：大约五分之一（21.2%）的儿童有升高的SOR症状。四分之一（24.3%）的SOR评分升高的儿童符合DSM-IV诊断标准，25.4%的DSM-IV诊断儿童的SOR评分升高。儿童的父母与升高的SOR单独报告了类似的数量的限制，在家庭生活中的父母与内化和/或外化诊断。SOR预测并发家庭损害高于和超越DSM诊断状态和社会人口风险。结论：SOR升高发生在没有其他精神疾病的情况下，并与家庭生活的损害有关。需要为合并有SOR升高和外化障碍的儿童提供服务，以解决报告的极高水平的家庭损害。J. Am. Acad.儿童青少年精神病学，2011;50（12）：1210-1219.
Objective: To establish the diagnostic validity of sensory overresponsivity (SOR), there is a need to document rates of SOR and the co-occurrence of SOR with other psychiatric disorders. Although this was not a diagnostic study of SOR, this study was designed to investigate rates of elevated SOR symptoms and associations between elevated SOR symptoms, psychiatric disorder status, and family impairment. Method: From a larger birth cohort followed from infancy to school age, 338 children aged 7 to 10 years (51% boys, 49% girls) and their parents participated in an intensive assessment. Parents were interviewed with the Diagnostic Interview Schedule for Children (DISC) and completed the SensOR inventory and the Family Life Impairment Scale. Results: Approximately one-fifth (21.2%) of children had elevated SOR symptoms. One-fourth (24.3%) of those with an elevated SOR score met criteria for a DSM-IV diagnosis, and 25.4% of children with a DSM-IV diagnosis had an elevated SOR score. Parents of children with elevated SOR alone reported a similar number of restrictions in family life as parents of those with an internalizing and/or externalizing diagnosis. SOR predicted concurrent family impairment above and beyond DSM diagnostic status and socio-demo-graphic risk. Conclusions: Elevated SOR occurs in the absence of other psychiatric conditions and is associated with impairment in family life. Services for children with comorbid elevated SOR and an externalizing disorder are needed to address the extremely high level of family impairment reported. J. Am. Acad. Child Adolesc. Psychiatry, 2011;50(12): 1210-1219.