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儿童期感觉加工差异与成人生活质量之间的关系。

Relationship Between Childhood Sensory Processing Differences and Quality of Life as Adults.

作者信息

May-Benson Teresa A, Teasdale Alison, Easterbrooks-Dick Olivia

机构信息

TMB Educational Enterprises, LLC, Norristown, PA, United States.

SPIRAL Foundation, Newton, MA, United States.

出版信息

Front Psychol. 2022 Jul 27;13:886833. doi: 10.3389/fpsyg.2022.886833. eCollection 2022.

Abstract

Research suggests a relationship between sensory processing, motor skills and quality of life (QOL) in a variety of clinical populations of adults and children. There have been no studies which investigated the relationship of childhood sensory processing and integration and related motor performance (sensori-motor) patterns identified using an Ayres Sensory Integration® (ASI) frame of reference and later QOL of those children as adults. This longitudinal follow-up study examined this relationship. Adult QOL was also examined in relation to current adult sensori-motor patterns. Fifty-three adults who received occupational therapy services as children, were identified as having sensori-motor difficulties at that time and completed a sensory history and a quality-of-life measure as adults participated. Measures included the ), (). MANCOVA found that Total childhood sensori-motor scores had a small relationship to Physical Health QOL as adults that approached significance. Pearson Correlations found that adults with childhood sensori-motor challenges who report sensori-motor challenges as adults had a moderate significant relationship among overall sensori-motor functioning and Physical Health ( = -0.56,  = 0.018). Visual ( = -0.76,  = 0.001), movement (vestibular;  = -0.48,  = 0.042) and tactile processing ( = -0.63,  = 0.008) had moderate to large significant relationships with Physical Health. Visual processing () was also significantly related to Psychological Health. Motor Coordination trended to significance for Physical Health ( = -0.42) and Psychological Health ( = -0.41). Conversely, adults who reported typical sensori-motor scores as adults, despite childhood sensori-motor challenges, had a good QOL. Furthermore, similar to previous research, there was a relationship between current visual, movement (vestibular) and tactile (touch) sensory processing and adult Physical and Psychological Health. A multivariate linear regression found Sensory Discrimination and Modulation accounted for one-quarter of the variance in QOL in adults with only Discrimination being statistically significant. Therefore, it is important to consider childhood sensori-motor function as well as adult functioning when examining QOL. Further, heretofore unexamined Sensory Discrimination was found to play a role in adult QOL.

摘要

研究表明,在各类成人和儿童临床群体中,感觉处理、运动技能与生活质量(QOL)之间存在关联。尚无研究调查过儿童期感觉处理与整合以及使用艾尔斯感觉统合®(ASI)参照框架确定的相关运动表现(感觉运动)模式与这些儿童成年后的生活质量之间的关系。这项纵向随访研究对这种关系进行了考察。还研究了成人生活质量与当前成人感觉运动模式之间的关系。五十三名儿童时期接受过职业治疗服务、当时被确定存在感觉运动困难的成年人,成年后参与完成了一份感觉史和一项生活质量测评。测评包括(具体测评内容缺失)。多变量协方差分析发现,儿童期感觉运动总分与成年后的身体健康生活质量存在微弱关联,接近显著水平。皮尔逊相关性分析发现,童年有感觉运动挑战且成年后仍报告有感觉运动挑战的成年人,其整体感觉运动功能与身体健康之间存在中度显著关联(r = -0.56,p = 0.018)。视觉(r = -0.76,p = 0.001)、运动(前庭;r = -0.48,p = 0.042)和触觉处理(r = -0.63,p = 0.008)与身体健康存在中度至高度显著关联。视觉处理(具体处理内容缺失)也与心理健康显著相关。运动协调在身体健康方面有接近显著的趋势(r = -0.42),在心理健康方面也有接近显著的趋势(r = -0.41)。相反,尽管童年有感觉运动挑战,但成年后报告感觉运动分数正常的成年人生活质量良好。此外,与先前研究类似,当前的视觉、运动(前庭)和触觉(触摸)感觉处理与成人的身体和心理健康之间存在关联。多变量线性回归发现,感觉辨别和调节占成年后生活质量方差的四分之一,只有辨别具有统计学意义。因此,在考察生活质量时,考虑儿童期感觉运动功能以及成人功能很重要。此外,此前未被研究的感觉辨别被发现对成人生活质量有影响。

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