Prato Adriana, Saia Federica, Ferrigno Marianna, Finocchiaro Valentina, Barone Rita, Rizzo Renata
Child and Adolescent Neurology and Psychiatric Section, Department of Clinical and Experimental Medicine, Catania University, Catania, Italy.
Front Psychiatry. 2024 Apr 2;15:1338234. doi: 10.3389/fpsyt.2024.1338234. eCollection 2024.
Tourette syndrome (TS) and autism spectrum disorder (ASD) are two neurodevelopmental disorders with an onset before the age of 18 years. TS patients frequently reported atypical sensory phenomena (SP). Sensory processing abnormalities are also particularly frequent in ASD individuals.
Considering the higher rate of atypical sensory behaviours in both neurodevelopmental disorders, in the present study we analysed sensory experiences in patients with ASD and in patients with TS.
We enrolled patients with a primary diagnosis of TS or ASD. All participants were assessed for primary diagnosis and associated comorbidities. The presence of sensory behaviours was investigated using the University of Sao Paulo's Sensory Phenomena Scale (USP-SPS).
SP were significantly more represented in the ASD-group versus TS-group, except for sound just-right perceptions and energy to released. ASD participants presented higher mean scores in all fields of USP-SPS severity scale respect on TS patients and healthy controls. The USP-SPS total score had significant positive correlations with the CYBOCS and MASC total scores in the TS cohort. In the ASD group, the USP-SPS total score was significantly negative correlated with the total IQ and marginally positive correlated with ADOS total score.
SP are a frequently reported characteristic both of ASD and TS. Future studies are needed to better evaluate the differences on their phenomenology in patients with TS and ASD.
抽动秽语综合征(TS)和自闭症谱系障碍(ASD)是两种在18岁之前发病的神经发育障碍。TS患者经常报告有非典型感觉现象(SP)。感觉处理异常在ASD个体中也特别常见。
鉴于这两种神经发育障碍中非典型感觉行为的发生率较高,在本研究中,我们分析了ASD患者和TS患者的感觉体验。
我们纳入了初步诊断为TS或ASD的患者。所有参与者均接受了初步诊断及相关合并症的评估。使用圣保罗大学感觉现象量表(USP-SPS)调查感觉行为的存在情况。
除了对声音恰到好处的感知和能量释放外,ASD组的SP表现明显多于TS组。在USP-SPS严重程度量表的所有领域,ASD参与者的平均得分均高于TS患者和健康对照。在TS队列中,USP-SPS总分与耶鲁综合抽动严重程度量表(CYBOCS)和儿童焦虑相关情绪障碍筛查表(MASC)总分呈显著正相关。在ASD组中,USP-SPS总分与总智商呈显著负相关,与自闭症诊断观察量表(ADOS)总分呈微弱正相关。
SP是ASD和TS患者经常报告的特征。未来需要开展研究以更好地评估TS和ASD患者在感觉现象学方面的差异。