Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders
Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders
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DOI：
10.1023/b:jadd.0000006000.38991.a7
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发表时间：
2003-12-01
影响因子：
3.9
通讯作者：
Wehner, E
中科院分区：
文献类型：
--
作者：
Rogers, SJ;Hepburn, S;Wehner, E
短感觉档案用于评估四组幼儿（n = 102）的父母感觉反应性报告。分别为自闭症（26例）、脆性X染色体综合征（20例）、混合病因性发育障碍（32例）和典型发育儿童（24例）。各组在总体心理年龄上具有可比性（x = 22个月），临床组在实足年龄上具有可比性（x = 31个月）。触觉敏感性[F(3,99) = 10.01]、味觉/嗅觉敏感性[F(3,99) = 11.63]、反应不足/寻求刺激[F(3,99) = 4.56]、听觉过滤[F(3,99) = 19.67]、低能量/弱肌肉[F(3,99) = 14.21]在alpha < 0.01时存在显著差异。与两个对照组相比，脆性X综合征儿童和自闭症儿童总体上都有更多的感觉症状，而自闭症儿童与脆性X综合征儿童没有显著差异。两组在触觉敏感度和听觉过滤方面都比发育迟缓和正常发育的儿童受损更严重。自闭症儿童对味觉和嗅觉的反应比其他所有群体都要异常。脆性X综合征患儿在低能量/肌肉无力方面比其他各组更为异常。发育迟缓儿童的感觉反应与智力年龄匹配的典型发育幼儿相当。相关分析表明，总体发育水平和智商与自闭症或一般发育障碍儿童的异常感觉反应无关。然而，异常的感觉反应性与整体适应行为有显著的关系。
The Short Sensory Profile was used to assess parental report of sensory reactivity across four groups of young children (n = 102). Groups were autism (n = 26), fragile X syndrome (n = 20), developmental disabilities of mixed etiology (n = 32), and typically developing children (n = 24). Groups were comparable on overall mental age (x = 22 months), and clinical groups were comparable on chronological age (x = 31 months). Significant differences were detected at alpha < .01 for tactile sensitivity [F(3,99) = 10.01], taste/smell sensitivity [F(3,99) = 11.63], underreactive/seeks stimulation [F(3,99) = 4.56], auditory filtering [F(3,99) = 19.67], and low energy/weak muscles [F(3,99) = 14.21]. Both children with fragile X syndrome and children with autism had significantly more sensory symptoms overall than the two comparison groups, and children with autism did not differ significantly from children with fragile X syndrome. Both groups were more impaired than developmentally delayed and typically developing children in tactile sensitivity and auditory filtering. Children with autism were more abnormal in responses to taste and smell than all other groups. Children with fragile X syndrome were more abnormal than all other groups in low energy/weak muscles. Sensory reactivity of children with developmental delays was comparable to mental age-matched typically developing toddlers. Correlational analyses indicated that neither overall developmental level nor IQ was related to abnormal sensory reactivity in children with autism or general developmental disorders. However, abnormal sensory reactivity had a significant relationship with overall adaptive behavior.