Yochman Aviva, Pat-Horenczyk Ruth
1School of Occupational Therapy, Faculty of Medicine of Hadassah and the Hebrew University of Jerusalem , 24026, Mount Scopus, 91240 Jerusalem, Israel.
2Paul Baerwald School of Social Work and Social Welfare, the Hebrew University of Jerusalem, Jerusalem, Israel.
J Child Adolesc Trauma. 2019 Apr 4;13(1):93-102. doi: 10.1007/s40653-019-00254-4. eCollection 2020 Mar.
Preliminary evidence supports a possible association between post-traumatic stress disorder (PTSD) and sensory modulation disorder (SMD). Nevertheless, the research focusing on this relationship in children is notably limited. This study examined children with and without PTS symptoms, by comparing their mothers' perceptions of their responses to sensory events in daily life. Mothers of 134 non-referred children aged 5-11, exposed to continuous traumatic stress due to political violence, completed the UCLA-RI and the Short Sensory Profile questionnaires. Significant differences emerged between children with different levels of PTS symptoms in various sensory modalities. Furthermore, half of the symptomatic children had suspected clinically significant deficits in sensory processing. In addition, PTSD symptoms were significantly associated with most of the sensory processing scores. Logistic regression indicated that the overall sensory processing score was a significant predictor of group classification. The results indicate that children with PTS symptoms may be at increased risk for sensory processing deficits. Evaluation of sensory processing should be incorporated into the routine evaluation of this population in order to determine whether this is an additional factor contributing to a child's difficulties in participating in daily activities. Subsequent intervention programs should then address the multiple needs of these children.
初步证据支持创伤后应激障碍（PTSD）与感觉调节障碍（SMD）之间可能存在关联。然而，针对儿童中这种关系的研究明显有限。本研究通过比较有和没有PTS症状的儿童的母亲对他们在日常生活中对感觉事件的反应的看法，对这些儿童进行了检查。134名年龄在5至11岁、因政治暴力而遭受持续创伤性应激的未被转诊儿童的母亲完成了加州大学洛杉矶分校反应抑制问卷（UCLA-RI）和简短感觉概况问卷。在不同感觉模式下，有不同程度PTS症状的儿童之间出现了显著差异。此外，一半有症状的儿童在感觉处理方面存在疑似具有临床意义的缺陷。此外，PTSD症状与大多数感觉处理分数显著相关。逻辑回归表明，总体感觉处理分数是分组分类的显著预测指标。结果表明，有PTS症状的儿童可能存在感觉处理缺陷的风险增加。应将感觉处理评估纳入对该人群的常规评估中，以确定这是否是导致儿童参与日常活动困难的另一个因素。随后的干预项目应满足这些儿童的多种需求。
