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在家庭和课堂环境中,对患有和未患有自闭症谱系障碍的儿童的感觉加工进行的比较研究。

A comparative study of sensory processing in children with and without Autism Spectrum Disorder in the home and classroom environments.

作者信息

Fernández-Andrés Ma Inmaculada, Pastor-Cerezuela Gemma, Sanz-Cervera Pilar, Tárraga-Mínguez Raúl

机构信息

Developmental and Educational Psychology Department, Faculty of Psychology, University of Valencia. Av. Blasco Ibáñez, 21, 46010 Valencia, Spain.

Basic Psychology Department, Faculty of Psychology, University of Valencia, Av. Blasco Ibáñez, 21, 46010 Valencia, Spain.

出版信息

Res Dev Disabil. 2015 Mar;38:202-12. doi: 10.1016/j.ridd.2014.12.034. Epub 2015 Jan 6.

Abstract

Sensory processing and higher integrative functions impairments are highly prevalent in children with ASD. Context should be considered in analyzing the sensory profile and higher integrative functions. The main objective of this study is to compare sensory processing, social participation and praxis in a group of 79 children (65 males and 14 females) from 5 to 8 years of age (M=6.09) divided into two groups: ASD Group (n=41) and Comparison Group (n=38). The Sensory Processing Measure (SPM) was used to evaluate the sensory profile of the children: parents reported information about their children's characteristics in the home environment, and teachers reported information about the same characteristics in the classroom environment. The ASD Group obtained scores that indicate higher levels of dysfunction on all the assessed measures in both environments, with the greatest differences obtained on the social participation and praxis variables. The most affected sensory modalities in the ASD Group were hearing and touch. Only in the ASD Group were significant differences found between the information reported by parents and what was reported by teachers: specifically, the teachers reported greater dysfunction than the parents in social participation (p=.000), touch (p=.003) and praxis (p=.010). These results suggest that the context-specific qualities found in children with ASD point out the need to receive information from both parents and teachers during the sensory profile assessment process, and use context-specific assessments.

摘要

感觉加工和高级整合功能障碍在自闭症谱系障碍(ASD)儿童中非常普遍。在分析感觉概况和高级整合功能时应考虑背景因素。本研究的主要目的是比较79名5至8岁(平均年龄6.09岁)儿童(65名男性和14名女性)的感觉加工、社会参与和实践能力,这些儿童被分为两组:ASD组(n = 41)和对照组(n = 38)。使用感觉加工量表(SPM)评估儿童的感觉概况:家长报告孩子在家环境中的特征信息,教师报告孩子在课堂环境中的相同特征信息。ASD组在两种环境下所有评估指标上的得分都表明功能障碍水平较高,在社会参与和实践变量上差异最大。ASD组受影响最大的感觉模式是听觉和触觉。仅在ASD组中,家长报告的信息与教师报告的信息之间存在显著差异:具体而言,教师报告的社会参与(p = .000)、触觉(p = .003)和实践(p = .010)功能障碍比家长报告的更严重。这些结果表明,ASD儿童中发现的特定背景特征指出了在感觉概况评估过程中需要从家长和教师双方获取信息,并使用特定背景评估的必要性。

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