Gourley Lauren, Wind Carina, Henninger Erin M, Chinitz Susan
Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461 Early Childhood Center, 1731 Seminole Avenue Bronx, NY 10461.
J Child Fam Stud. 2013 Oct 1;22(7):912-921. doi: 10.1007/s10826-012-9650-9.
This study examined the relationship between sensory processing difficulties, parental stress, and behavioral problems in a clinical sample of young children with developmental and behavioral difficulties. We hypothesized that a high rate of sensory processing difficulties would be found, that there would be a high rate of comorbidity between sensory processing difficulties and behavioral problems, and that children's sensory processing difficulties and parental stress would be highly correlated. Parents of 59 children ages two to five who attended an out-patient clinic in a low income, urban community completed the Child Behavior Checklist, Parental Stress Inventory-Short Form and the Short Sensory Profile. Children in this clinical population showed a high prevalence (55.9%) of sensory processing difficulties, a significantly higher rate than previously reported. Sensory processing deficits were correlated with behavioral difficulties and parental stress levels-suggesting that as sensory processing difficulties increase, so do behavioral difficulties and parental stress. Parents of children with sensory processing deficits had significantly higher levels of parental stress than parents of children without sensory deficits. Parenting stress levels were also clinically elevated for the cohort of children in which sensory processing difficulties and behavioral concerns co-existed. These findings suggest that treatment outcomes might improve and parental stress could be reduced if mental health clinicians were trained to identify and address sensory problems. This could result in more children being screened and treated for sensory processing difficulties and an eventual reduction in the rates of parental stress.
本研究调查了患有发育和行为障碍的幼儿临床样本中感觉加工困难、父母压力与行为问题之间的关系。我们假设,将会发现较高比例的感觉加工困难,感觉加工困难与行为问题之间会有较高的共病率,并且儿童的感觉加工困难与父母压力会高度相关。59名年龄在2至5岁、在一个低收入城市社区的门诊就诊的儿童的父母,完成了儿童行为量表、父母压力量表简表和简短感觉概况量表。该临床群体中的儿童显示出较高的感觉加工困难患病率(55.9%),显著高于先前报告的比例。感觉加工缺陷与行为困难和父母压力水平相关——这表明随着感觉加工困难增加,行为困难和父母压力也会增加。有感觉加工缺陷儿童的父母的父母压力水平显著高于没有感觉缺陷儿童的父母。对于感觉加工困难和行为问题并存的儿童群体,其养育压力水平在临床上也有所升高。这些发现表明,如果心理健康临床医生接受培训以识别和解决感觉问题,治疗效果可能会改善,父母压力可能会降低。这可能会使更多儿童接受感觉加工困难的筛查和治疗,并最终降低父母压力的发生率。