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神经发育障碍中的非典型感觉加工:学龄前儿童的临床表型

Atypical Sensory Processing in Neurodevelopmental Disorders: Clinical Phenotypes in Preschool-Aged Children.

作者信息

Gigliotti Federica, Giovannone Federica, Belli Arianna, Sogos Carla

机构信息

Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.

出版信息

Children (Basel). 2024 Jul 19;11(7):875. doi: 10.3390/children11070875.

Abstract

BACKGROUND

Sensory processing issues are frequent in neurodevelopmental disorders (NDDs), with very variable prevalence rates ranging from 20% to 95%. This study aimed to investigate sensory processing in preschool-aged children with NDDs, to clarify the epidemiology, and to identify associated or correlated clinical and psychometric variables.

METHODS

A total of 141 NDD children (age range 2-5 years old) were included and enrolled in two subgroups: 72 with ASD and 69 with other NDDs. A standardized neuropsychological evaluation was assessed (Griffiths III/WPPSI-III/Leiter-R, ADOS-2) and the parents completed the CBCL ½-5, the SPM-P, and the ADI-R.

RESULTS

Atypical sensory processing was reported in 39.7% of the total sample, more frequently in ASD (44.4%) than in other NDDs (34.8%). No statistically significant differences were found regarding gender and developmental level. A positive correlation was found between sensory processing abnormalities and behavioral problems ( < 0.01).

CONCLUSIONS

Compared to other NDDs, ASDs more frequently have atypical sensory processing and appear to present a specific vulnerability in the processing of proprioceptive and vestibular inputs. Our results suggest that sensory processing difficulties should be considered regardless of developmental level and in children with behavioral problems.

摘要

背景

感觉加工问题在神经发育障碍(NDDs)中很常见,患病率差异很大,从20%到95%不等。本研究旨在调查患有NDDs的学龄前儿童的感觉加工情况,以阐明其流行病学特征,并确定相关的临床和心理测量学变量。

方法

共纳入141名NDD儿童(年龄范围2至5岁),并分为两个亚组:72名患有自闭症谱系障碍(ASD),69名患有其他NDDs。进行了标准化的神经心理评估(格里菲斯III/韦氏幼儿智力量表第三版/莱特国际操作量表修订版、自闭症诊断观察量表第二版),父母完成了儿童行为量表(2至5岁版)、感觉加工量表-家长版和自闭症诊断访谈修订版。

结果

在总样本中,39.7%的儿童报告有非典型感觉加工,ASD儿童(44.4%)比其他NDDs儿童(34.8%)更常见。在性别和发育水平方面未发现统计学上的显著差异。感觉加工异常与行为问题之间存在正相关(<0.01)。

结论

与其他NDDs相比,ASD更常出现非典型感觉加工,并且在本体感觉和前庭输入的加工方面似乎存在特定的易损性。我们的结果表明,无论发育水平如何,对于有行为问题的儿童都应考虑感觉加工困难。

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