Mitchell Anita Witt, Moore Elizabeth M, Roberts Emily J, Hachtel Kristen W, Brown Melissa S
Anita Witt Mitchell, PhD, OTR, is Associate Professor, Occupational Therapy Department, University of Tennessee Health Science Center, Memphis;
Elizabeth M. Moore, MOT, OTR/L, is Occupational Therapist, Signature Healthcare at St. Francis, Memphis, TN; At the time of the study, Elizabeth Moore, Emily Roberts, Kristen Hachtel, and Melissa Brown were Students, Department of Occupational Therapy, University of Tennessee Health Science Center, Memphis, TN.
Am J Occup Ther. 2015 Jan-Feb;69(1):6901220030. doi: 10.5014/ajot.2015.013755.
This systematic review of multidisciplinary literature synthesizes evidence of the prevalence and patterns of sensory processing disorder (SPD) in children ages birth-3 yr born preterm. Forty-five articles including physiological, behavioral, temperament, and SPD research met the inclusion criteria and provided 295 findings related to SPD-130 (44%) positive (evidence of SPD) and 165 (56%) negative (no evidence of SPD). The majority of findings related to sensory modulation disorder (SMD; 43% positive). The most prevalent subcategory of SMD was sensory overresponsivity (82% of findings positive). Evidence of sensory underresponsivity and sensory-seeking SMD, sensory discrimination disorder, and sensory-based motor disorder was limited. This study supports the education of neonatologists, pediatricians, and caregivers about the symptoms and potential consequences of SPD and helps justify the need for follow-up screening for SPD in children ages birth-3 yr born preterm. Research using measures based on sensory processing theory is needed.
这项多学科文献的系统综述综合了早产的0至3岁儿童感觉统合失调(SPD)的患病率和模式的证据。45篇包括生理学、行为学、气质学和SPD研究的文章符合纳入标准,并提供了295项与SPD相关的研究结果——130项(44%)为阳性(SPD证据),165项(56%)为阴性(无SPD证据)。大多数研究结果与感觉调节障碍(SMD;43%为阳性)有关。SMD最常见的子类别是感觉反应过度(82%的研究结果为阳性)。感觉反应不足、寻求感觉的SMD、感觉辨别障碍和基于感觉的运动障碍的证据有限。本研究支持对新生儿科医生、儿科医生和护理人员进行关于SPD症状和潜在后果的教育,并有助于证明对早产的0至3岁儿童进行SPD后续筛查的必要性。需要使用基于感觉统合理论的测量方法进行研究。