自闭症患者的感觉加工与整合:对教育成果的影响

R. Trifu, C. Hațegan, D. Talaș, Tania Tușe
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引用次数: 0

摘要

“自闭症谱系障碍(asd)描述了一大类表现为各种表现和特殊性的疾病。症状的数量和类型可能因人而异,从轻微到严重。症状可分为一系列类别;知觉和感觉处理功能障碍会影响沟通、神经功能结果和各种功能性行为限制(Pfeiffer等,2005)。在学校环境和日常生活中,刺激的感官处理和整合可能会影响新信息的获取,有时,特别是在教育过程本身。感觉信息和非典型行为反应在患有这种诊断的人身上很常见,超过96%的ASD儿童在几个领域有高或低的敏感性。对感官刺激的特殊处理可能导致攻击性和自残行为,特别是对那些不能言语和不能以适当和有效的方式表达他们的困难的人。受影响最大的感官是近端感官,如味觉、嗅觉和触觉,但新的研究报告称,听觉和视觉处理途径的中断正变得越来越普遍(Marco, E J et al, 2011)。由于这些特殊的超敏反应,日常活动受到干扰。这是一个限制这些人参与某些事件和活动以及学校本身的因素。大多数学龄前儿童在感觉处理方面有困难,这与易怒、嗜睡或多动等行为变化有关。在本研究中,我们评估了按年龄和互动计划分层的感觉加工困难:触觉、前庭、本体、听觉、嗅觉、味觉和视觉。参与者(N= 43)报告了自己(N=9)、婴儿(N=5)、幼儿园(N=15)和学龄(N=14)的数据。初步数据表明,触觉感官加工的M= 1.9,听觉感官加工的M= 2.49,前庭感官加工的M= 2.1,本体感觉加工的M= 1.72,视觉感官加工的M= 2.07,味觉感官加工的M= 1.74,嗅觉感官加工的M= 1.97。在感觉加工方面报道最多的是听觉、前庭和视觉部分的干扰。受影响的感觉处理区域干扰了主要基于听觉、视觉和前庭的教育过程。这些初步结果与其他文献报道一致,可以解释ASD患者对听觉和视觉刺激的超敏感,以及他们表现出的奇怪行为,比如踮起脚尖走路。我们将开展进一步的研究和分析,以调整ADS中感官处理的这些方面,对教育和日常生活产生影响。”
本文章由计算机程序翻译,如有差异,请以英文原文为准。
THE SENSORY PROCESSING AND INTEGRATION IN ASD: IMPACT ON EDUCATIONAL OUTCOMES
"Autism spectrum disorders (ASDs) depict a large class of conditions that manifest in a variety of displays and particularities. The number and type of symptoms can differ drastically from one person to another and array from mild to severe. Symptoms fall into a range of categories; dysfunctions in perceptual and sensory processing are present with impact in communication, in neurological functioning outcomes and in various functional behavior limitations (Pfeiffer et al., 2005). In school settings and in everyday life the sensory processing and integration of the stimuli may impact the acquisition of new information and sometime, in particular situation the educational process itself. Sensory information and atypical behavioral responses are common to people with this diagnostic, with over 96% of children with ASD having hyper or hyposensitivity in several areas. Particular processing of sensory stimuli can cause aggressive and self-harming behavior, especially for those who are non-verbal and cannot communicate their difficulties in an adequate and functional manner. Among the most affected senses are the proximal senses, such as taste, smell, and touch, but new studies report that disruption of auditory and visual processing pathways is becoming more common (Marco, E J et al, 2011). Due to these particular hypersensitivities daily activities are disturbed. This is a factor that limits the participation of these individuals in certain events and activities, and in school itself. Most preschoolers had difficulty with sensory processing, which was associated with behavioral changes such as irritability, lethargy, or hyperactivity. In thisresearch we evaluated the sensory processing difficultieslayered by age and interaction plans: tactile, vestibular, proprioception, auditory, olfactive, taste and visual. The participants (N= 43) report data for themself (N=9), for babies(N=5), for kindergarten age (N=15) and for school age (N=14). Preliminary data indicate for tactile sensory processing the M= 1.9, for auditory sensory processing the M= 2.49, for vestibular sensory processing the M= 2.1, for proprioception sensory processing the M= 1.72, for visual sensory processing the M= 2.07, for taste sensory processing the M= 1.74, for olfactive sensory processing the M= 1.97. The most reported disturbance on sensory processing was on the auditory, vestibular and visual part. The affected sensory processing area interferes with the educational process that is based mainly on auditory, visual and vestibular. These preliminary results are in concordance with others reports from literature and could explain the hypersensitivity for auditory and visual stimulus and the odd behaviors displayed by ASD persons, like tiptoes walking. Further research and analysis will be developed in order to tailor these aspects of sensory processing in ADS, with impact on education and everyday living."
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