Catana Brown, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, Midwestern University, Glendale, AZ;
Rebecca Karim, MA, OTR/L, is Occupational Therapist, Hand Therapy Advantage, Spokane, WA.
Am J Occup Ther. 2020 Jul/Aug;74(4):7404205130p1-7404205130p11. doi: 10.5014/ajot.2020.038463.
When occupational therapists understand sensory processing preferences, they can create environments that promote participation.
To determine the sensory processing preferences of people with a psychiatric condition as measured by the Adolescent/Adult Sensory Profile (A/ASP).
PubMed, PsycINFO, ERIC, CINAHL, and OTseeker were searched from 2002 through January 2018.
Studies that included people with psychiatric conditions and measured sensory processing preferences using the A/ASP were included. Studies had to report means and standard deviations for all four A/ASP subscales. The retrospective analysis involved extracting sensory processing quadrant scores from each study and comparing these scores with the A/ASP norms by means of independent-samples t tests.
Five studies revealed a general pattern of greater sensory sensitivity, sensation avoiding, and low registration and less sensation seeking among people with a psychiatric condition. For each condition (schizophrenia, high risk for psychosis, bipolar disorder, major depressive disorder, posttraumatic stress, and obsessive-compulsive disorder), scores in at least two of the four sensory processing quadrants were significantly different from the normative scores, with some variability in sensory processing preferences across the psychiatric conditions.
The sensory processing preferences of people with a psychiatric condition differ from those of the normative sample. This research can lead to condition-specific sensory-based interventions targeting a person's specific sensory needs in the context of occupational performance.
This article provides new information that compares and contrasts the sensory processing preferences of people with different types of psychiatric conditions. This information can be useful in treatment planning.
当职业治疗师了解感官处理偏好时,他们可以创造促进参与的环境。
通过青少年/成人感官评估表(A/ASP)确定精神疾病患者的感官处理偏好。
从 2002 年到 2018 年 1 月,在 PubMed、PsycINFO、ERIC、CINAHL 和 OTseeker 上进行了搜索。
包括有精神疾病患者且使用 A/ASP 测量感官处理偏好的研究。研究必须报告所有四个 A/ASP 分量表的平均值和标准差。回顾性分析包括从每项研究中提取感官处理象限评分,并通过独立样本 t 检验将这些评分与 A/ASP 标准进行比较。
五项研究揭示了精神疾病患者普遍存在更高的感官敏感性、感觉回避、低登记和较低的感觉寻求,以及较低的感官寻求。对于每种疾病(精神分裂症、精神病高危、双相情感障碍、重度抑郁症、创伤后应激障碍和强迫症),至少有两个感官处理象限的评分与标准评分显著不同,而在不同的精神疾病患者中,感官处理偏好存在一定的差异。
精神疾病患者的感官处理偏好与标准样本不同。这项研究可以导致针对特定个体在职业表现背景下特定感官需求的基于感官的特定疾病干预。
本文提供了比较和对比不同类型精神疾病患者感官处理偏好的新信息。这些信息在治疗计划中可能很有用。