Short sensory profile and its relation with repetitive behavior and anxiety symptoms in children with autistic spectrum disorder

H. Abou el Wafa, Soha El Latif Ghobashy, A. Zakaria
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Abstract

Background Sensory processing abnormalities have been reported in 42%–88% of children with autism. Atypical sensory features are thought to result from aberrant sensory processing, and may be evident across all sensory modalities, including auditory, tactile, vestibular, oral, olfactory, movement, and visual domains. Several studies have shown a high prevalence of anxiety in autistic children, although they have difficulties expressing their emotions. In this study, the relation between abnormal sensory profile, repetitive behavior, and anxiety symptoms in children with autism spectrum disorder (ASD) will be elucidated. Results Those with the definite difference in short sensory profile (SSP) represented 63.3% of the cases. As for the SSP domains, Under-responsiveness/Seeks sensation was the domain with the highest percentage of those with the definite difference (65%) followed by Auditory sensitivity (46.7%) and then Low energy (40%), whereas Visual/Auditory sensitivity was the domain with least cases showing definite difference (11.7%). Sensory abnormality is more evident in older children. Autism severity is related to the severity of the sensory abnormality. The total score of SSP showed a significant correlation with the total Repetitive Behavior Scale-Revised score. Anxiety Scale for Children with Autism Spectrum Disorder − Parent Version showed a significant correlation with the total score of SSP. Conclusion Sensory processing abnormalities are common among children with ASD and it is related to the severity of ASD, repetitive behaviors, and anxiety symptoms. Therefore, using these scales for individualization of the characteristics of sensory profile and their behavioral response and anxiety symptoms in basic assessment and follow-up is recommended, as well as promoting changes in therapeutic intervention through the possibility of choosing and designing the most appropriate intervention based on the individualized profile of the patients.
自闭症谱系障碍儿童短暂感觉特征及其与重复行为和焦虑症状的关系
背景据报道,42%-88%的自闭症儿童存在感觉加工异常。非典型感觉特征被认为是异常感觉处理的结果,并且可能在所有感觉模式中都很明显,包括听觉、触觉、前庭、口腔、嗅觉、运动和视觉领域。几项研究表明,自闭症儿童焦虑的患病率很高,尽管他们很难表达自己的情绪。在这项研究中,将阐明自闭症谱系障碍(ASD)儿童的异常感觉特征、重复行为和焦虑症状之间的关系。结果有明确差异者占63.3%。至于SSP领域,反应不足/寻求感觉是有明确差异的人中百分比最高的领域(65%),其次是听觉敏感性(46.7%),然后是低能量(40%),而视觉/听觉敏感性是显示明确差异的病例最少的领域(11.7%)。感觉异常在年龄较大的儿童中更明显。自闭症的严重程度与感觉异常的严重程度有关。SSP总分与重复行为量表修订总分呈显著相关。自闭症谱系障碍儿童焦虑量表-父母版与SSP总分显著相关。结论感觉加工异常在ASD患儿中常见,与ASD的严重程度、重复行为和焦虑症状有关。因此,建议在基本评估和随访中使用这些量表对感觉特征及其行为反应和焦虑症状进行个性化,并通过根据患者的个性化特征选择和设计最合适的干预措施来促进治疗干预措施的改变。
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