Research Center for Psychiatry and Behavioral Sciences, Department of Psychiatry, Shiraz University of Medical Sciences, Hafez Hospital, Shiraz, Iran.
J Psychiatr Ment Health Nurs. 2013 Apr;20(5):426-32. doi: 10.1111/j.1365-2850.2011.01830.x. Epub 2011 Oct 6.
Oral sensory processing in children with attention deficit hyperactivity disorder (ADHD) is an area with limited research. Oppositional defiant disorder (ODD) and separation anxiety disorder (SAD) symptoms usually co-occur with ADHD. This study investigates the association of oral sensory processing problems with ODD and SAD symptoms in children with ADHD. The parents of 189 children with ADHD completed Oral Over- and Underresponsivity Behaviors Inventory reporting oral overresponsivity (OR) and underresponsivity (UR) of their children. Only ODD score predicted OR scale score. None of ADHD severity, anxiety score, age and gender predicted OR score. UR scale score was only predicted by SAD and inattention scores. ODD score and hyperactivity/impulsivity score did not predict UR score. The ODD behaviour in children with ADHD needs to be evaluated and managed more extensively and it should include oral sensory occupational therapy. Future studies should extend this research to children with ADHD and obesity and food reward system.
儿童注意缺陷多动障碍（ADHD）的口腔感觉处理是一个研究有限的领域。对立违抗性障碍（ODD）和分离焦虑障碍（SAD）的症状通常与 ADHD 同时发生。本研究调查了 ADHD 儿童的口腔感觉处理问题与 ODD 和 SAD 症状的关联。189 名 ADHD 儿童的父母完成了口腔过度反应和反应不足行为量表，报告了他们孩子的口腔过度反应（OR）和反应不足（UR）。只有 ODD 评分预测了 OR 量表评分。ADHD 严重程度、焦虑评分、年龄和性别均未预测 OR 评分。UR 量表评分仅受 SAD 和注意力不集中评分的预测。ODD 评分和多动/冲动评分未预测 UR 评分。需要更广泛地评估和管理 ADHD 儿童的 ODD 行为，其中应包括口腔感觉职业治疗。未来的研究应将这一研究扩展到肥胖和食物奖励系统的 ADHD 儿童。
