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神经发育障碍及受虐待经历儿童的感觉加工问题评估

Assessment of Sensory Processing Issues in Children with Neurodevelopmental Disorders and Experiences of Maltreatment.

作者信息

Ide-Okochi Ayako, He Mu, Tokieda Tomofumi, Nakamura Satsuki, Matsunaga Nobutomo

机构信息

Faculty of Health Sciences, Kumamoto University, Kumamoto 862-0976, Japan.

Graduate School of Health Sciences Education, Kumamoto University, Kumamoto 862-0976, Japan.

出版信息

Children (Basel). 2024 Feb 7;11(2):216. doi: 10.3390/children11020216.

Abstract

This study aims to identify the sensory characteristics of children with both developmental disabilities such as ASD and ADHD and a history of child maltreatment (DM group), children with developmental disabilities (DD group), and typically developed children (TD group). The sensory characteristics of 24 children were assessed through virtual reality and self-administered questionnaires. The results elucidated that the duration of gazing at the "teacher" (60-75 s) was significantly different with the DM group's gaze being shorter than the DD group's gaze ( = 0.042). The duration of the "others" gaze (45-60 s) was also significantly different with the DM group's gaze being longer than the DD and TD groups' gaze ( = 0.018; = 0.030). Additionally, the scores for tactile sensitivity, taste/smell sensitivity, under-responsive/seeks sensation, and the total short-term sensory profile were significantly different between the DM-DD and DD-TD groups. The scores of the heart rate perception test and Multidimensional Assessment of Interoceptive Awareness were significantly lower in the DM and DD groups. In conclusion, children who have experienced trauma and developmental disabilities may have different sensory characteristics than children with only developmental disabilities or none, implying the need for further research and tailored care.

摘要

本研究旨在确定患有自闭症谱系障碍(ASD)和注意力缺陷多动障碍(ADHD)等发育障碍且有儿童期虐待史的儿童(DM组)、发育障碍儿童(DD组)和发育正常儿童(TD组)的感觉特征。通过虚拟现实和自行填写问卷对24名儿童的感觉特征进行了评估。结果表明,注视“教师”的持续时间(60 - 75秒)存在显著差异,DM组的注视时间短于DD组( = 0.042)。注视“其他人”的持续时间(45 - 60秒)也存在显著差异,DM组的注视时间长于DD组和TD组( = 0.018; = 0.030)。此外,DM组与DD组以及DD组与TD组之间在触觉敏感性、味觉/嗅觉敏感性、反应不足/寻求感觉以及短期感觉特征总分方面存在显著差异。DM组和DD组的心率感知测试得分和内感受觉知多维评估得分显著较低。总之,经历过创伤和发育障碍的儿童可能具有与仅患有发育障碍或无发育障碍的儿童不同的感觉特征,这意味着需要进一步研究和提供个性化护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed25/10887822/7aa136361624/children-11-00216-g001.jpg

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