Sensory processing in children with Paediatric Acute-onset Neuropsychiatric Syndrome

IF 1.6 4区医学 Q2 REHABILITATION

Australian Occupational Therapy Journal Pub Date : 2024-01-27 DOI:10.1111/1440-1630.12935

Michelle J. Newby, Shelly J. Lane, Kirsti Haracz, Janice Tona, Kerrin Palazzi, David Lambkin

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引用次数: 0

Abstract

Introduction

Previous research indicates that children with Paediatric Acute-onset Neuropsychiatric Syndrome (PANS) experience sensory reactivity differences that impact occupational performance. The purpose of this study was to determine whether there are differences in sensory reactivity in these children across two different time points; during exacerbation and during remission, using the Sensory Processing Measure (SPM) Home-Form. The study also sought to investigate whether children with PANS experience sensory differences during remission periods, when compared with SPM Home-Form norms.

Methods

A two-period bidirectional case-crossover design was used, and an online assessment was conducted to measure sensory reactivity. Parents of children aged 4.6 to 13.1 years with a diagnosis of PANS were recruited from various sites across Australia, USA, England, Ireland, Scotland, Canada, and New Zealand. The SPM Home-Form was used to measure sensory reactivity at two time points, when PANS was in remission (T-R) and in exacerbation (T-E). Study entry was permitted at either T-E or T-R. Participant exacerbation status was monitored over a maximum 12-month period, and a follow-up SPM Home-Form was sent when a change in exacerbation status was indicated. A linear mixed model was used to assess the difference between SPM Home-Form norm-referenced scores during exacerbation and remission.

Results

The study included 82 participants, with 80 providing data at study entry, and 27 providing data at follow-up. Results showed a statistically significant decline in performance across the SPM Home-Form domains of Hearing, Social Participation, Planning and Ideas, and Total Sensory Systems T-scores during exacerbation when compared with remission data. Results also demonstrated atypical sensory reactivity across Vision, Hearing, Touch, Balance and Motion, and Total Sensory Systems domains during periods of remission compared with SPM Home-Form norms.

Conclusion

This study found that children with PANS experience significant sensory reactivity differences during exacerbation and remission across multiple sensory domains, with a decline in performance during exacerbation. Where there are occupational performance challenges, occupational therapists should consider administering sensory assessments so that effective intervention plans addressing the unique sensory reactivity needs of children with PANS can be developed.

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儿科急性神经精神综合征患儿的感觉处理。

简介：以前的研究表明，患有儿科急性发作神经精神综合征（PANS）的儿童会出现感觉反应差异，从而影响职业表现：以往的研究表明，患有儿科急性发作神经精神综合征（PANS）的儿童会出现感觉反应性差异，从而影响其职业表现。本研究的目的是利用感官处理测量（SPM）家庭表格，确定这些儿童的感官反应性在两个不同的时间点（病情加重期和病情缓解期）是否存在差异。该研究还试图调查与 SPM 家庭表格标准相比，PANS 儿童在缓解期是否会出现感觉差异：研究采用了两期双向病例交叉设计，并进行了在线评估以测量感觉反应性。从澳大利亚、美国、英格兰、爱尔兰、苏格兰、加拿大和新西兰的不同地点招募了年龄在 4.6 岁至 13.1 岁之间、被诊断为 PANS 的儿童的家长。SPM家庭表格用于测量PANS缓解期（T-R）和加重期（T-E）两个时间点的感觉反应性。研究允许在 T-E 或 T-R 两个时间点进行。在最长 12 个月的时间内对参与者的病情加重状况进行监测，并在病情加重状况发生变化时发送后续 SPM 家庭表格。研究采用线性混合模型评估病情加重和缓解期间 SPM 家庭表格常模参照分数之间的差异：该研究包括 82 名参与者，其中 80 人在研究开始时提供了数据，27 人在随访时提供了数据。结果显示，与缓解期的数据相比，病情加重期的 SPM 家庭表格中听力、社会参与、计划和构思以及总感觉系统的 T 分数均出现了统计学意义上的显著下降。结果还显示，与 SPM 家庭表格的标准值相比，缓解期儿童在视觉、听觉、触觉、平衡和运动以及总感觉系统领域的感觉反应不典型：本研究发现，PANS 患儿在病情加重和缓解期间，多个感官领域的感官反应性存在显著差异，病情加重期间的表现有所下降。如果存在职业表现方面的挑战，职业治疗师应考虑进行感官评估，以便针对 PANS 患儿独特的感官反应需求制定有效的干预计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.