纵向分析自闭症高家族可能性儿童和低家族可能性儿童从婴儿期到学龄期的感官反应能力

JCPP advances Pub Date : 2024-02-22 DOI:10.1002/jcv2.12227
Jaclyn Gunderson, Frank Symons, Nidhi Kohli, Rebecca Grzadzinski, Casey Burrows, Annette Estes, Stephen Dager, Joseph Piven, Jason Wolff, IBIS Network
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引用次数: 0

摘要

对于极有可能患上自闭症谱系障碍(ASD)的幼儿,有关其感官反应能力发展的经验证据仍然相对有限。目前还不清楚感官反应行为会随着时间的推移发生怎样的变化,并对以后的发育结果产生怎样的影响。本研究的目标是:(a) 描述自闭症家族可能性高和家族可能性低的儿童在婴儿期(12 个月)、学步期(24 个月)和学龄期(6-11 岁)感觉反应性的发展轨迹;(b) 确定婴儿期的感觉反应性是否能预测自闭症儿童学龄期的适应和认知功能。我们使用了广义线性混合效应模型来检测三组儿童的感官体验问卷得分,包括后来被诊断为 ASD 的高可能性儿童(HL-ASD;n = 30)、无 ASD 的高可能性儿童(HL-Neg;n = 150)和不符合 ASD 诊断标准的低可能性对照组儿童(LL-Neg;n = 94)。从婴儿期到童年晚期,感官反应性的发展最好通过年轮年龄和组别对感官寻求和低反应性的影响,以及组别和年轮年龄对总反应性和高反应性的交互影响来估计。总体而言,自闭症儿童在 12 个月大时,就能在其行为剧目中发现较高程度的感官寻求和感官反应低下,并与儿童中期的适应功能下降有关。这些结果表明了早期感官行为的早期检测和治疗的潜在重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Longitudinal analysis of sensory responsivity from infancy to school age in children at high and low familial likelihood for autism

Longitudinal analysis of sensory responsivity from infancy to school age in children at high and low familial likelihood for autism

Background

Empirical evidence regarding the development of sensory responsivity in young children at high likelihood to develop autism spectrum disorder (ASD) remains relatively limited. It is unclear how sensory responsivity behaviors may change over time and impact later developmental outcomes. The goals of this study were to (a) characterize developmental trajectories of sensory responsivity across infancy (∼12 months), toddlerhood (∼24 months), and school age (6–11 years) in children at high and low familial likelihood for ASD; and (b) determine if sensory responsivity in infancy predicts adaptive and cognitive functioning at school age among children with ASD.

Methods

Generalized linear mixed effects models were used to examine scores from the Sensory Experiences Questionnaire in three groups of children including high-likelihood children later diagnosed with ASD (HL-ASD; n = 30), high-likelihood children without ASD (HL-Neg; n = 150), and low-likelihood control children not meeting ASD diagnostic criteria (LL-Neg; n = 94). Hierarchical linear regression was then used to examine the association between sensory responsivity scores in infancy and functional adaptive and cognitive outcomes at school age for children at high likelihood of ASD.

Results

Development of sensory responsivity from infancy to later childhood is best estimated by the effects of chronological age and Group for Sensory Seeking and Hypo responsivity and the additional effect of the interaction of Group and chronological age for Total and Hyper responsivity. Early elevated Hypo responsivity and Sensory Seeking scores are negatively associated with later adaptive behavior but not cognitive level.

Conclusion

Overall, higher degrees of Sensory Seeking and Hypo sensory responsivity are detectable in autistic children's behavioral repertoires by 12 months of age and associate with reduced adaptive functioning in middle childhood. These results point to the potential importance of early detection and treatment implications of early sensory behaviors.

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