The Pediatric Neurology and Developmental Unit, Loewenstein Rehabilitation Hospital, 278 Ahuza Street, Raanana 43100, Israel; Sackler Faculty of Medicine, Tel-Aviv University, P.O. 39040, Ramat-Aviv, Tel-Aviv 69978, Israel.
The Pediatric Neurology and Developmental Unit, Loewenstein Rehabilitation Hospital, 278 Ahuza Street, Raanana 43100, Israel; Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences of the Haifa University, Haifa, Israel; The Child Development Center of Clalit Health Services, Sderot Binyamin 21, Netanya 42250, Israel.
Res Dev Disabil. 2018 Dec;83:69-76. doi: 10.1016/j.ridd.2018.08.002. Epub 2018 Aug 22.
The severity of the functional difficulties of children with attention-deficit/hyperactivity disorder (ADHD) is heterogeneous and may be affected by measurable factors.
To characterize subgroups of children with ADHD with or without sensory modulation difficulties (SMD) and the association between sensory modulation and daily activity function in children with ADHD and children with typical development.
38 children with ADHD and 39 controls (ages 8-11) were recruited and assessed, using the Conner's Parent Rating Scale-Revised: Short Form, the Short Sensory Profile (SSP) and the Children Activity Scale for Parents (ChAS-P).
The total SSP score of the ADHD group was lower (142.13 vs. 180.08; t=-8.23, p < 0.001) with a higher proportion of SMD (65.8% vs. 2.6%, χ = 34.46, p < 0.001). The daily function of children with ADHD was lower than controls (mean ChAS-P: 3.95 vs. 4.78, p < 0.001). The difference was significant for children with ADHD and SMD (3.70 versus 4.81, p < 0.001), but not significant for children with ADHD and typical SSP (4.42 versus 4.81, p=0.35).
In this pilot study, we found that SMD, in children with ADHD is correlated with daily activity consequences. Hence, it should be evaluated in children with ADHD and addressed in their treatment plan.
注意力缺陷多动障碍（ADHD）儿童的功能障碍严重程度存在异质性，可能受到可测量因素的影响。
描述伴有或不伴有感觉调节障碍（SMD）的 ADHD 儿童亚组的特征，以及 ADHD 儿童和典型发育儿童的感觉调节与日常活动功能之间的关系。
招募并评估了 38 名 ADHD 儿童和 39 名对照组儿童（年龄 8-11 岁），使用康纳父母评定量表修订版：短表、短感觉量表（SSP）和父母儿童活动量表（ChAS-P）。
ADHD 组的总 SSP 评分较低（142.13 分比 180.08 分；t=-8.23，p<0.001），SMD 比例较高（65.8%比 2.6%，χ²=34.46，p<0.001）。ADHD 儿童的日常功能低于对照组（平均 ChAS-P：3.95 比 4.78，p<0.001）。对于伴有 SMD 的 ADHD 儿童，差异有统计学意义（3.70 比 4.81，p<0.001），但对于伴有典型 SSP 的 ADHD 儿童，差异无统计学意义（4.42 比 4.81，p=0.35）。
在这项初步研究中，我们发现 ADHD 儿童的 SMD 与日常活动后果相关。因此，在 ADHD 儿童中应评估 SMD，并将其纳入治疗计划中。
