A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms
A Path From Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms
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DOI：
10.3389/fnint.2019.00022
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发表时间：
2019-07-09
影响因子：
3.5
通讯作者：
Rosenthal, M. Zachary
中科院分区：
文献类型：
--
作者：
McMahon, Kibby;Anand, Deepika;Rosenthal, M. Zachary
虽然在持续高度焦虑的个体中观察到了适应不良的感觉处理，但尚不清楚早期处理感觉输入的困难是否会导致成年后的焦虑症，以及什么机制会推动这种进展。在一个transdiagnosis临床样本的231名成年人的特点是高度困难的情绪调节，本研究试图检查是否：（a）儿童感觉加工障碍（SPD）症状预测增加的概率在成年后的焦虑症诊断;和（B）情绪调节困难和成人SPD症状介导这种关系。参与者接受了Axis-I疾病的结构化临床访谈，并自我报告了儿童和成年期经历的SPD症状。结果表明，儿童期SPD症状与终生焦虑症诊断的可能性较高显着相关。情绪调节困难完全介导了儿童期SPD与（a）成年期任何焦虑症，特别是（B）当前广泛性焦虑症（GAD）之间的关系。此外，我们发现了一个候选模型的证据，占儿童SPD，成年SPD，情绪调节困难，成年焦虑症之间的关系。具体来说，我们的数据表明，儿童期SPD的高症状可能导致成年后的高SPD症状，然后导致高情绪失调，最终赋予焦虑症诊断的脆弱性。总之，这些发现提供了初步证据，说明儿童感觉处理障碍可能通过调节情绪调节困难与焦虑有关。
Although maladaptive sensory processing has been observed among individuals with persistent heightened anxiety, it is unclear if difficulties processing sensory input early in life lead to anxiety disorders in adulthood and what mechanisms would drive this progression. In a transdiagnostic clinical sample of 231 adults characterized by heightened difficulties with emotion regulation, the present study sought to examine whether: (a) childhood sensory processing disorder (SPD) symptoms predict an increased probability of an anxiety disorder diagnosis in adulthood; and (b) difficulties with emotion regulation and adult SPD symptoms mediate this relationship. Participants were administered the Structured Clinical Interview for Axis-I disorders and self-reported symptoms of SPD experienced in childhood and adulthood. Results suggested that childhood SPD symptoms were significantly associated with a higher likelihood of a lifetime anxiety disorder diagnosis. Difficulties with emotion regulation fully mediated the relationship between childhood SPD and (a) any anxiety disorder in adulthood and, specifically (b) current generalized anxiety disorder (GAD). Further, we found evidence for a candidate model accounting for the relationship among childhood SPD, adulthood SPD, difficulties with emotion regulation, and anxiety disorders in adulthood. Specifically, our data indicated that high symptoms of SPD in childhood may lead to high SPD symptoms in adulthood, which then lead to high emotion dysregulation, ultimately conferring vulnerability for an anxiety disorder diagnosis. Taken together, these findings provide preliminary evidence for how sensory processing impairments in childhood may relate to anxiety through difficulties regulating emotion regulation.