Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto, Portugal; Psychiatry Service of São João University Hospital Center (CHUSJ), Porto, Portugal.
Child and Adolescence Psychiatry Service, Santo António University Hospital Center (CHUSA), Porto, Portugal.
Res Dev Disabil. 2024 Jun;149:104742. doi: 10.1016/j.ridd.2024.104742. Epub 2024 Apr 27.
Autistic features and sensory processing difficulties and their phenotypic co-expression with alexithymia share a transdiagnostic vulnerability. In this work, we explored whether the current concept of broad autism phenotype rather translates altered sensory processing (non-specific to autism), meaning that the characteristics of altered sensory processing should be overexpressed among individuals with heightened vulnerability to sensory processing atypicalities (parents of children with sensorial processing disorder, or SPD parents) and individuals with heightened vulnerability to autistic traits (parents of children with autism spectrum disorders, or ASD parents). In addition, the association between altered sensory processing and alexithymia was inspected.
The Adolescent/Adult Sensory Profile, Autism Spectrum Quotient, and Toronto Alexithymia Scale were completed by 31 parents of children with ASD, 32 parents of children with SPD, and 52 parents of typically developed (TD) children.
Extreme sensory patterns were overexpressed both in parents of children with SPD and parents of children with ASD when compared to parents of TD children. In addition, extreme sensory patterns were significantly associated with alexithymia scores. Specifically, sensory avoidance, low registration, and sensory sensitivity were positively correlated with alexithymia. No significant differences were found regarding the proportion of autistic traits and alexithymia between ASD and SPD groups of parents.
These results challenge the specificity of broad autism phenotype and suggest a neurodevelopmental atypicity with roots in altered sensory and emotional processing.
自闭症特征和感官处理困难及其与述情障碍的表型共表达具有跨诊断易感性。在这项工作中,我们探讨了广泛自闭症表型的现有概念是否更能转化为改变的感官处理(非特异性自闭症),这意味着在对感官处理异常(感觉处理障碍儿童的父母,或 SPD 父母)和对自闭症特征高度易感的个体(自闭症谱系障碍儿童的父母,或 ASD 父母)中,改变的感官处理的特征应该过度表达。此外,还检查了改变的感官处理与述情障碍之间的关联。
31 名自闭症谱系障碍儿童的父母、32 名感觉处理障碍儿童的父母和 52 名正常发育(TD)儿童的父母完成了青少年/成人感觉量表、自闭症谱系商数和多伦多述情障碍量表。
与 TD 儿童的父母相比,感觉处理障碍儿童的父母和自闭症谱系障碍儿童的父母都过度表达了极端的感觉模式。此外,极端的感觉模式与述情障碍评分显著相关。具体而言,感觉回避、低登记和感觉敏感与述情障碍呈正相关。关于 ASD 和 SPD 组父母的自闭症特征和述情障碍的比例,没有发现显著差异。
这些结果对广泛自闭症表型的特异性提出了挑战,并表明存在与改变的感官和情绪处理有关的神经发育异常。