Patten Elena, Ausderau Karla K, Watson Linda R, Baranek Grace T
Department of Communication Sciences and Disorders, The University of North Carolina, Greensboro, 300 Ferguson Building, Greensboro, NC 27412, USA.
Autism Res Treat. 2013;2013:436286. doi: 10.1155/2013/436286. Epub 2013 Jul 15.
We sought to examine concurrent and longitudinal associations between sensory response patterns (i.e., hyperresponsiveness, hyporesponsiveness, and sensory seeking) and verbal status of young children with autism spectrum disorder (ASD) as a potential factor influencing the development of verbal communication. Seventy-nine children with ASD (verbal, n = 29; nonverbal, n = 50) were assessed using cross-sectional analyses (Study 1), and 14 children with ASD (verbal, n = 6; nonverbal, n = 8) were assessed using prospective longitudinal analyses (Study 2). Data were collected regarding sensory response patterns and verbal ability. Hyporesponsiveness and sensory seeking behaviors were associated with verbal status in both cross-sectional and longitudinal analyses; nonverbal children were more likely to demonstrate higher hyporesponsive and sensory seeking patterns. Hyperresponsiveness did not significantly differ between verbal and nonverbal groups in either design. Sensory hyporesponsiveness and seeking behaviors may be important factors hindering the development of functional verbal communication in children with ASD. Unusual sensory responsiveness can often be observed before the onset of speech and may yield important prognostic capabilities as well as inform early interventions targeting verbal communication or alternative communication options in young children with ASD.
我们试图研究感觉反应模式(即反应过度、反应不足和感觉寻求)与自闭症谱系障碍(ASD)幼儿语言状况之间的同时期和纵向关联,将其作为影响语言交流发展的一个潜在因素。我们对79名ASD儿童(有语言能力的,n = 29;无语言能力的,n = 50)进行了横断面分析(研究1),并对14名ASD儿童(有语言能力的,n = 6;无语言能力的,n = 8)进行了前瞻性纵向分析(研究2)。收集了有关感觉反应模式和语言能力的数据。在横断面分析和纵向分析中,反应不足和感觉寻求行为均与语言状况相关;无语言能力的儿童更有可能表现出较高的反应不足和感觉寻求模式。在两种设计中,有语言能力和无语言能力的组之间反应过度均无显著差异。感觉反应不足和寻求行为可能是阻碍ASD儿童功能性语言交流发展的重要因素。在言语出现之前,通常就能观察到异常的感觉反应,这可能具有重要的预后价值,并为针对ASD幼儿语言交流或替代交流方式的早期干预提供依据。