Rogers Sally J, Hepburn Susan, Wehner Elizabeth
M.I.N.D. Institute, Department of Psychiatry, University of California, Davis, Sacramento, California 95817, USA.
J Autism Dev Disord. 2003 Dec;33(6):631-42. doi: 10.1023/b:jadd.0000006000.38991.a7.
The Short Sensory Profile was used to assess parental report of sensory reactivity across four groups of young children (n = 102). Groups were autism (n = 26), fragile X syndrome (n = 20), developmental disabilities of mixed etiology (n = 32), and typically developing children (n = 24). Groups were comparable on overall mental age (x = 22 months), and clinical groups were comparable on chronological age (x = 31 months). Significant differences were detected at alpha <.01 for tactile sensitivity [F(3,99) = 10.01], taste/smell sensitivity [F(3,99) = 11.63], underreactive/seeks stimulation [F(3,99) = 4.56], auditory filtering [F(3,99) = 19.67], and low energy/weak muscles [F(3,99) = 14.21]. Both children with fragile X syndrome and children with autism had significantly more sensory symptoms overall than the two comparison groups, and children with autism did not differ significantly from children with fragile X syndrome. Both groups were more impaired than developmentally delayed and typically developing children in tactile sensitivity and auditory filtering. Children with autism were more abnormal in responses to taste and smell than all other groups. Children with fragile X syndrome were more abnormal than all other groups in low energy/weak muscles. Sensory reactivity of children with developmental delays was comparable to mental age-matched typically developing toddlers. Correlational analyses indicated that neither overall developmental level nor IQ was related to abnormal sensory reactivity in children with autism or general developmental disorders. However, abnormal sensory reactivity had a significant relationship with overall adaptive behavior.
使用《简短感觉概况量表》评估了四组幼儿(n = 102)家长报告的感觉反应情况。这四组分别是自闭症组(n = 26)、脆性X综合征组(n = 20)、混合病因发育障碍组(n = 32)和发育正常儿童组(n = 24)。四组在总体心理年龄(x = 22个月)上具有可比性,临床组在实际年龄(x = 31个月)上具有可比性。在α <.01水平上检测到触觉敏感性[F(3,99) = 10.01]、味觉/嗅觉敏感性[F(3,99) = 11.63]、反应不足/寻求刺激[F(3,99) = 4.56]、听觉过滤[F(3,99) = 19.67]以及精力不足/肌肉无力[F(3,99) = 14.21]存在显著差异。脆性X综合征患儿和自闭症患儿总体上的感觉症状均显著多于另外两个对照组,且自闭症患儿与脆性X综合征患儿之间无显著差异。在触觉敏感性和听觉过滤方面,这两组患儿比发育迟缓儿童和发育正常儿童受损更严重。自闭症患儿对味觉和嗅觉的反应比其他所有组更异常。脆性X综合征患儿在精力不足/肌肉无力方面比其他所有组更异常。发育迟缓儿童的感觉反应与心理年龄匹配的发育正常幼儿相当。相关分析表明,总体发育水平和智商与自闭症患儿或一般发育障碍患儿的异常感觉反应均无关联。然而,异常感觉反应与总体适应性行为存在显著关联。