A comparison of the sensory processing skills of children (6-10 years old) with autism and those that are typically developing as assessed by a short sensory profile in Harare, Zimbabwe

P. Mutapurwa, T. Mlambo, E. Mavindidze
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Abstract

Background: Sensory processing is a key component in the development of children. We sought to compare the sensory processing problems experienced by children (6-10 years) with and without autism in Harare, Zimbabwe. Methodology: A quantitative cross-sectional study was done at public hospitals, non-profit organisations and urban public primary schools. Sensory processing abilities of children were assessed using the Short Sensory Profile (SSP) and compared between those with autism and those without, using Multivariate Analysis Of Variance (MANOVA). Ethical approval was granted and participants were voluntary. Results: Seventy-four primary caregivers and their children participated in the study (40 for typically developing and 34 for those with autism). The overall mean age of the children was 8.1 years (SD 1.2), children with autism were older (mean 8.2 years SD 1.2) but not attending school. Those without autism were purposively matched for gender while there were more males (61.8%) than females among children with autism. Over 95% of children without Autism Spectrum Disorders (ASD) were rated as displaying normal sensory processing skills in all domains except for movement sensitivity where a quarter did not display typical performance. This was in contrast to less than half of children with ASD who displayed normal sensory processing domains. The only exception was visual/auditory acuity in 70.6% of children with ASD displayed normal sensory processing skills. There was a statistically significant difference in sensory processing skills between children with and without ASD in all domains (p=<0.01) with those with ASD displaying poorer performance. Conclusion: Children with autism performed poorer than their typically developing peers on the SSP. The areas in which these children experience greatest impairment need to be targeted in interventions and caregivers should be equipped to address some of these problems.
津巴布韦哈拉雷6-10岁自闭症儿童与正常儿童感官加工技能的比较
背景:感觉加工是儿童发展的关键组成部分。我们试图比较津巴布韦哈拉雷患有和没有自闭症的儿童(6-10岁)所经历的感觉处理问题。方法:在公立医院、非营利组织和城市公立小学进行了定量横断面研究。使用短感觉谱(SSP)评估儿童的感觉加工能力,并使用多变量方差分析(MANOVA)比较自闭症儿童和非自闭症儿童的感觉加工能力。伦理批准被授予,参与者是自愿的。结果:74名主要照顾者和他们的孩子参加了这项研究(40名是正常发育者,34名是自闭症患者)。儿童的总体平均年龄为8.1岁(SD 1.2),自闭症儿童年龄较大(平均8.2岁SD 1.2),但没有上学。没有自闭症的儿童被故意匹配性别,而在自闭症儿童中,男性比女性多(61.8%)。超过95%的没有自闭症谱系障碍(ASD)的儿童被评为在所有领域表现正常的感觉处理技能,除了运动敏感性,其中四分之一没有表现出典型的表现。相比之下,只有不到一半的ASD患儿表现出正常的感觉处理域。唯一的例外是视觉/听觉灵敏度,70.6%的自闭症儿童表现出正常的感觉处理技能。ASD患儿与非ASD患儿感觉加工技能各领域差异有统计学意义(p=<0.01), ASD患儿表现较差。结论:自闭症儿童在SSP上的表现比正常发育的同龄人差。这些儿童遭受最大损害的领域需要成为干预措施的目标,护理人员应具备解决其中一些问题的能力。
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