Department of Psychology, Graduate School of Letters, Chuo University, Tokyo, Japan.
Department of Psychology, Chuo University, Tokyo, Japan.
Brain Inj. 2022 Jul 3;36(8):1053-1058. doi: 10.1080/02699052.2022.2110943. Epub 2022 Aug 15.
Hyper- and hyposensitivity in multiple modalities have been well-documented in subjects with autistic spectrum disorder (ASD) but not in subjects with acquired brain injury (ABI). The purpose of this study was to determine whether subjects with ABI experience altered sensory processing in multiple sensory modalities, and to examine the relationships between impaired sensory processing and the emotional state.
Sixty-eight patients with brain or spinal cord tumors participated in the study. Cognitive ability and emotional function were tested, and subjective changes were evaluated in two directions (hyper- and hyposensitivity) and five modalities (visual, auditory, tactile, olfactory, and gustatory) at two time points (after disease onset and after surgery).
One-fifth of the participants complained of hypersensitivity in the visual domain, and a similar proportion complained of hyposensitivity in the auditory and tactile domains. Additionally, one-third of participants complained of two or more sensory abnormalities after disease onset. A hierarchical regression analysis indicated that auditory and tactile sensory changes predicted a depressive state.
In conclusion, multimodal sensory changes occurred in patients with brain tumors, manifesting as hyper- or hyposensitivity. Sensory changes might be related to depressive state, but the results were inconclusive.
在自闭症谱系障碍(ASD)患者中,已充分记录了多种感觉方式的超敏和低敏现象,但在获得性脑损伤(ABI)患者中尚未发现。本研究旨在确定 ABI 患者是否经历了多种感觉方式的感觉处理改变,并探讨感觉处理受损与情绪状态之间的关系。
68 名患有脑或脊髓肿瘤的患者参与了这项研究。测试了认知能力和情绪功能,并在两个时间点(发病后和手术后)对两个方向(超敏和低敏)和五个感觉模式(视觉、听觉、触觉、嗅觉和味觉)的主观变化进行了评估。
五分之一的参与者抱怨视觉领域的超敏现象,类似比例的参与者抱怨听觉和触觉领域的低敏现象。此外,三分之一的参与者在发病后抱怨两种或更多种感觉异常。层次回归分析表明,听觉和触觉感觉变化预测了抑郁状态。
总之,脑肿瘤患者出现了多种感觉变化,表现为超敏或低敏。感觉变化可能与抑郁状态有关,但结果尚无定论。