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自闭症谱系障碍、注意缺陷多动障碍和典型发育儿童的注意力相关感觉处理:ELENA 队列研究结果。

Sensory processing related to attention in children with ASD, ADHD, or typical development: results from the ELENA cohort.

机构信息

Centre de Ressource Autisme Languedoc-Roussillon et Centre d'excellence sur l'autisme et les troubles neurodéveloppementaux, CHU montpellier, 34000, Montpellier, France.

Centre de Recherche en Épidémiologie Et Santé Des Populations, U1178, INSERM, Paris, France.

出版信息

Eur Child Adolesc Psychiatry. 2021 Feb;30(2):283-291. doi: 10.1007/s00787-020-01516-5. Epub 2020 Mar 25.

Abstract

Autism-spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD) are early neurodevelopmental conditions that share clinical characteristics, raising important issues in clinical diagnosis. We aimed to compare (1) sensory processing in four groups of children: ASD alone, ASD + ADHD, ADHD alone, and typical development (TD) and (2) the association between sensory processing and attention in the three groups with neurodevelopmental disorders. Our sample included 120 children aged from 6 to 12 years divided into four groups: ASD alone (N = 43), ASD + ADHD (N = 18), ADHD alone (N = 28), and TD (N = 31). Atypical sensory processing was more frequent in ASD and/or ADHD than in TD, without a significant difference between ASD and ADHD. However, the variance analysis of attention problems revealed differences between the ADHD and ASD groups. Thus, the rate of atypical sensory processing was comparable between the ASD and ADHD groups, suggesting that further studies are needed to explore atypical SP in all neurodevelopmental disorders.

摘要

自闭症谱系障碍(ASD)和注意缺陷多动障碍(ADHD)是早期神经发育障碍,具有相似的临床特征,这在临床诊断中引发了重要问题。我们旨在比较(1)四组儿童的感觉处理情况:单纯 ASD、ASD+ADHD、单纯 ADHD 和典型发育(TD);(2)三组神经发育障碍儿童的感觉处理与注意力之间的关联。我们的样本包括 120 名 6 至 12 岁的儿童,分为四组:单纯 ASD(N=43)、ASD+ADHD(N=18)、单纯 ADHD(N=28)和 TD(N=31)。与 TD 相比,ASD 和/或 ADHD 中更常出现异常感觉处理,但 ASD 和 ADHD 之间没有显著差异。然而,对注意力问题的方差分析显示 ADHD 和 ASD 组之间存在差异。因此,ASD 和 ADHD 组之间异常感觉处理的发生率相当,这表明需要进一步研究来探索所有神经发育障碍中的异常 SP。

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