Sensory features in autism: Findings from a large population-based surveillance system.

Sensory features in autism: Findings from a large population-based surveillance system.
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DOI:
10.1002/aur.2670
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发表时间:
2022-04
期刊:
影响因子:
4.7
通讯作者:
Bakian, Amanda, V
Bakian, Amanda, V
中科院分区:
医学2区
文献类型:
--
作者:
Kirby, Anne, V;Bilder, Deborah A.;Wiggins, Lisa D.;Hughes, Michelle M.;Davis, John;Hall-Lande, Jennifer A.;Lee, Li-Ching;McMahon, William M.;Bakian, Amanda, V

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感官特征(即,对感觉刺激的非典型反应)被包括在自闭症谱系障碍的当前诊断标准中。然而,大量基于人群的研究尚未研究这些特征。本研究旨在确定自闭症儿童感觉功能的患病率,并检查感觉功能,人口统计学和其他领域的共同发生的问题之间的关联。这项研究的分析包括通过多州自闭症和发育障碍监测网络(2006-2014)确定的25,627名四岁或八岁自闭症儿童的样本。我们计算了感觉特征的患病率,并应用多水平logistic回归模型。大多数(74%; 95%置信区间:73.5%-74.5%)的儿童研究记录的感觉功能。在一个多变量模型中,男孩和母亲受教育年限更长的孩子有更高的记录感官特征的几率。与白色、非西班牙裔儿童相比,来自几个种族和少数民族群体的儿童记录的感觉特征的几率较低。认知问题与感觉功能无显著相关。与适应行为、情绪状态、攻击性、注意力、恐惧、运动发育、饮食和睡眠相关的问题与记录的感觉特征的几率较高相关。来自一个大的,基于人群的样本的结果表明,自闭症儿童的感觉功能的患病率很高,以及感觉功能和共同发生的问题之间的关系。这项研究还指出了在识别感官特征方面的潜在差异,这应该在未来的研究中进行研究。临床上也应该考虑到差异,以避免减少对感觉特征和相关功能问题的支持。在25,627名自闭症儿童的大样本中,74%的人记录了他们对感觉的反应差异。我们还确定了感官特征与适应行为和其他领域问题的重要关联。感官特征在女孩、有色人种儿童和母亲受教育年限较少的儿童中不太常见,这表明在识别方面存在潜在的差异。
Sensory features (i.e., atypical responses to sensory stimuli) are included in the current diagnostic criteria for autism spectrum disorder. Yet, large population‐based studies have not examined these features. This study aimed to determine the prevalence of sensory features among autistic children, and examine associations between sensory features, demographics, and co‐occurring problems in other areas. Analysis for this study included a sample comprised of 25,627 four‐ or eight‐year‐old autistic children identified through the multistate Autism and Developmental Disabilities Monitoring Network (2006–2014). We calculated the prevalence of sensory features and applied multilevel logistic regression modeling. The majority (74%; 95% confidence interval: 73.5%–74.5%) of the children studied had documented sensory features. In a multivariable model, children who were male and those whose mothers had more years of education had higher odds of documented sensory features. Children from several racial and ethnic minority groups had lower odds of documented sensory features than White, non‐Hispanic children. Cognitive problems were not significantly related to sensory features. Problems related to adaptive behavior, emotional states, aggression, attention, fear, motor development, eating, and sleeping were associated with higher odds of having documented sensory features. Results from a large, population‐based sample indicate a high prevalence of sensory features in autistic children, as well as relationships between sensory features and co‐occurring problems. This study also pointed to potential disparities in the identification of sensory features, which should be examined in future research. Disparities should also be considered clinically to avoid reduced access to supports for sensory features and related functional problems. In a large, population‐based sample of 25,627 autistic children, 74% had documented differences in how they respond to sensation. We also identified significant associations of sensory features with adaptive behavior and problems in other domains. Sensory features were less common among girls, children of color, and children of mothers with fewer years of education, suggesting potential disparities in identification.
DOI: 10.5014/ajot.2012.000604
发表时间: 2012-01
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影响因子: --
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采用跨学科方法来理解自闭症谱系障碍的感觉功能。
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发表时间: 2016-09
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影响因子: --
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