van den Boogert Frank, Klein Katharina, Spaan Pascalle, Sizoo Bram, Bouman Yvonne H A, Hoogendijk Witte J G, Roza Sabine J
Department of Psychiatry, Erasmus University Medical Center, 3015 GD, Rotterdam, the Netherlands; Department of Research, Transfore, 7416 SB, Deventer, the Netherlands.
Department of Research, Transfore, 7416 SB, Deventer, the Netherlands.
J Psychiatr Res. 2022 Jul;151:173-180. doi: 10.1016/j.jpsychires.2022.04.020. Epub 2022 Apr 21.
In clinical practice, many individuals with psychiatric disorders report difficulties in sensory processing, including increased awareness or sensitivity to external stimuli. In this meta-analysis, we examined the sensory processing patterns of adolescent and adult individuals with a broad spectrum of different psychiatric conditions. A systematic search in various databases resulted in the inclusion of 33 studies (N=2008), all using the Adolescent/Adult Sensory Profile (AASP). By comparing diagnostic subgroups to the corresponding reference group of the AASP, we detected a general pattern of sensory processing, indicating elevated levels of low registration, sensory sensitivity and sensory avoiding and lowered sensory seeking behavior in patients with different types of psychiatric disorders. The majority of effect sizes were large to very large. In conclusion, sensory processing difficulties can be considered as a non-specific transdiagnostic phenotype associated with a broad spectrum of psychiatric conditions. Further research into the relevance and role of sensory processing difficulties in psychiatric disorders may improve long-term prognosis and treatment.
在临床实践中,许多患有精神疾病的个体报告存在感觉加工困难,包括对外界刺激的意识增强或敏感度增加。在这项荟萃分析中,我们研究了患有广泛不同精神疾病的青少年和成年人的感觉加工模式。在各种数据库中进行系统检索后,纳入了33项研究(N = 2008),所有研究均使用青少年/成人感觉概况量表(AASP)。通过将诊断亚组与AASP相应的参照组进行比较,我们检测到一种感觉加工的总体模式,表明不同类型精神疾病患者的低登记、感觉敏感和感觉回避水平升高,而感觉寻求行为降低。大多数效应量为大到非常大。总之,感觉加工困难可被视为与广泛精神疾病相关的非特异性跨诊断表型。进一步研究感觉加工困难在精神疾病中的相关性和作用可能会改善长期预后和治疗效果。