Virginia Spielmann, PhD, OTR/L, is Executive Director, STAR Institute for Sensory Processing, Centennial, CO;
Hannah K. Burke, MS, OTR/L, is PhD Candidate, Department of Occupational Therapy, Colorado State University, Fort Collins.
Am J Occup Ther. 2023 Mar 1;77(2). doi: 10.5014/ajot.2023.050127.
Although a central tenet of occupational therapy practice, evidence-based practice is at times overrepresented by research and can overlook the contributions of clinical expertise, the lived experience, and context. This survey affords the occupational therapy practitioner the opportunity to understand sensory integration and processing (SI/P) as experienced by autistic adults.
To explore the following research question through a retrospective analysis of an internet-based survey: What is the relationship between the SI/P differences and mental health concerns reported by autistic adults?
Nonexperimental; retrospective analysis of data collected from September 2018 through June 2019. The analysis team joined the project after the survey had been launched.
The Grand Sensory Survey (GSS) was available internationally through the websites and social media accounts of the Autistic Empire and STAR Institute for Sensory Processing.
The sample included 440 total responses. Excluding responses from participants ages ≤18 yr (n = 24), 416 responses were included: n = 189 identified as autistic, n = 147 identified as nonautistic, and n = 80 did not provide a response to this query.
The GSS included questions about demographics, mental health, and sensory experiences.
Both SI/P disruptions and sensory sensitivity predicted anxiety and depression (p < .001).
Differences in SI/P are significant factors in mental health for autistic adults. What This Article Adds: We implicate multiple aspects of SI/P and their influence on mental health among autistic adults. The autistic-led design of the survey ensures representation of issues that are pivotal to the autistic community, broadening the template for aspects of SI/P that should be considered when looking at client factors in autism and influence on function and participation. Positionality Statement: The authors deliberately use identity first language in keeping with requests from the autistic community (see https://autisticadvocacy.org/about-asan/identity-first-language/). This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016). This article is written from the perspective of the social model of disability and a neurodiversity affirming frame of reference. Three of the five authors are autistic.
尽管以证据为基础的实践是职业治疗实践的一个核心原则，但有时它会被研究过度代表，而忽略了临床专业知识、生活经验和背景的贡献。这项调查使职业治疗师有机会了解自闭症成年人的感觉统合和处理（SI/P）。
通过对 2018 年 9 月至 2019 年 6 月期间通过互联网调查进行的回顾性分析，探讨以下研究问题：自闭症成年人报告的 SI/P 差异与心理健康问题之间存在什么关系？
非实验性；对 2018 年 9 月至 2019 年 6 月期间通过自闭症帝国和 STAR 感觉处理研究所的网站和社交媒体账户发布的调查数据进行的回顾性分析。该分析小组在调查启动后加入了该项目。
Grand Sensory Survey（GSS）可在国际范围内通过 Autistic Empire 和 STAR Institute for Sensory Processing 的网站和社交媒体账户获得。
该样本包括 440 个总回复。排除年龄≤18 岁的参与者的回复（n=24），共有 416 个回复被纳入：n=189 人被确定为自闭症，n=147 人被确定为非自闭症，n=80 人未对这一查询做出回应。
GSS 包括有关人口统计、心理健康和感官体验的问题。
SI/P 差异和感官敏感性均预测焦虑和抑郁（p<.001）。
SI/P 的差异是自闭症成年人心理健康的重要因素。
我们暗示了 SI/P 的多个方面及其对自闭症成年人心理健康的影响。调查的自闭症主导设计确保了对自闭症社区至关重要的问题的代表性，扩大了在考虑自闭症中的客户因素及其对功能和参与的影响时应考虑的 SI/P 方面的模板。
作者故意使用身份第一语言，以符合自闭症社区的要求（请参阅 https://autisticadvocacy.org/about-asan/identity-first-language/）。这种语言受到自闭症社区和自我倡导者的青睐，并已被医疗保健专业人员和研究人员采用（Bottema-Beutel 等人，2021 年; Kenny 等人，2016 年）。本文从残疾的社会模式和神经多样性肯定的参考框架的角度撰写。五位作者中有三位是自闭症患者。
