Ankara Medipol University, Occupational Therapy Department, Ankara, Turkey.
Biruni University, Occupational Therapy Department, Istanbul, Turkey.
Infant Behav Dev. 2024 Sep;76:101981. doi: 10.1016/j.infbeh.2024.101981. Epub 2024 Aug 21.
This study investigates the sensory processing of typically developing toddlers with and without sleep problems. The research group consisted of typically developing toddlers with sleep problems (n = 110, mean age=18.35 ± 3.4 months), while the control group included typically developing toddlers without sleep problems (n = 110, mean age=18.67 ± 3.5 months) and their mothers. Toddlers were assigned to the research and control groups based on their sleep problems, as determined by the Brief Infant Sleep Questionnaire. The sensory processing of the toddlers was evaluated using the Infant/Toddler Sensory Profile 2. Sensory patterns and sensory processing sub-parameters of the research and control groups were compared. The sensory processing of the research group showed atypical behavioral responses in low registration (low awareness or indifferent attitude to sensory stimuli), sensory sensitivity (distracted or irritable attitude, intensely stimulated by sensory stimuli), and sensory avoiding (intentional avoidance of sensory stimuli or attitudes that produce out-of-norm responses) patterns compared to the control group (p < 0.05). Behavioral responses were similar in the sensory seeking (disturbing or dangerous attitude to the environment in search of sensory stimuli) pattern (p > 0.309). Statistically significant differences were observed in all sub-parameters of sensory processing compared to the control group. Our findings indicate that toddlers with sleep problems are at risk for sensory processing issues. Toddlers with sleep problems exhibit atypical sensory responses related to sensory sensitivity, low registration, and sensory avoiding. It should be considered that toddlers with sleep problems may show sensitivity to different sensory stimuli, avoidance or may not be able to recognize sensory stimuli. These findings suggest that the inclusion of sensory profile assessments in interdisciplinary care for toddlers with sleep problems may contribute to parent-infant well-being.
本研究调查了有睡眠问题和无睡眠问题的典型发育幼儿的感觉处理情况。研究组由有睡眠问题的典型发育幼儿（n=110，平均年龄=18.35±3.4 个月）和他们的母亲组成，而对照组包括无睡眠问题的典型发育幼儿（n=110，平均年龄=18.67±3.5 个月）。根据婴儿睡眠问卷，通过睡眠问题将幼儿分配到研究组和对照组。使用婴儿/幼儿感觉概况量表 2 评估幼儿的感觉处理情况。比较研究组和对照组的感觉模式和感觉处理子参数。与对照组相比，研究组的感觉处理表现出不典型的行为反应，表现在低登记（对感觉刺激的低意识或漠不关心的态度）、感觉敏感（分心或易怒的态度，对感觉刺激强烈刺激）和感觉回避（有意回避感觉刺激或产生异常反应的态度）模式（p<0.05）。在感觉寻求（对环境有干扰或危险的态度，以寻找感觉刺激）模式中，行为反应相似（p>0.309）。与对照组相比，感觉处理的所有子参数均存在统计学差异。我们的研究结果表明，有睡眠问题的幼儿存在感觉处理问题的风险。有睡眠问题的幼儿表现出与感觉敏感、低登记和感觉回避相关的不典型感觉反应。应考虑到有睡眠问题的幼儿可能对不同的感觉刺激敏感、回避或无法识别感觉刺激。这些发现表明，在有睡眠问题的幼儿的跨学科护理中纳入感觉概况评估可能有助于母婴健康。
