Child Development Unit, Clalit Health Services, Jerusalem, Israel.
Pediatric Neurology Service, Pediatric Division, Asssuta Ashdod University Hospital Faculty of Health Sciences, Ben-Gurion University, Beer-Sheba, Israel.
Pediatr Res. 2019 Aug;86(2):221-226. doi: 10.1038/s41390-019-0397-5. Epub 2019 Apr 15.
Sensory modulation disorder (SMD) and attention deficit hyperactivity disorder (ADHD) can co-occur and have overlapping symptoms, thus challenging practitioners. This study aimed to phenotypically explore parent-child associations in SMD, and the interplay between SMD- and ADHD-related symptoms in children with SMD and their parents.
A cross-sectional study examined 70 parents (n = 35 mothers; n = 35 fathers) and their 35 children with and without SMD, aged 4-6 years. Parents completed care-giver reports: The Short Sensory Profile (SSP) and the ADHD Rating Scale, and self-reports: The Sensory Responsiveness Questionnaire (SRQ) and the ADHD Self-Report Scale (ASRS).
In the entire sample, we found a mother-offspring correlation between SSP and SRQ-Aversive scores (rs = -0.68; p < 0.001), but no such father-offspring correlation. However, when testing the ADHD Rating Scale and ASRS scores, we found correlations between mothers and offspring (rs = 0.54, p = 0.0008), and between fathers and offspring (rs = 0.34, p = 0.0494). In the entire sample a high correlation was found between SSP and ADHD Rating Scale scores (rs = -0.837, p < 0.001). We further found a high correlation in mothers (rs = 0.70, p < 0.001), and a moderate correlation in fathers (rs = 0.40, p = 0.019) between SRQ-Aversive and ASRS scores.
Novel findings reveal that parents-offspring heritability patterns differ in both these related conditions. These may contribute to familial practice and research.
感觉调节障碍(SMD)和注意缺陷多动障碍(ADHD)可能同时发生,且存在重叠症状,这给临床医生带来了挑战。本研究旨在对 SMD 的表型进行探索,并研究 SMD 患儿及其父母的 SMD 和 ADHD 相关症状之间的相互作用。
横断面研究纳入了 70 名父母(35 名母亲;35 名父亲)及其 35 名患有和不患有 SMD 的 4-6 岁儿童。父母填写了 caregiver 报告:短感觉评估量表(SSP)和 ADHD 评定量表,以及自我报告:感觉反应问卷(SRQ)和 ADHD 自报告量表(ASRS)。
在整个样本中,我们发现 SSP 和 SRQ-回避分数之间存在母子相关性(rs=-0.68;p<0.001),但不存在父子相关性。然而,当我们测试 ADHD 评定量表和 ASRS 评分时,我们发现母亲和子女之间(rs=0.54,p=0.0008)以及父亲和子女之间(rs=0.34,p=0.0494)存在相关性。在整个样本中,SSP 和 ADHD 评定量表评分之间存在高度相关性(rs=-0.837,p<0.001)。我们还发现,在母亲中(rs=0.70,p<0.001)和父亲中(rs=0.40,p=0.019),SRQ-回避和 ASRS 评分之间存在高度相关性。
新发现揭示了这两种相关疾病中父母-子女遗传模式的差异。这些差异可能有助于家庭实践和研究。