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简短报告:患有和未患有自闭症谱系障碍儿童的《精神疾病诊断与统计手册》第5版感官行为

Brief Report: DSM-5 Sensory Behaviours in Children With and Without an Autism Spectrum Disorder.

作者信息

Green Dido, Chandler Susie, Charman Tony, Simonoff Emily, Baird Gillian

机构信息

Centre for Rehabilitation, Oxford Brookes University, Marston Road Campus, Jack Straw's Lane, Oxford, OX3 3FL, UK.

Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

出版信息

J Autism Dev Disord. 2016 Nov;46(11):3597-3606. doi: 10.1007/s10803-016-2881-7.

Abstract

Atypical responses to sensory stimuli are a new criterion in DSM-5 for the diagnosis of an autism spectrum disorder (ASD) but are also reported in other developmental disorders. Using the Short Sensory profile (SSP) and Autism Diagnostic Interview-Revised we compared atypical sensory behaviour (hyper- or hypo-reactivity to sensory input or unusual sensory interests) in children aged 10-14 years with (N = 116) or without an ASD but with special educational needs (SEN; N = 72). Atypical sensory behaviour was reported in 92 % of ASD and 67 % of SEN children. Greater sensory dysfunction was associated with increased autism severity (specifically restricted and repetitive behaviours) and behaviour problems (specifically emotional subscore) on teacher and parent Strengths and Difficulties Questionnaires but not with IQ.

摘要

对感觉刺激的非典型反应是《精神疾病诊断与统计手册》第5版中诊断自闭症谱系障碍(ASD)的一项新标准,但在其他发育障碍中也有报道。我们使用《简短感觉概况量表》(SSP)和《自闭症诊断访谈修订版》,比较了10至14岁患有(N = 116)或未患有ASD但有特殊教育需求(SEN;N = 72)的儿童的非典型感觉行为(对感觉输入的过度或低反应性或异常的感觉兴趣)。92%的ASD儿童和67%的SEN儿童报告有非典型感觉行为。在教师和家长填写的《长处和困难问卷》中,更大的感觉功能障碍与自闭症严重程度增加(特别是受限和重复行为)以及行为问题(特别是情绪子得分)相关,但与智商无关。

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