1
|
Lazerwitz MC, Rowe MA, Trimarchi KJ, Garcia RD, Chu R, Steele MC, Parekh S, Wren-Jarvis J, Bourla I, Mark I, Marco EJ, Mukherjee P. Brief Report: Characterization of Sensory Over-Responsivity in a Broad Neurodevelopmental Concern Cohort Using the Sensory Processing Three Dimensions (SP3D) Assessment. J Autism Dev Disord 2024; 54:3185-3192. [PMID: 36180667 PMCID: PMC9524317 DOI: 10.1007/s10803-022-05747-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/04/2022] [Indexed: 12/01/2022]
Abstract
Sensory Over-Responsivity (SOR) is an increasingly recognized challenge among children with neurodevelopmental concerns (NDC). To investigate, we characterized the incidence of auditory and tactile over-responsivity (AOR, TOR) among 82 children with NDC. We found that 70% of caregivers reported concern for their child's sensory reactions. Direct assessment further revealed that 54% of the NDC population expressed AOR, TOR, or both - which persisted regardless of autism spectrum disorder (ASD) diagnosis. These findings support the high prevalence of SOR as well as its lack of specificity to ASD. Additionally, AOR is revealed to be over twice as prevalent as TOR. These conclusions present several avenues for further exploration, including deeper analysis of the neural mechanisms and genetic contributors to sensory processing challenges.
Collapse
Affiliation(s)
- Maia C Lazerwitz
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA
- Cortica Healthcare, San Rafael, CA, USA
| | - Mikaela A Rowe
- Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA
| | | | | | - Robyn Chu
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA
- Growing Healthy Children Therapy Services, Rescue, CA, USA
| | | | - Shalin Parekh
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA
| | - Jamie Wren-Jarvis
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA
| | - Ioanna Bourla
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA
| | - Ian Mark
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA
| | | | - Pratik Mukherjee
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA
| |
Collapse
|
2
|
Gigliotti F, Giovannone F, Belli A, Sogos C. Atypical Sensory Processing in Neurodevelopmental Disorders: Clinical Phenotypes in Preschool-Aged Children. CHILDREN (BASEL, SWITZERLAND) 2024; 11:875. [PMID: 39062324 PMCID: PMC11276037 DOI: 10.3390/children11070875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Revised: 07/07/2024] [Accepted: 07/17/2024] [Indexed: 07/28/2024]
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 (p < 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.
Collapse
Affiliation(s)
| | | | | | - Carla Sogos
- Department of Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy; (F.G.); (F.G.); (A.B.)
| |
Collapse
|
3
|
Elvin OM, Modecki KL, Waters AM. An Expanded Conceptual Framework for Understanding Irritability in Childhood: The Role of Cognitive Control Processes. Clin Child Fam Psychol Rev 2024; 27:381-406. [PMID: 38856946 PMCID: PMC11222227 DOI: 10.1007/s10567-024-00489-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2024] [Indexed: 06/11/2024]
Abstract
Children prone to irritability experience significant functional impairments and internalising and externalising problems. Contemporary models have sought to elucidate the underlying mechanisms in irritability, such as aberrant threat and reward biases to improve interventions. However, the cognitive control processes that underlie threat (e.g., attention towards threats) and reward (e.g., attention towards reward-related cues) biases and the factors which influence the differential activation of positive and negative valence systems and thus leading to maladaptive activation of cognitive control processes (i.e., proactive and reactive control) are unclear. Thus, we aim to integrate extant theoretical and empirical research to elucidate the cognitive control processes underlying threat and reward processing that contribute to irritability in middle childhood and provide a guiding framework for future research and treatment. We propose an expanded conceptual framework of irritability that includes broad intraindividual and environmental vulnerability factors and propose proximal 'setting' factors that activate the negative valence and positive valence systems and proactive and reactive cognitive control processes which underpin the expression and progression of irritability. We consider the implications of this expanded conceptualisation of irritability and provide suggestions for future research.
Collapse
Affiliation(s)
- Olivia M Elvin
- School of Applied Psychology, Griffith University, Mount Gravatt Campus, Brisbane, QLD, Australia.
| | - Kathryn L Modecki
- Centre for Mental Health and School of Applied Psychology, Griffith University, Mount Gravatt Campus, Brisbane, QLD, Australia
- School of Psychological Science, University of Western Australia & Telethon Kids Institute, Perth, Australia
| | - Allison M Waters
- Centre for Mental Health and School of Applied Psychology, Griffith University, Mount Gravatt Campus, Brisbane, QLD, Australia.
| |
Collapse
|
4
|
Yildiz A, Yildiz R, Burak M, Zorlular R, Akkaya KU, Elbasan B. An investigation of sensory processing skills in toddlers with joint hypermobility. Early Hum Dev 2024; 192:105997. [PMID: 38614033 DOI: 10.1016/j.earlhumdev.2024.105997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 03/20/2024] [Accepted: 03/31/2024] [Indexed: 04/15/2024]
Abstract
BACKGROUND Children with Generalized Joint Hypermobility (GJH) may have a motor developmental delay in the early period and subluxation, fatigue, autonomic dysfunction, and pain arising from ligaments and other soft tissues in advanced ages. Additionally, there is a loss of proprioceptive sensation in children and adults with GJH. AIMS This study aimed to evaluate sensory processing skills in toddlers with GJH. STUDY DESIGN A cross-sectional study. SUBJECTS Fifty-eight children aged between 12 and 14 months were included in the study. These children were divided into two groups: with and without GJH (31 with GJH and 27 without GJH). OUTCOME MEASURES The sensory processing skills of the children in the study were evaluated with the Test of Sensory Functions in Infants (TSFI). RESULTS The scores in the subtests of TSFI in response to tactile deep pressure, adaptive motor functions, visual-tactile integration, and response to vestibular stimuli were higher in favor of children without GJH (p < 0.05). The total TSFI score was higher in the group without GJH (p < 0.05). CONCLUSIONS Sensory processing problems were found in toddlers with GJH. Sensory motor development should be evaluated in children with GJH, and an appropriate early intervention program should be planned.
Collapse
Affiliation(s)
- Ayse Yildiz
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey.
| | - Ramazan Yildiz
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey
| | - Mustafa Burak
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Fırat University, Elazig, Turkey
| | - Rabia Zorlular
- Department of Physical Therapy and Rehabilitation, Bor Faculty of Health Sciences, Nigde Omer Halis Demir University, Niğde, Turkey
| | - Kamile Uzun Akkaya
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| | - Bulent Elbasan
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey
| |
Collapse
|
5
|
Watkyns AF, Cloete LG, Parham LD. Sensory reactivity assessment in children: A systematic review. Dev Med Child Neurol 2024; 66:422-439. [PMID: 37771091 DOI: 10.1111/dmcn.15758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 08/12/2023] [Accepted: 08/17/2023] [Indexed: 09/30/2023]
Abstract
AIM To identify sensory reactivity assessments published in the literature for children aged 3 to 12 years and evaluate their psychometric properties to select the most appropriate one for adaptation to South Africa, with implications for other low- and middle-income countries. METHOD We addressed the following two review questions. What tests have been published in the literature in the past 30 years to evaluate sensory reactivity with children aged 3 to 12 years? What is the validity and reliability of the tests reported in the studies? The COnsensus-based standards for the Selection of health Measurement INstruments (COSMIN) methodology was used. We searched eight databases. Two reviewers independently screened and selected the studies. RESULTS The reviewers identified 41 studies, representing 19 assessments. The most common type of assessment was the proxy-reported caregiver questionnaire. Sensory systems most often assessed were visual, tactile, auditory, and vestibular. Study populations included those with autism spectrum disorder, attention-deficit/hyperactivity disorder, and children born preterm. Ratings for measurement properties of most assessments were moderate to low. INTERPRETATION Limited psychometric information was reported, with low ratings for many properties. The Sensory Processing 3-Dimensions Scale was selected on the basis of its psychometric properties and alignment with best-practice recommendation to use a caregiver questionnaire and a performance test to assess sensory reactivity.
Collapse
Affiliation(s)
- Ann F Watkyns
- Division of Occupational Therapy, Department of Medicine and Health Sciences, Stellenbosch University, Western Cape, South Africa
| | - Lizahn Gracia Cloete
- Division of Occupational Therapy, Department of Medicine and Health Sciences, Stellenbosch University, Western Cape, South Africa
| | - Linda D Parham
- Paediatrics Department, School of Medicine, University of New Mexico, Albuquerque, NM, USA
| |
Collapse
|
6
|
Heffler KF, Acharya B, Subedi K, Bennett DS. Early-Life Digital Media Experiences and Development of Atypical Sensory Processing. JAMA Pediatr 2024; 178:266-273. [PMID: 38190175 PMCID: PMC10775079 DOI: 10.1001/jamapediatrics.2023.5923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 10/30/2023] [Indexed: 01/09/2024]
Abstract
Importance Atypical sensory processing is challenging for children and families, yet there is limited understanding of its associated risk factors. Objective To determine the association between early-life digital media exposure and sensory processing outcomes among toddlers. Design, Setting, and Participants This multicenter US study used data that were analyzed from the National Children's Study (NCS), a cohort study of environmental influences on child health and development, with enrollment from 2011 to 2014. Data analysis was performed in 2023. The study included children enrolled in the NCS at birth whose caregivers completed reports of digital media exposure and sensory processing. Exposures Children's viewing of television or video at 12 months (yes or no), 18 months, and 24 months of age (hours per day). Main Outcomes and measures Sensory processing was reported at approximately 33 months of age on the Infant/Toddler Sensory Profile. Quadrant scores (low registration, sensation seeking, sensory sensitivity, and sensation avoiding) were categorized into groups representing typical, high, and low sensory-related behaviors, and multinomial regression analyses were performed. Results A total of 1471 children (50% male) were included. Screen exposure at 12 months of age was associated with a 2-fold increased odds of being in the high category of low registration (odds ratio [OR], 2.05; 95% CI, 1.31-3.20), while the odds of being in the low category instead of the typical category decreased for sensation seeking (OR, 0.55; 95% CI, 0.35-0.87), sensation avoiding (OR, 0.69; 95% CI, 0.50-0.94), and low registration (OR, 0.64; 95% CI, 0.44-0.92). At 18 months of age, greater screen exposure was associated with increased risk of high sensation avoiding (OR, 1.23; 95% CI, 1.03-1.46) and low registration (OR, 1.23; 95% CI, 1.04-1.44). At 24 months of age, greater screen exposure was associated with increased risk of high sensation seeking (OR, 1.20; 95% CI, 1.02-1.42), sensory sensitivity (OR, 1.25; 95% CI, 1.05-1.49), and sensation avoiding (OR, 1.21; 95% CI, 1.03-1.42). Conclusions and Relevance In this cohort study, early-life digital media exposure was associated with atypical sensory processing outcomes in multiple domains. These findings suggest that digital media exposure might be a potential risk factor for the development of atypical sensory profiles. Further research is needed to understand the relationship between screen time and specific sensory-related developmental and behavioral outcomes, and whether minimizing early-life exposure can improve subsequent sensory-related outcomes.
Collapse
Affiliation(s)
- Karen Frankel Heffler
- Department of Psychiatry, Drexel University College of Medicine, Philadelphia, Pennsylvania
- Tower Health, West Reading, Pennsylvania
| | - Binod Acharya
- Urban Health Collaborative, Drexel University, Philadelphia, Pennsylvania
| | - Keshab Subedi
- Institute for Research on Equity and Community Health (iREACH), Christiana Care Health Systems, Newark, Delaware
| | - David S Bennett
- Department of Psychiatry, Drexel University College of Medicine, Philadelphia, Pennsylvania
| |
Collapse
|
7
|
Jang WH, Lee SH. Diffusion tensor imaging of the brain in children with sensory processing disorder: A review. J Neuroimaging 2024; 34:167-178. [PMID: 38183169 DOI: 10.1111/jon.13186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 12/20/2023] [Accepted: 12/20/2023] [Indexed: 01/07/2024] Open
Abstract
Sensory processing disorder (SPD) is a clinical condition characterized by difficulties in the neurological processes of registering, discriminating, organizing, and responding to various sensory sensations. This study aimed to review the association between impaired white matter (WM) tract structure and neurofunctional deficits in children with SPD using diffusion tensor imaging (DTI). A comprehensive literature search was conducted using the online databases Google Scholar and PubMed (from 2010 to July 2023), resulting in the selection of nine relevant studies. Findings revealed that the splenium of the corpus callosum (SCC), superior longitudinal fasciculus (SLF), posterior corona radiata (PCR), and posterior thalamic radiation (PTR) exhibited reduced microstructural integrity, strongly associated with SPD. Specifically, auditory over-responsivity, a subtype of SPD, was linked to impaired integrity of the PCR, PTR, anterior corona radiata, and SLF. Tactile over-responsivity (TOR) was correlated with markers of decreased integrity in the SCC, superior corona radiata, and left PTR. Among the DTI parameters, decreased fractional anisotropy (FA) emerged as the most reliable factor for identifying SPD, followed by increased radial diffusivity (RD) and mean diffusivity (MD). Notably, significant correlations were observed between with auditory over-responsivity and TOR with the DTI parameters (positive for FA and negative for RD and MD). Overall, this review confirms the impaired integrity of specific WM tracts in children with SPD and establishes correlations between DTI parameters and neurobehavioral deficits associated with the disorder. The insights gained from this review contribute to a better understanding of SPD and hold clinical implications for its diagnosis and treatment.
Collapse
Affiliation(s)
- Woo-Hyuk Jang
- Department of Occupational Therapy, College of Health Science, Kangwon National University, Samcheok-si, Republic of Korea
| | - Seon-Hee Lee
- Department of Occupational Therapy, College of Health Science, Kangwon National University, Samcheok-si, Republic of Korea
| |
Collapse
|
8
|
Campi E, Choi E, Chen YJ, Holland CM, Bristol S, Sideris J, Crais ER, Watson LR, Baranek GT. Sensory Reactivity of Infants at Elevated Likelihood of Autism and Associations with Caregiver Responsiveness. J Autism Dev Disord 2024; 54:270-279. [PMID: 36307744 PMCID: PMC9616418 DOI: 10.1007/s10803-022-05764-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2022] [Indexed: 10/31/2022]
Abstract
Infants at elevated likelihood of developing autism display differences in sensory reactivity, especially hyporeactivity, as early as 7 months of age, potentially contributing to a developmental cascade of autism symptoms. Caregiver responsiveness, which has been linked to positive social communication outcomes, has not been adequately examined with regard to infant sensory reactivity. This study examined the multiplicative impact of infant sensory hypo- and hyperreactivity on caregiver responsiveness to sensory reactivity and regulation cues in 43 infants at elevated likelihood of autism. Sensory hyperreactivity was found to moderate the association between sensory hyporeactivity and caregiver responsiveness, such that caregivers of infants with moderately high sensory hypo- and hyperreactivity demonstrated higher responsiveness.
Collapse
Affiliation(s)
- Emily Campi
- University of Southern California Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, 1540 Alcazar St, 90033, Los Angeles, CA, USA.
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA.
| | - Elizabeth Choi
- University of Southern California Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, 1540 Alcazar St, 90033, Los Angeles, CA, USA
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA
| | - Yun-Ju Chen
- University of Southern California Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, 1540 Alcazar St, 90033, Los Angeles, CA, USA
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA
| | - Cristin M Holland
- Department of Psychiatry, Columbia University Irving Medical Center, 630 W 168th St, 10032, New York, NY, USA
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA
| | - Stephanie Bristol
- Division of Occupational Science and Occupational Therapy, University of North Carolina Chapel Hill, Bondurant Hall, CB #7122, 27599-7122, Chapel Hill, NC, USA
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA
| | - John Sideris
- University of Southern California Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, 1540 Alcazar St, 90033, Los Angeles, CA, USA
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA
| | - Elizabeth R Crais
- Division of Speech and Hearing Sciences, University of North Carolina Chapel Hill, 321 S Columbia St, 27516, Chapel Hill, NC, USA
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA
| | - Linda R Watson
- Division of Speech and Hearing Sciences, University of North Carolina Chapel Hill, 321 S Columbia St, 27516, Chapel Hill, NC, USA
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA
| | - Grace T Baranek
- University of Southern California Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, 1540 Alcazar St, 90033, Los Angeles, CA, USA
- Department of Health Sciences, University of North Carolina, Chapel Hill, NC, USA
| |
Collapse
|
9
|
Armstrong GM, Greenberg RL, Smárason O, Frederick RM, Guzick AG, Schneider SC, Spencer SD, Cervin M, Storch EA. Factors associated with internalizing and externalizing symptoms in a clinical sample of youth with misophonia. J Obsessive Compuls Relat Disord 2023; 39:100831. [PMID: 37692107 PMCID: PMC10485913 DOI: 10.1016/j.jocrd.2023.100831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/12/2023]
Abstract
Misophonia is an often chronic condition characterized by strong, unpleasant emotional reactions when exposed to specific auditory or visual triggers. While not currently defined within existing classification systems, and not clearly fitting within the framework of extant psychiatric conditions, misophonia has historically been studied most frequently within the context of obsessive-compulsive and related disorders. Internalizing and externalizing psychiatric symptoms are common in misophonia, but specific factors that confer risk for these symptoms remain unknown. The present cross-sectional study examined whether sensory sensitivity and cognitive emotion regulation facets are associated with co-occurring internalizing and externalizing symptoms in 102 youth with misophonia aged 8-17 years (Nfemales = 69). Participants completed self-report assessments of misophonia severity, sensory sensitivity, cognitive emotion regulation, and emotional-behavioral functioning. In the final model, controlling for all variables, multiple linear regression analyses revealed that sensory sensitivity and age were significant predictors of internalizing symptoms, while sensory sensitivity and the other-blame cognitive emotion regulation facet were significant predictors of externalizing symptoms. Further, findings demonstrated that the positive reappraisal cognitive emotion regulation facet moderated the effect of misophonia severity on internalizing symptoms. Results highlight a strong, consistent relation between sensory sensitivities (beyond sound sensitivity) and psychiatric symptoms in misophonic youth. Further research is necessary to determine mechanisms and clinical variables impacting internalizing and externalizing symptoms within youth with misophonia.
Collapse
Affiliation(s)
- Gabrielle M Armstrong
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
| | - Rebecca L Greenberg
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
| | - Orri Smárason
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
- Faculty of Psychology, University of Iceland
| | - Renee M Frederick
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
| | - Andrew G Guzick
- Department of Psychiatry and Behavioral Sciences, University of Pennsylvania
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
| | - Sophie C Schneider
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
| | - Samuel D Spencer
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
| | - Matti Cervin
- Department of Clinical Sciences Lund, Lund University
| | - Eric A Storch
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine
| |
Collapse
|
10
|
Leal ASM, Alba LA, Cummings KK, Jung J, Waizman YH, Moreira JFG, Saragosa-Harris NM, Ninova E, Waterman JM, Langley AK, Tottenham N, Silvers JA, Green SA. Sensory processing challenges as a novel link between early caregiving experiences and mental health. Dev Psychopathol 2023; 35:1968-1981. [PMID: 36523255 PMCID: PMC10734795 DOI: 10.1017/s0954579422000633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
Early caregiving adversity (ECA) is associated with elevated psychological symptomatology. While neurobehavioral ECA research has focused on socioemotional and cognitive development, ECA may also increase risk for "low-level" sensory processing challenges. However, no prior work has compared how diverse ECA exposures differentially relate to sensory processing, or, critically, how this might influence psychological outcomes. We examined sensory processing challenges in 183 8-17-year-old youth with and without histories of institutional (orphanage) or foster caregiving, with a particular focus on sensory over-responsivity (SOR), a pattern of intensified responses to sensory stimuli that may negatively impact mental health. We further tested whether sensory processing challenges are linked to elevated internalizing and externalizing symptoms common in ECA-exposed youth. Relative to nonadopted comparison youth, both groups of ECA-exposed youth had elevated sensory processing challenges, including SOR, and also had heightened internalizing and externalizing symptoms. Additionally, we found significant indirect effects of ECA on internalizing and externalizing symptoms through both general sensory processing challenges and SOR, covarying for age and sex assigned at birth. These findings suggest multiple forms of ECA confer risk for sensory processing challenges that may contribute to mental health outcomes, and motivate continuing examination of these symptoms, with possible long-term implications for screening and treatment following ECA.
Collapse
Affiliation(s)
| | - Laura A. Alba
- Graduate School of Education, University of California, Riverside, Riverside, CA, USA
| | - Kaitlin K. Cummings
- Department of Psychiatry and Biobehavioral Sciences, Jane & Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, CA, USA
| | - Jiwon Jung
- Department of Psychiatry and Biobehavioral Sciences, Jane & Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, CA, USA
| | - Yael H. Waizman
- Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA
| | | | | | - Emilia Ninova
- Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA
| | - Jill M. Waterman
- Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA
| | - Audra K. Langley
- Department of Psychiatry and Biobehavioral Sciences, Jane & Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, CA, USA
- UCLA Pritzker Center for Strengthening Children and Families, Los Angeles, CA, USA
| | - Nim Tottenham
- Department of Psychology, Columbia University, New York, NY, USA
| | - Jennifer A. Silvers
- Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA
| | - Shulamite A. Green
- Department of Psychiatry and Biobehavioral Sciences, Jane & Terry Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, CA, USA
| |
Collapse
|
11
|
Brathwaite R, Sensoy Bahar O, Mutumba M, Byansi W, Namatovu P, Namuwonge F, Neilands TB, McKay MM, Hoagwood KE, Ssewamala FM. Short-Term Impact of "Amaka Amasanyufu" Multiple Family Group Intervention on Mental Health Functioning of Children With Disruptive Behavior Disorders in Uganda. J Am Acad Child Adolesc Psychiatry 2023; 62:777-790. [PMID: 36898607 PMCID: PMC10330280 DOI: 10.1016/j.jaac.2022.12.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Revised: 12/19/2022] [Accepted: 03/01/2023] [Indexed: 03/12/2023]
Abstract
OBJECTIVE We evaluate the mid-intervention (8 weeks) and short-term (16 weeks) impact of a culturally adapted multiple family group (MFG) intervention, "Amaka Amasanyufu," on the mental health of children with disruptive behavior disorders (DBDs) and primary caregivers in Uganda. METHOD We analyzed data from the Strengthening mental health and research training in Sub-Saharan Africa (SMART) Africa-Uganda study. Schools were randomized to the following: a control group; an MFG facilitated by parent peers (MFG-PP); or an MFG facilitated by community health workers (MFG:CHW). All participants were blinded to interventions provided to other participants and study hypotheses. At 8 weeks and 16 weeks, we evaluated differences in depressive symptoms and self-concept among children and in mental health and caregiving-related stress among caregivers. Three-level linear mixed-effects models were fitted. Pairwise comparisons of post-baseline group means were performed using the Sidak adjustment for multiple comparisons and standardized mean differences. Data from 636 children with DBDs and caregivers (controls: n = 243, n = 10 schools; MFG-PP: n = 194, n = 8 schools; MFG-CHW: n = 199, n = 8 schools) were analyzed. RESULTS There were significant group-by-time interactions for all outcomes, and differences were observed mid-intervention, with short-term effects at 16 weeks (end-intervention). MFG-PP and MFG-CHW children had significantly lower depressive symptoms and higher self-concept, whereas caregivers had significantly lower caregiving-related stress and fewer mental health problems, than controls. There was no difference between intervention groups. CONCLUSION Amaka Amasanyufu MFG intervention is effective for reducing depressive symptoms and improving self-concept among children with DBDs while reducing parental stress and mental health problems among caregivers. Given the paucity of culturally adapted mental health interventions, this provides support for adaptation and scale-up in Uganda and other low-resource settings. CLINICAL TRIAL REGISTRATION INFORMATION SMART Africa (Strengthening Mental Health Research and Training); https://clinicaltrials.gov/: NCT03081195.
Collapse
Affiliation(s)
| | | | | | | | - Phionah Namatovu
- International Center for Child Health and Development, Masaka, Uganda
| | | | | | | | | | | |
Collapse
|
12
|
Ben-Sasson A, Podoly TY, Lebowitz ER. The Role of Pediatric Sensory Over-responsivity and Anxiety Symptoms in the Development of Family Accommodations. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01547-4. [PMID: 37219643 DOI: 10.1007/s10578-023-01547-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/13/2023] [Indexed: 05/24/2023]
Abstract
Sensory over-responsivity (SOR) is linked with elevated anxiety and reduced family wellbeing. Family accommodation of anxiety relates with greater symptom severity and reduced intervention outcome. This study examined the contribution of child SOR and co-occurring anxiety symptoms to family accommodation and its consequences. Ninety families of typically developing children (ages 4-13 years), completed an online survey including the Sensory Profile 2, Screen for Child Anxiety Related Emotional Disorders (SCARED), and Family Accommodation Sensory Scale (FASENS). FASENS scores include frequency of accommodation, child impact, and family impact.Children with elevated anxiety symptoms had significantly higher sensory and FASENS scores. Stepwise linear regression indicated that only SOR symptoms significantly predicted the frequency of sensory family accommodation, while both SOR and anxiety symptoms predicted the impact of family accommodation upon child and family well-being.Both SOR and anxiety symptoms in children predict the impact of sensory family accommodations on child and family well-being.
Collapse
Affiliation(s)
- Ayelet Ben-Sasson
- Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, 199 Aba Hushi, Haifa, 3498838, Israel.
| | - Tamar Y Podoly
- Oti, Israeli Association for ASD, Reserach Center, Givat Shmuel, Israel
- Department of Psychology, Bar Ilan University, Ramat Gan, Israel
| | - Eli R Lebowitz
- Child Study Center, Yale University School of Medicine, New Haven, USA
| |
Collapse
|
13
|
Beaudoin AJ, Gagnon M, Ouellette J, Foley V, Couture M, Camden C. [Description of a Pilot Project for Pediatric Occupational Therapy in Daycare and Community Settings]. Can J Occup Ther 2023; 90:34-43. [PMID: 36069023 DOI: 10.1177/00084174221121421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background. Occupational therapy interventions that promote and prevent children's health and well-being aim to reduce health inequalities and foster protective factors. The purpose of this study is to describe a pilot community-based occupational therapy project for preschoolers in partnership with community organizations and childcare services. Method. A participatory action research approach was implemented with support from an advisory committee. An occupational therapist provided community-based occupational therapy services in a tiered organization model over one year. Findings. Services were offered in three tiers: 7 awareness workshops for parents and caregivers (Tier 1), 57 visits and 27 consultations in 8 community agencies (Tier 2), and 23 individual follow-ups (Tier 3). Implications. There is an opportunity to implement with community agencies and daycare settings an occupational therapy service based on community-based rehabilitation for children under 5 years of age.
Collapse
|
14
|
Wood JK, Garcia KE, Carey RG. Increased Prevalence of Sensory Processing Issues in Pediatric Gastrointestinal Patient Population. Perm J 2022; 26:69-77. [PMID: 36446756 PMCID: PMC9761273 DOI: 10.7812/tpp/22.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Background Sensory processing dysfunction in children has been linked to attention-deficit/hyperactivity disorder, autism, feeding disorders, and functional abdominal pain. However, little is known about sensory processing in the broader pediatric gastroenterology population. Objective To characterize frequency and type of sensory processing dysfunction seen in pediatric gastroenterology compared to a general pediatric population. Methods The Short Sensory Profile 2 was administered to the parents of children ranging 3-14 years, being seen in a pediatric gastrointestinal (GI) subspecialty clinic or general pediatric clinic. Short Sensory Profile 2 scores from age- and gender-matched groups were compared with nonparametric statistics. Results Sensory processing dysfunction was increased in children seen in the GI clinic compared to children in the general pediatric clinic. Short Sensory Profile 2 quadrant analysis revealed greatest differences in avoiding, primarily in young females of the GI population. Conclusion Children presenting to a pediatric GI clinic demonstrate greater sensory processing dysfunction compared to children in a general pediatric practice.
Collapse
Affiliation(s)
- Jessica K Wood
- 1Forefront Therapy, Evansville, IN, USA,Jessica K Wood, OTD, OTR/L, BCP
| | - Kara E Garcia
- 2Department of Radiology & Imaging Sciences, Indiana University School of Medicine, Evansville, IN, USA
| | - Rebecca G Carey
- 3Division of Pediatric Gastroenterology, St. Vincent Hospital/Ascension, Peyton Manning Children’s Hospital, Evansville, IN, USA
| |
Collapse
|
15
|
Potharst ES, Truijens D, Seegers ICM, Spaargaren JF, van Steensel FJA, Bögels SM. BOAM: A Visual, Explanatory Diagnostic and Psychoeducation System Used in Collaboration with Families-Feasibility and Acceptability for Children Who Are Non-Responsive to Treatment as Usual. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14693. [PMID: 36429410 PMCID: PMC9691191 DOI: 10.3390/ijerph192214693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 11/04/2022] [Accepted: 11/06/2022] [Indexed: 06/16/2023]
Abstract
Many children referred to mental health services have neurodevelopmental problems, which are not always recognized because the resulting emotional and behavioral problems dominate diagnosis and treatment. BOAM (Basic needs, Order, Autonomy and Meaning) is a new diagnostic system consisting of imaginative models that explain the complexity of symptoms and underlying neuropsychological problems in a simple way. It is designed to be used in a transparent, collaborative process with families, so that family members can better understand the nature of mental health problems, thus increasing self-knowledge and mutual understanding. In this study, the feasibility of the BOAM diagnostic trajectory and subsequent treatment informed by this trajectory are evaluated clinically in 34 children who have not responded to or relapsed after treatment as usual (TAU). Parents completed questionnaires pre-test, post-test and at a 3-month follow-up. The treatment drop-out rate was 2.9%. Post-test, parents rated the BOAM trajectory positively. The questionnaires (measuring child psychopathology, attention, executive functioning, family functioning, partner relationships and parenting stress) demonstrated sensitivity to change, and therefore, seems appropriate for a future effectiveness study. A limitation was the high percentage of missing measurements both post-test (41%) and at the follow-up (41%). The BOAM diagnostic trajectory and subsequent treatment may be a feasible alternative for children who do not respond to or relapse after TAU.
Collapse
Affiliation(s)
- Eva S. Potharst
- UvA Minds, Academic Outpatient (Child and Adolescent) Treatment Centre of the University of Amsterdam, Banstraat 29, 1071 JW Amsterdam, The Netherlands
- Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands
| | - Damiët Truijens
- UvA Minds, Academic Outpatient (Child and Adolescent) Treatment Centre of the University of Amsterdam, Banstraat 29, 1071 JW Amsterdam, The Netherlands
| | - Isabelle C. M. Seegers
- UvA Minds, Academic Outpatient (Child and Adolescent) Treatment Centre of the University of Amsterdam, Banstraat 29, 1071 JW Amsterdam, The Netherlands
| | - Julia F. Spaargaren
- UvA Minds, Academic Outpatient (Child and Adolescent) Treatment Centre of the University of Amsterdam, Banstraat 29, 1071 JW Amsterdam, The Netherlands
| | - Francisca J. A. van Steensel
- Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands
| | - Susan M. Bögels
- Developmental Psychology, University of Amsterdam, Nieuwe Achtergracht 129-B, 1018 WS Amsterdam, The Netherlands
| |
Collapse
|
16
|
Bakalar D, O’Reilly JJ, Lacaille H, Salzbank J, Ellegood J, Lerch JP, Sasaki T, Imamura Y, Hashimoto-Torii K, Vacher CM, Penn AA. Lack of placental neurosteroid alters cortical development and female somatosensory function. Front Endocrinol (Lausanne) 2022; 13:972033. [PMID: 36313771 PMCID: PMC9606442 DOI: 10.3389/fendo.2022.972033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 09/28/2022] [Indexed: 01/24/2023] Open
Abstract
Placental endocrine function is essential to fetal brain development. Placental hormones include neurosteroids such as allopregnanolone (ALLO), a regulator of neurodevelopmental processes via positive allosteric modulation of the GABAA receptor (GABAA-R). Using a mouse model (plKO) in which the gene encoding the ALLO synthesis enzyme is specifically deleted in trophoblasts, we previously showed that placental ALLO insufficiency alters cerebellar white matter development and leads to male-specific autistic-like behavior. We now demonstrate that the lack of placental ALLO causes female-predominant alterations of cortical development and function. Placental ALLO insufficiency disrupts cell proliferation in the primary somatosensory cortex (S1) in a sex-linked manner. Early changes are seen in plKO embryos of both sexes, but persist primarily in female offspring after birth. Adolescent plKO females show significant reduction in pyramidal neuron density, as well as somatosensory behavioral deficits as compared with plKO males and control littermates. Assessment of layer-specific markers in human postmortem cortices suggests that preterm infants may also have female-biased abnormalities in cortical layer specification as compared with term infants. This study establishes a novel and fundamental link between placental function and sex-linked long-term neurological outcomes, emphasizing the importance of the growing field of neuroplacentology.
Collapse
Affiliation(s)
- Dana Bakalar
- Center for Neuroscience Research, Children’s Research Institute, Children’s National Health System, Washington, DC, United States
| | - Jiaqi J. O’Reilly
- Division of Neonatology, Department of Pediatrics, NewYork-Presbyterian Morgan Stanley Children’s Hospital, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States
| | - Helene Lacaille
- Division of Neonatology, Department of Pediatrics, NewYork-Presbyterian Morgan Stanley Children’s Hospital, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States
| | - Jacquelyn Salzbank
- Division of Neonatology, Department of Pediatrics, NewYork-Presbyterian Morgan Stanley Children’s Hospital, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States
| | - Jacob Ellegood
- Mouse Imaging Centre (MICe), Hospital for Sick Children, Toronto, ON, Canada
| | - Jason P. Lerch
- Wellcome Centre for Integrative Neuroimaging (WIN), Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom
| | - Toru Sasaki
- Center for Neuroscience Research, Children’s Research Institute, Children’s National Health System, Washington, DC, United States
| | - Yuka Imamura
- Department of Biochemistry and Molecular Biology, Pennsylvania State University College of Medicine, Hershey, PA, United States
| | - Kazue Hashimoto-Torii
- Center for Neuroscience Research, Children’s Research Institute, Children’s National Health System, Washington, DC, United States
| | - Claire-Marie Vacher
- Division of Neonatology, Department of Pediatrics, NewYork-Presbyterian Morgan Stanley Children’s Hospital, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States
| | - Anna A. Penn
- Division of Neonatology, Department of Pediatrics, NewYork-Presbyterian Morgan Stanley Children’s Hospital, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States
| |
Collapse
|
17
|
Trumello C, Ballarotto G, Ricciardi P, Paciello M, Marino V, Morelli M, Tambelli R, Babore A. Mothers and fathers of pre-school children: a study on parenting stress and child's emotional-behavioral difficulties. CURRENT PSYCHOLOGY 2022; 42:1-12. [PMID: 36035250 PMCID: PMC9395769 DOI: 10.1007/s12144-022-03599-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 07/31/2022] [Accepted: 08/01/2022] [Indexed: 11/29/2022]
Abstract
The present study aimed to analyze the differences between maternal and paternal parenting stress and children's behavioral functioning, as determined by teacher and parent reports. In addition, it sought to evaluate the presence of clusters based on parenting stress and to determine whether perceptions of children's behavioral functioning varied across these clusters. The sample was composed of the parents and teachers of N = 201 children. Parents completed a self-report questionnaire on parenting stress and parents and teachers filled out report-form questionnaires assessing children's emotional and behavioral functioning. The results showed that mothers had higher levels of parenting stress than fathers, and both parents reported more prosocial behavior in children than did teachers. Furthermore, middle stressed parents had children who expressed more prosocial behavior than did parents in other clusters. The findings also showed that parenting stress influenced partners' perceptions of children's behavioral functioning. The multiplicity of child observers facilitated a better understanding of how parenting stress, linked to parent-child interactions, may play an important role in shaping parents' perceptions of their children.
Collapse
Affiliation(s)
- Carmen Trumello
- Department of Psychological, Health and Territorial Sciences, University G. d’Annunzio of Chieti, Chieti, Italy
| | - Giulia Ballarotto
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, via degli Apuli 1, 00185 Rome, Italy
| | - Piera Ricciardi
- Department of Psychological, Health and Territorial Sciences, University G. d’Annunzio of Chieti, Chieti, Italy
| | - Marinella Paciello
- Faculty of Psychology, International Telematic University Uninettuno, Rome, Italy
| | - Valentina Marino
- Department of Psychological, Health and Territorial Sciences, University G. d’Annunzio of Chieti, Chieti, Italy
| | - Mara Morelli
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, via degli Apuli 1, 00185 Rome, Italy
| | - Renata Tambelli
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, via degli Apuli 1, 00185 Rome, Italy
| | - Alessandra Babore
- Department of Psychological, Health and Territorial Sciences, University G. d’Annunzio of Chieti, Chieti, Italy
| |
Collapse
|
18
|
Houwen S, Cox RFA, Roza M, Oude Lansink F, van Wolferen J, Rietman AB. Sensory processing in young children with visual impairments: Use and extension of the Sensory Profile. RESEARCH IN DEVELOPMENTAL DISABILITIES 2022; 127:104251. [PMID: 35569170 DOI: 10.1016/j.ridd.2022.104251] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 01/25/2022] [Accepted: 04/23/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Children with visual impairments (VI) are at risk for sensory processing difficulties. A widely used measure for sensory processing is the Sensory Profile (SP). However, the SP requires adaptation to accommodate for how children with VI experience sensory information. AIMS (1) To examine sensory processing patterns in young children with VI, (2) to develop VI-specific items to use in conjunction with the SP and to determine internal consistency and construct validity of these newly developed items, and (3) to examine the association between sensory processing and and emotional and behavioral problems. METHODS Twenty-six VI-specific items were added to the SP. The SP and these items were completed by caregivers of 90 children with VI between 3 and 8 years old. The Child Behavior Checklist (CBCL) was used to assess emotional and behavioral problems. RESULTS Three- to five-year-old children with VI have significantly more difficulties in three quadrants of the SP as compared to the norm group. Six- to eight-year-old children with VI have more difficulties in all quadrants. A reliable and valid VI-specific set of 15 items was established following psychometric evaluation. Age-related differences were found in the associations between the SP and CBCL. CONCLUSION Although further validation is recommended, this evaluation of the VI-specific item set suggests it has the potential to be a useful measure for children with VI.
Collapse
Affiliation(s)
- Suzanne Houwen
- University of Groningen, Faculty of Behavioral and Social Sciences, Inclusive and Special Needs Education Unit, Grote Kruisstraat 2/1, 9712 TS Groningen, the Netherlands.
| | - Ralf F A Cox
- University of Groningen, Faculty of Behavioral and Social Sciences, Department of Psychology, Grote Kruisstraat 2/1, 9712 TS Groningen, the Netherlands.
| | - Minette Roza
- Bartiméus Expertise Centre for the Visually Impaired, Postbus 1003, 3700 BA Zeist, the Netherlands.
| | - Femke Oude Lansink
- Bartiméus Expertise Centre for the Visually Impaired, Postbus 1003, 3700 BA Zeist, the Netherlands.
| | - Jannemieke van Wolferen
- Bartiméus Expertise Centre for the Visually Impaired, Postbus 1003, 3700 BA Zeist, the Netherlands.
| | - André B Rietman
- Erasmus Medical Center Sophia Children's Hospital, Department of Child and Adolescent Psychiatry/Psychology, Wytemaweg 80, 3015 CN Rotterdam, the Netherlands.
| |
Collapse
|
19
|
Lee H, Chen YJ, Sideris J, Watson LR, Crais ER, Baranek GT. Sensory Features of Young Children From a Large Community Sample: Latent Factor Structures of the Sensory Experiences Questionnaire (Version 2.1, Short Form). Am J Occup Ther 2022; 76:23281. [PMID: 35648120 DOI: 10.5014/ajot.2022.046995] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE Although three sensory factors (hyperresponsiveness [HYPO]; hyporesponsiveness [HYPER]; and sensory interests, repetitions, and seeking behaviors [SIRS]) have been demonstrated among a wide age range of clinical populations, they have not been well validated in the general population, especially with a large community sample of young children. OBJECTIVE To validate the factor structure of the Sensory Experiences Questionnaire (Version 2.1, Short Form; SEQv2.1) in a community sample and to confirm the factor structure's existence in this sample. DESIGN Caregivers completed the SEQv2.1, a parent-reported questionnaire designed to capture children's everyday sensory experiences. The latent factors of the SEQv2.1 were examined using confirmatory factor analysis. SETTING North Carolina. PARTICIPANTS Caregivers of 2,195 children age 3 yr were initially recruited through state birth records and were eligible to participate if the child did not have a history of serious medical problems and English was the family's primary language. OUTCOMES AND MEASURES SEQv2.1. RESULTS The SEQv2.1 showed validity in the community sample. Similar to previous research with clinical populations, the three broad patterns of sensory responsiveness were also confirmed in this large community sample of young children, but associations among the factors differed. CONCLUSIONS AND RELEVANCE Validation of the three-sensory-factor structure in the general population suggests that these constructs are similar to those found with samples of participants with autism spectrum disorder and developmental disabilities. This finding underscores the importance of understanding the normative development of sensory features across a wider age range to better delineate qualitative differences underlying sensory features between clinical and general populations. What This Article Adds: Occupational therapists seeking to assess children's sensory features can use the SEQv2.1 not only with clinical samples but also with children in the general population.
Collapse
Affiliation(s)
- Helen Lee
- Helen Lee, PhD, is Research Affiliate, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles;
| | - Yun-Ju Chen
- Yun-Ju Chen, PhD, is Research Affiliate, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, and Postdoctoral Fellow, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - John Sideris
- John Sideris, PhD, is Professor of Research and Director of Instrument Development and Psychometric/Statistical Analysis, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles
| | - Linda R Watson
- Linda R. Watson, EdD, CCC-SLP, is Professor, Division of Speech and Hearing Sciences, Department of Allied Health Sciences, University of North Carolina at Chapel Hill
| | - Elizabeth R Crais
- Elizabeth R. Crais, PhD, CCC-SLP, is Professor and Associate Chair, Division of Speech and Hearing Sciences, Department of Allied Health Sciences, University of North Carolina at Chapel Hill
| | - Grace T Baranek
- Grace T. Baranek, PhD, OTR/L, FAOTA, is Associate Dean, Chair, and Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles
| |
Collapse
|
20
|
Dugré JR, Eickhoff SB, Potvin S. Meta-analytical transdiagnostic neural correlates in common pediatric psychiatric disorders. Sci Rep 2022; 12:4909. [PMID: 35318371 PMCID: PMC8941086 DOI: 10.1038/s41598-022-08909-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 03/09/2022] [Indexed: 01/04/2023] Open
Abstract
In the last decades, neuroimaging studies have attempted to unveil the neurobiological markers underlying pediatric psychiatric disorders. Yet, the vast majority of neuroimaging studies still focus on a single nosological category, which limit our understanding of the shared/specific neural correlates between these disorders. Therefore, we aimed to investigate the transdiagnostic neural correlates through a novel and data-driven meta-analytical method. A data-driven meta-analysis was carried out which grouped similar experiments’ topographic map together, irrespectively of nosological categories and task-characteristics. Then, activation likelihood estimation meta-analysis was performed on each group of experiments to extract spatially convergent brain regions. One hundred forty-seven experiments were retrieved (3124 cases compared to 3100 controls): 79 attention-deficit/hyperactivity disorder, 32 conduct/oppositional defiant disorder, 14 anxiety disorders, 22 major depressive disorders. Four significant groups of experiments were observed. Functional characterization suggested that these groups of aberrant brain regions may be implicated internally/externally directed processes, attentional control of affect, somato-motor and visual processes. Furthermore, despite that some differences in rates of studies involving major depressive disorders were noticed, nosological categories were evenly distributed between these four sets of regions. Our results may reflect transdiagnostic neural correlates of pediatric psychiatric disorders, but also underscore the importance of studying pediatric psychiatric disorders simultaneously rather than independently to examine differences between disorders.
Collapse
Affiliation(s)
- Jules R Dugré
- Research Center of the Institut Universitaire en Santé Mentale de Montréal, 7331 Hochelaga, Montreal, QC, H1N 3V2, Canada. .,Department of Psychiatry and Addictology, Faculty of Medicine, University of Montreal, Montreal, Canada.
| | - Simon B Eickhoff
- Institute of Neuroscience and Medicine (INM-7), Jülich, Germany.,Institute for Systems Neuroscience, Heinrich Heine University, Düsseldorf, Germany
| | - Stéphane Potvin
- Research Center of the Institut Universitaire en Santé Mentale de Montréal, 7331 Hochelaga, Montreal, QC, H1N 3V2, Canada. .,Department of Psychiatry and Addictology, Faculty of Medicine, University of Montreal, Montreal, Canada.
| |
Collapse
|
21
|
Griffin ZAM, Boulton KA, Thapa R, DeMayo MM, Ambarchi Z, Thomas E, Pokorski I, Hickie IB, Guastella AJ. Atypical sensory processing features in children with autism, and their relationships with maladaptive behaviors and caregiver strain. Autism Res 2022; 15:1120-1129. [PMID: 35297186 PMCID: PMC9544661 DOI: 10.1002/aur.2700] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 02/07/2022] [Accepted: 02/08/2022] [Indexed: 01/05/2023]
Abstract
Atypical sensory processing occurs in up to 97% of children on the autism spectrum. Children who are on the autism spectrum also commonly demonstrate challenging behaviors, and their caregivers report increased levels of strain in daily life. The aim of this study was to explore four sensory processing features; seeking, avoiding, sensitivity, and registration, and their relationships with maladaptive behaviors in children with autism, as well as with caregiver strain. Participants comprised 75 children with autism aged 7–12 years (M = 7.81). Caregivers completed three questionnaire measures examining child sensory processing, maladaptive behaviors, and perceptions of caregiver strain. We found avoiding significantly associated with irritability. Avoiding also displayed the strongest relationship with global caregiver strain. Avoiding and seeking were strongly related to hyperactivity/noncompliance (components of maladaptive behavior). A multiple regression was performed to explore how atypical sensory processing features and maladaptive behaviors together predicted caregiver strain. Together, maladaptive behaviors and sensory features accounted for 58% of the variance in total caregiver strain. The only significant individual predictor of total caregiver strain was sensory avoiding, which uniquely accounted for 5.76% of the variation. The findings suggest that atypical sensory processing is associated with overall caregiver strain, above that explained by maladaptive behaviors. Implications for targeted support for the benefit of the child, parents and family unit are discussed.
Collapse
Affiliation(s)
- Zoe A M Griffin
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Kelsie A Boulton
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Rinku Thapa
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Marilena M DeMayo
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Zahava Ambarchi
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Emma Thomas
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Izabella Pokorski
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Ian B Hickie
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Adam J Guastella
- Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| |
Collapse
|
22
|
Harima Y, Miyawaki D, Goto A, Hirai K, Sakamoto S, Hama H, Kadono S, Nishiura S, Inoue K. Associations Between Chronic Irritability and Sensory Processing Difficulties in Children and Adolescents. Front Psychiatry 2022; 13:860278. [PMID: 35573381 PMCID: PMC9095987 DOI: 10.3389/fpsyt.2022.860278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2022] [Accepted: 04/05/2022] [Indexed: 11/13/2022] Open
Abstract
Irritability is one of the most common reasons for which children and adolescents are referred for psychiatric evaluation and care. However, clinical irritability is difficult to define; thus, its prevalence varies widely. Chronic irritability may be associated with sensory processing difficulties (SPD), but little is known about the relationship between these two factors in clinical populations. In this study, we examined the prevalence of chronic irritability and its association with SPD in 166 children aged 5-16 years who were referred to the psychiatric outpatient clinic of the Osaka City University Hospital. Chronic irritability and parent-reported scores for the Short Sensory Profile, Infant Behavior Checklist-Revised, Child Behavior Checklist, and Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children (Present and Lifetime version) questionnaires were used for assessment. A total of 22 children (13.2%) presented with chronic irritability (i.e., the irritability group) and were more likely to have oppositional defiant disorder, externalizing problems, and attention issues than those without chronic irritability (i.e., the control group). SPD were reported in eight (36%) patients in the irritability group and in 21 (15%) in the control group (p = 0.029). Moreover, compared to the control group, the irritability group showed a significant difference in almost all items of the Short Sensory Profile. Chronic irritability was associated with more severe overall SPD, even after adjusting for possible confounding factors (internalizing and externalizing problems, age, sex, and low income). We provide evidence to support our hypothesis that chronic irritability is associated with SPD in children and adolescents. Therefore, SPD should be assessed to provide appropriate interventions in children and adolescents with chronic irritability.
Collapse
Affiliation(s)
- Yuji Harima
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Dai Miyawaki
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Ayako Goto
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Kaoru Hirai
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.,Department of Pediatrics, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Shoko Sakamoto
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Hiroki Hama
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Shin Kadono
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Sayaka Nishiura
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Koki Inoue
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| |
Collapse
|
23
|
Quintigliano M, Trentini C, Fortunato A, Lauriola M, Speranza AM. Role of Parental Attachment Styles in Moderating Interaction Between Parenting Stress and Perceived Infant Characteristics. Front Psychol 2021; 12:730086. [PMID: 34744898 PMCID: PMC8564486 DOI: 10.3389/fpsyg.2021.730086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 09/29/2021] [Indexed: 11/13/2022] Open
Abstract
By employing the transactional model of development and focusing on the multifactorial nature of parenting, this study aimed to (1) examine whether important risk factors, particularly mothers' insecure attachment styles and parenting stress contribute to the perception of their infants' characteristics and (2) explore whether maternal attachment styles moderate the relationship between parenting stress and perceived infants' characteristics. We recruited 357 mothers (age: 34.23; ± 5.38) who had 1-year-old infants (161 males and 196 females; age: 12.70; ± 1.60 months). All the mothers completed three self-report instruments: Parenting Stress Index-Short Form (PSI-SF), Attachment Style Questionnaire (ASQ), and 1st-Year Inventory (FYI). Although the latter was originally developed to determine the risk for autism in 1-year-olds, it was employed in this study to measure infant's characteristics within two domains: social communication and sensory regulatory functions. Multiple regression analyses revealed that one of the PSI-SF dimensions - specifically the Parent-Child Dysfunctional Interaction - contributed to mothers' perceptions of their children's social communication abilities, whereas the attachment style did not. Other multiple regression analyses showed that all the dimensions of parenting stress - that is, Parenting Distress (PD), Parent-Child Dysfunctional Interaction (PCDI), and Difficult Child (DC) - contributed to mothers' perceptions of their sensory regulatory abilities. The attachment styles, particularly anxious attachment, contributed significantly to a biased perception of these abilities controlled for parenting stress. Mothers reporting high levels of avoidance and high levels of PD viewed their children as less able in the social communicative domain (SC Dom) than if they had low levels of PD. By contrast, when levels of avoidance were low, mothers with high PD perceived their children as less difficult in the SC Dom than those with low levels of PD. Moreover, high avoidance levels influenced how mothers who considered the interaction with their children as difficult perceived them as having greater difficulties in relation to sensory regulatory domain (SR Dom). By contrast, mothers with high levels of anxiety high levels of PD view their children as less able in the SC Dom than if they had low levels of PD. When mothers' levels of anxiety were very low, those with high PD viewed their children as less difficult in the SC Dom in comparison to those with low levels of PD.
Collapse
Affiliation(s)
- Maria Quintigliano
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy
| | - Cristina Trentini
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy
| | - Alexandro Fortunato
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy
| | - Marco Lauriola
- Department of Social and Developmental Psychology, Sapienza University of Rome, Rome, Italy
| | - Anna Maria Speranza
- Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy
| |
Collapse
|
24
|
Perinatal Maternal Mental Health and Breastfeeding Are Associated with Infant and Toddler Sensory Profiles. CHILDREN-BASEL 2021; 8:children8090766. [PMID: 34572197 PMCID: PMC8472735 DOI: 10.3390/children8090766] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 08/30/2021] [Accepted: 08/31/2021] [Indexed: 11/17/2022]
Abstract
Infants’ sensory processing may impact their development and daily functioning in multiple domains, as does the mental health of their mothers. Little research has been conducted exploring the novel construct of sensory processing in relation to maternal mental health and arguably one of the most important co-occupations during this sensitive time (i.e., breastfeeding), which may also be impacted by maternal mental health. Therefore, this study aims to explore associations between maternal mental health, the co-occupation of breastfeeding, and the sensory processing profiles of infants. Specifically, a sample of maternal-offspring dyads was examined from pre-gestation through the infant’s age of 18 months. Mothers completed well-validated and contemporary self-report questionnaires of mental health (i.e., depression and anxiety symptom severity) and sensory processing across time points. Findings yielded statistically significant relationships between maternal prenatal and postnatal anxiety and depression symptom severity and infants’ sensory processing profiles. Further connections were found between infants’ sensory processing profiles and both duration and frequency of breastfeeding. The study provides health care professionals with additional perspectives on how maternal mental health status and breastfeeding may be related to infants’ sensory processing profiles.
Collapse
|
25
|
Gafni-Lachter L, Kailkian J, Korngold-Dvir V, Dahan G, Ben-Sasson A. The association between sensory traits and daily parenting challenges of typical mothers and their children. Br J Occup Ther 2021. [DOI: 10.1177/03080226211031800] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Sensory modulation impacts daily family life; however, parents’ sensory traits are rarely considered and analysed together with their child’s. This study aimed to: (1) determine the association between healthy child and mother sensory modulation traits and (2) examine how these traits interact in predicting daily parenting challenges. Method Seventy-three healthy mothers of typically developing 3–6-year-old children completed the Short Sensory Profile, Adult/Adolescent Sensory Profile and Parenting Daily Hassles questionnaires. Mother and child sensory over-responsivity (SOR), under-responsivity (SUR) and seeking traits were entered as predictors of frequency of daily hassles. Results Mother and child’s SOR and SUR traits were significantly associated ( r = .33 and .25, respectively). The frequency of parenting challenges was significantly associated with both mother and child’s sensory seeking ( r = .25 and .26, respectively). A mediation model demonstrated a significant indirect effect of mother SOR on the frequency of daily hassles ( β = .26, p < .05), with the child’s SOR ( β = .33, p < .01), and seeking behaviours ( β = .48, p < .001) mediating this effect. Conclusion Mothers with elevated sensory traits of children with elevated sensory traits are likely to experience higher frequencies of daily parenting burden, even within the typical population. Therapists who wish to practice a developmental and family-centred approach should assess how the mother–child sensory traits interact and how this interaction can influence the family’s well-being.
Collapse
Affiliation(s)
| | | | | | - Gil Dahan
- Child Development Center, Nahariya, Israel
| | | |
Collapse
|
26
|
Knudsen K, McGill G, Ann Waitzman K, Powell J, Carlson M, Shaffer G, Morris M. Collaboration to Improve Neuroprotection and Neuropromotion in the NICU: Team Education and Family Engagement. Neonatal Netw 2021; 40:212-223. [PMID: 34330871 DOI: 10.1891/11-t-680] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/22/2020] [Indexed: 11/25/2022]
Abstract
The number of babies born extremely low birth weight surviving to be discharged home after experiencing the NICU continues to improve. Unfortunately, early sensory development for these babies occurs in an environment vastly different from the intended in-utero environment and places them at high risk of long-term neurodevelopmental and neurocognitive challenges. Our goal in the NICU must transition from simply discharge home to supporting the neurosensory development necessary for a thriving lifetime. To accomplish a goal of thriving families and thriving babies, it is clear the NICU interprofessional team must share an understanding of neurosensory development, the neuroprotective strategies safeguarding development, the neuropromotive strategies supporting intended maturational development, and the essential nature of family integration in these processes. We share the educational endeavors of 11 center collaboratives in establishing the foundational knowledge necessary to support preterm babies and their families.
Collapse
|
27
|
Chen YC, Tsai WH, Ho CH, Wang HW, Wang LW, Wang LY, Wang HH, Hwang YS. Atypical Sensory Processing and Its Correlation with Behavioral Problems in Late Preterm Children at Age Two. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6438. [PMID: 34198645 PMCID: PMC8296277 DOI: 10.3390/ijerph18126438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 06/10/2021] [Indexed: 11/16/2022]
Abstract
This study aimed to compare the prevalence rate of atypical sensory processing in late preterm (LP) and term children at two years of age and to further investigate the co-occurrence of atypical sensory processing and behavioral problems (internalizing/externalizing) in both groups of children. A total of 104 children (52 LP and 52 sex- and birth order-matched term children) were included. The primary caregivers were asked to complete the Infant/Toddler Sensory Profile-Chinese version and the Child Behavior Checklist 1.5-5Y-Chinese version (CBCL-C/1.5-5). We found that the LP group had a similar prevalence rate of atypical sensory processing to the term group. However, neonatal intensive care unit experience (r = -0.356, p = 0.013, with visual processing) and days of ventilation and supplementary oxygen (r = -0.392, p = 0.004, with low registration) after birth were significantly correlated with the atypical sensory processing of LP children. Both LP and term children with behavioral problems seemed to have a higher prevalence rate of atypical sensory processing than their peers without behavioral problems. However, when Bonferroni correction was used to control for the statistical errors of multiple comparisons, only in the LP group did the co-occurrence of atypical sensory processing (auditory and oral sensory processing and sensation avoiding) and behavioral problems reach significance. In conclusion, the influence of late preterm birth on sensory processing may become subtle at age two, with the exception of those LP children experiencing complicated medical management after birth. A high level of co-occurrence of atypical sensory processing and behavioral problems suggests that the administration of a sensory processing assessment may be helpful to clarify the cause of problematic behavior and to recommend an appropriate intervention for LP children with behavioral problems.
Collapse
Affiliation(s)
- Yu-Chin Chen
- Department of Pediatrics, Chi Mei Medical Center, Chiali, Tainan 72263, Taiwan;
- Division of Neonatology, Department of Pediatrics, Chi Mei Medical Center, Tainan 71004, Taiwan; (W.-H.T.); (L.-W.W.); (L.-Y.W.); (H.-H.W.)
| | - Wen-Hui Tsai
- Division of Neonatology, Department of Pediatrics, Chi Mei Medical Center, Tainan 71004, Taiwan; (W.-H.T.); (L.-W.W.); (L.-Y.W.); (H.-H.W.)
- Graduate Institute of Medical Sciences, College of Health Sciences, Chang Jung Christian University, Tainan 711301, Taiwan
| | - Chung-Han Ho
- Department of Medical Research, Chi Mei Medical Center, Tainan 71004, Taiwan;
| | - Hsuan-Wen Wang
- Taipei City Psychiatric Center, Taipei City Hospital, Taipei 11080, Taiwan;
| | - Lan-Wan Wang
- Division of Neonatology, Department of Pediatrics, Chi Mei Medical Center, Tainan 71004, Taiwan; (W.-H.T.); (L.-W.W.); (L.-Y.W.); (H.-H.W.)
- Department of Biotechnology and Food Technology, Southern Taiwan University of Science and Technology, Tainan 71073, Taiwan
| | - Lin-Yu Wang
- Division of Neonatology, Department of Pediatrics, Chi Mei Medical Center, Tainan 71004, Taiwan; (W.-H.T.); (L.-W.W.); (L.-Y.W.); (H.-H.W.)
- Center for General Education, Southern Taiwan University of Science and Technology, Tainan 71073, Taiwan
| | - Hsin-Hua Wang
- Division of Neonatology, Department of Pediatrics, Chi Mei Medical Center, Tainan 71004, Taiwan; (W.-H.T.); (L.-W.W.); (L.-Y.W.); (H.-H.W.)
- Department of Pediatrics, Chi Mei Hospital, Liouying, Tainan 73657, Taiwan
| | - Yea-Shwu Hwang
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
| |
Collapse
|
28
|
van den Boogert F, Sizoo B, Spaan P, Tolstra S, Bouman YHA, Hoogendijk WJG, Roza SJ. Sensory Processing and Aggressive Behavior in Adults with Autism Spectrum Disorder. Brain Sci 2021; 11:brainsci11010095. [PMID: 33466570 PMCID: PMC7828723 DOI: 10.3390/brainsci11010095] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 01/09/2021] [Accepted: 01/11/2021] [Indexed: 02/07/2023] Open
Abstract
Autism spectrum disorder (ASD) may be accompanied by aggressive behavior and is associated with sensory processing difficulties. The present study aims to investigate the direct association between sensory processing and aggressive behavior in adults with ASD. A total of 101 Dutch adult participants with ASD, treated in outpatient or inpatient facilities, completed the Adolescent/Adult Sensory Profile (AASP), the Reactive-Proactive Aggression Questionnaire (RPQ), and the Aggression Questionnaire—Short Form (AQ-SF). Results revealed that sensory processing difficulties are associated with more aggressive behavior (f2=0.25), more proactive (f2=0.19) and reactive aggression (f2=0.27), more physical (f2=0.08) and verbal aggression (f2=0.13), and more anger (f2=0.20) and hostility (f2=0.12). Evidence was found for an interaction of the neurological threshold and behavioral response on total aggression and hostility. Participants with higher scores in comparison to the norm group in sensory sensitivity had the highest risk of aggressive behavior. In conclusion, clinical practice may benefit from applying detailed diagnostics on sensory processing difficulties when treating aggressive behavior in adults with ASD.
Collapse
Affiliation(s)
- Frank van den Boogert
- Department of Psychiatry, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands; (F.v.d.B.); (P.S.); (W.J.G.H.)
- Department of Research, Transfore, 7416 SB Deventer, The Netherlands; (S.T.); (Y.H.A.B.)
| | - Bram Sizoo
- Center for Developmental Disorders, Dimence Institute for Mental Health, 7416 SB Deventer, The Netherlands;
| | - Pascalle Spaan
- Department of Psychiatry, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands; (F.v.d.B.); (P.S.); (W.J.G.H.)
- Department of Research, Transfore, 7416 SB Deventer, The Netherlands; (S.T.); (Y.H.A.B.)
| | - Sharon Tolstra
- Department of Research, Transfore, 7416 SB Deventer, The Netherlands; (S.T.); (Y.H.A.B.)
| | - Yvonne H. A. Bouman
- Department of Research, Transfore, 7416 SB Deventer, The Netherlands; (S.T.); (Y.H.A.B.)
| | - Witte J. G. Hoogendijk
- Department of Psychiatry, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands; (F.v.d.B.); (P.S.); (W.J.G.H.)
| | - Sabine J. Roza
- Department of Psychiatry, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands; (F.v.d.B.); (P.S.); (W.J.G.H.)
- Netherlands Institute for Forensic Psychiatry and Psychology, 3511 EW Utrecht, The Netherlands
- Correspondence:
| |
Collapse
|
29
|
Barrios-Fernández S, Gozalo M, Díaz-González B, García-Gómez A. A Complementary Sensory Tool for Children with Autism Spectrum Disorders. CHILDREN (BASEL, SWITZERLAND) 2020; 7:E244. [PMID: 33233607 PMCID: PMC7699787 DOI: 10.3390/children7110244] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 11/08/2020] [Accepted: 11/18/2020] [Indexed: 01/27/2023]
Abstract
BACKGROUND Sensory integration (SI) issues are widely described in people with autism spectrum disorder (ASD), impacting in their daily life and occupations. To improve their quality of life and occupational performance, we need to improve clinical and educational evaluation and intervention processes. We aim to develop a tool for measuring SI issues for Spanish children and adolescents with ASD diagnosis, to be used as a complementary tool to complete the Rivière's Autism Spectrum Inventory, a widely used instrument in Spanish speaking places to describe the severity of ASD symptoms, recently updated with a new sensory scale with three dimensions. METHODS 458 Spanish participants complemented the new questionnaire, initially formed by 73 items with a 1-5 Likert scale. RESULTS The instrument finally was composed of 41 items grouped in three factors: modulation disorders (13 items), discrimination disorders (13 items), and sensory-based motor disorders (15 items). The goodness-of-fit indices from factor analyses, reliability, and the analysis of the questionnaire's classification capability offered good values. CONCLUSIONS The new questionnaire shows good psychometric properties and seems to be a good complementary tool to complete new the sensory scale in the Rivière's Autism Spectrum Inventory.
Collapse
Affiliation(s)
| | - Margarita Gozalo
- Psychology and Anthropology Department, University of Extremadura, 10003 Cáceres, Spain;
| | - Beatriz Díaz-González
- Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain;
| | - Andrés García-Gómez
- Education Sciences Department, University of Extremadura, 10003 Cáceres, Spain;
| |
Collapse
|
30
|
Dursun OB, Turan B, Pakyürek M, Tekin A. Integrating Telepsychiatric Services into the Conventional Systems for Psychiatric Support to Health Care Workers and Their Children During COVID-19 Pandemics: Results from A National Experience. Telemed J E Health 2020; 27:269-275. [PMID: 32821025 DOI: 10.1089/tmj.2020.0237] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Background: A system presented here was established to provide psychiatric help for health care workers (HCWs) that combined telehealth applications with local psychosocial support teams, allowing services from video calls to emergency interventions. Introduction: The aim of this study was to determine the effectiveness of a system that combined telehealth applications with local psychosocial support teams. Materials and Methods: A mobile application-based approach supported by the conventional local units was used. A three-step approach including contacting live operators followed by video calls from psychiatrists or child and adolescent psychiatrists and if necessary local unit support was used to provide support. Results: In addition to system records covering sociodemographic variables and initial complaints, a telephone survey, questioning the effectiveness and satisfaction of the system, was used as the main outcome. The number of individuals who asked for a psychiatrist appointment from operators after downloading the application was 1,076 (n = 879 [81.6%] support for self) (n = 197 [18.4%] support for child). Four hundred forty-nine (n = 449) HCWs (41.7%) replied video calls and received psychiatric help from psychiatrists on the time of appointment (n = 351 [78.1%] support for self) (n = 98 [21.8%] support for child). The overall satisfaction level of HCWs for the service they received was 8.1/10 (8.1/10 for support for self, 8.4/10 for support for the child. 86.6% (n = 389). Discussion: The findings of this study suggest that although telepsychiatry may be useful in public health emergencies such as COVID-19 pandemics should not be consisted of only telephone lines or video calls. Conclusions: Systems combining telehealth applications and local intervention teams may be more effective and establishing such organizations is possible in short intervals.
Collapse
Affiliation(s)
- Onur Burak Dursun
- Department of Autism, Mental Special Needs and Rare Diseases, Turkish Ministry of Health, General Directorate of Health Services, Ankara, Turkey
| | - Bahadir Turan
- Department of Autism, Mental Special Needs and Rare Diseases, Turkish Ministry of Health, General Directorate of Health Services, Ankara, Turkey
| | - Murat Pakyürek
- Department of Psychiatry and Behavioral Sciences, University of California Davis, Sacramento, California, USA
| | - Ahmet Tekin
- Turkish Ministry of Health, General Directorate of Health Services, Ankara, Turkey
| |
Collapse
|
31
|
Galiana-Simal A, Vela-Romero M, Romero-Vela VM, Oliver-Tercero N, García-Olmo V, Benito-Castellanos PJ, Muñoz-Martinez V, Beato-Fernandez L. Sensory processing disorder: Key points of a frequent alteration in neurodevelopmental disorders. COGENT MEDICINE 2020. [DOI: 10.1080/2331205x.2020.1736829] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Affiliation(s)
- Adrian Galiana-Simal
- Clínica Centro de Desarrollo Infantil de Ciudad Real (CDICR) C/Eras del cerrillo nº8 Ciudad Real 13004 Spain
| | - Maria Vela-Romero
- Clínica Centro de Desarrollo Infantil de Ciudad Real (CDICR) C/Eras del cerrillo nº8 Ciudad Real 13004 Spain
| | - Victor Manuel Romero-Vela
- Clínica Centro de Desarrollo Infantil de Ciudad Real (CDICR) C/Eras del cerrillo nº8 Ciudad Real 13004 Spain
| | - Nuria Oliver-Tercero
- Clínica Centro de Desarrollo Infantil de Ciudad Real (CDICR) C/Eras del cerrillo nº8 Ciudad Real 13004 Spain
| | - Virginia García-Olmo
- Clínica Centro de Desarrollo Infantil de Ciudad Real (CDICR) C/Eras del cerrillo nº8 Ciudad Real 13004 Spain
| | | | - Victoria Muñoz-Martinez
- Hospital General Universitario de Ciudad Real (HGUCR) C/Obispo Rafael Torija S/N Ciudad Real 13005 Spain
| | - Luis Beato-Fernandez
- Hospital General Universitario de Ciudad Real (HGUCR) C/Obispo Rafael Torija S/N Ciudad Real 13005 Spain
| |
Collapse
|
32
|
Shah N, Hert K, Klasner AE. Increasing Comfort with Sensory Processing Difficulties in the Prehospital Setting: Pre-Post Study of Education and Sensory Tools in EMS Providers. South Med J 2020; 113:59-63. [PMID: 32016434 DOI: 10.14423/smj.0000000000001063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES Interfacing with patients with sensory processing difficulties is challenging to healthcare providers and even more problematic for emergency medical services (EMS) personnel in the acute care setting. Sensory training may be an effective nonpharmacologic method to deal with these patient populations. The purpose of this study was to evaluate whether an educational session and placement sensory tools would improve the comfort of EMS providers in the prehospital setting. METHODS EMS providers from two agencies in the Alabama Gulf EMS System were selected for this study. Preeducation questionnaires were administered to EMS providers to assess their frequency and comfort level in taking care of patients with sensory processing difficulties. The educational session included a video presentation of various topics related to sensory processing difficulties and education on sensory tools. Posteducation questionnaires were administered to EMS providers 3 months posteducational session to assess the use of sensory tools and their comfort in patient care. Comfort level was assessed on a Likert scale of 1 to 10, with 1 being not comfortable at all and 10 being extremely comfortable. We performed descriptive statistics and the nonparametric Wilcoxon signed rank test to compare medians. RESULTS A total of 177 of 225 (78.6%) EMS providers completed the preeducation questionnaire. In the preeducation period, 159 (89.8%) EMS providers transported patients with sensory processing difficulties. The preeducation median comfort level was 7.5 (range 1-10). At postsurvey, 135 of 177 (76.3%) EMS providers received educational training; 37 (27.4%) used the sensory tools within the previous 3 months. The posteducation median comfort level was 8 (range 3-10). Pre- and post median comfort levels were significantly different using the Wilcoxon signed rank test (P = 0.006). CONCLUSIONS Sensory training can be an effective method for EMS providers to increase comfort levels in taking care of patients with sensory difficulties. Further research with larger sample sizes is needed to confirm/refute these findings.
Collapse
Affiliation(s)
- Nipam Shah
- From the Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Alabama at Birmingham, Birmingham, Alabama and the Alabama Department of Public Health, Montgomery
| | - Katherine Hert
- From the Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Alabama at Birmingham, Birmingham, Alabama and the Alabama Department of Public Health, Montgomery
| | - Ann E Klasner
- From the Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Alabama at Birmingham, Birmingham, Alabama and the Alabama Department of Public Health, Montgomery
| |
Collapse
|
33
|
Niutanen U, Harra T, Lano A, Metsäranta M. Systematic review of sensory processing in preterm children reveals abnormal sensory modulation, somatosensory processing and sensory-based motor processing. Acta Paediatr 2020; 109:45-55. [PMID: 31350861 DOI: 10.1111/apa.14953] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 05/10/2019] [Accepted: 07/25/2019] [Indexed: 11/28/2022]
Abstract
AIM Preterm birth poses concerns in daily functioning and behaviour in childhood, possibly connected to sensory processing disorder. This review aimed to systematically identify assessments, incidence and nature of sensory processing disorder in preterm-born infants and children. METHODS We searched literature through CINAHL-EBSCOhost, Cochrane, Ovid/PsychINFO, PubMed/Medline, Scopus and Google Scholar, published until November 2018. We included electronically available, peer-reviewed studies of preterm-born children that applied standardised sensory processing assessments. We excluded studies of preterm-born children with major neurodevelopmental impairments. RESULTS We identified 27 studies of premature children, aged from birth to 9 years 7 months. The assessments represented three versions of Sensory Profile questionnaires and three clinical tests, Test of Sensory Functions in Infants, the Miller Assessment for Preschoolers, and the Sensory Integration and Praxis Test. The studies revealed wide variation of atypical sensory processing: 28%-87% in sensory modulation, 9%-70% in somatosensory processing and 20%-70% in sensory-based motor processing. CONCLUSION Preterm-born children exhibited elevated risk for sensory processing disorder from infancy into school age. Routine screening of sensory processing, intervention intervals and parental consultations should be considered in ameliorating sensory processing and neurocognitive development. Moreover, a larger body of intervention studies is needed.
Collapse
Affiliation(s)
- Ulla Niutanen
- New Children's Hospital, Pediatric Research Center University of Helsinki and Helsinki University Hospital Helsinki Finland
| | - Toini Harra
- Participation and Human Functioning Metropolia University of Applied Sciences Helsinki Finland
| | - Aulikki Lano
- New Children's Hospital, Pediatric Research Center University of Helsinki and Helsinki University Hospital Helsinki Finland
| | - Marjo Metsäranta
- New Children's Hospital, Pediatric Research Center University of Helsinki and Helsinki University Hospital Helsinki Finland
| |
Collapse
|
34
|
Benarous X, Bury V, Lahaye H, Desrosiers L, Cohen D, Guilé JM. Sensory Processing Difficulties in Youths With Disruptive Mood Dysregulation Disorder. Front Psychiatry 2020; 11:164. [PMID: 32265752 PMCID: PMC7104792 DOI: 10.3389/fpsyt.2020.00164] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2019] [Accepted: 02/20/2020] [Indexed: 12/02/2022] Open
Abstract
Difficulty modulating sensory information has been described in children with developmental disorders. However, the relation of sensory processing difficulties (SPD) to emotional regulation problems remains poorly understood. The aim of this study is to determine the rate and patterns of SPD in youth with disruptive mood dysregulation disorder (DMDD). Participants were DMDD patients aged 6-16 years presenting at a university hospital in outpatient or inpatient facilities (n = 30). For each participant, the parent-reported Sensory Profile, the Affective Lability Scale, the Beck Depression Inventory-Second Edition, the Child Behavior Checklist/4-18, and the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version were completed. The scores of the Sensory Profile of the DMDD youths were compared to those obtained in a clinical control group and to the manual scores for same-age typically developing youths. SPD were reported in 53% of the subjects in the DMDD group compared to 33% in the clinical control group (p = 0.405). Youths with DMDD showed a significant difference on almost all items of the Sensory Profile compared to typically developing youth. The Sensory Profile was found to discriminate best between the participants with DMDD and those in the clinical control group with regard to the category "Behavioral outcomes of sensory processing" and the factor "Fine motor/perceptual behavior." All types of sensory processing patterns were reported in the DMDD youths: sensation avoiding (40%), low registration (27%), sensory sensitivity (20%), and sensation seeking (10%). As a group, youths with DMDD have significantly more SPD when compared to typical youths. Therefore, SPD could be an important factor to consider in youths with DMDD when providing comprehensive assessment and therapeutic interventions.
Collapse
Affiliation(s)
- Xavier Benarous
- Department of Child and Adolescent Psychopathology, Amiens University Hospital, Amiens, France.,Department of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Paris, France.,INSERM Unit U1105 Research Group for Analysis of the Multimodal Cerebral Function, University of Picardy Jules Verne (UPJV), Amiens, France
| | - Véronique Bury
- Department of Child and Adolescent Psychopathology, Amiens University Hospital, Amiens, France
| | - Hélène Lahaye
- Department of Child and Adolescent Psychopathology, Amiens University Hospital, Amiens, France
| | - Lyne Desrosiers
- Département d'ergothérapie, Trois-Rivières, Université du Québec à Trois-Rivières, Québec, Canada.,Centre de recherche de l'Institut Universitaire Jeunes en difficulté, Québec, Québec, Canada
| | - David Cohen
- Department of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Paris, France.,CNRS UMR 7222, Institute for Intelligent Systems and Robotics, Paris, France
| | - Jean Marc Guilé
- Department of Child and Adolescent Psychopathology, Amiens University Hospital, Amiens, France.,INSERM Unit U1105 Research Group for Analysis of the Multimodal Cerebral Function, University of Picardy Jules Verne (UPJV), Amiens, France.,Department of Psychiatry, McGill University, Montreal, QC, Canada
| |
Collapse
|
35
|
Review: Exteroceptive Sensory Abnormalities in Childhood and Adolescent Anxiety and Obsessive-Compulsive Disorder: A Critical Review. J Am Acad Child Adolesc Psychiatry 2020; 59:78-87. [PMID: 31265873 DOI: 10.1016/j.jaac.2019.06.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 05/20/2019] [Accepted: 06/24/2019] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Childhood anxiety and obsessive-compulsive disorder (OCD) are defined by fear, worry, and uncertainty, but there is also evidence that affected children possess exteroceptive sensory abnormalities. These sensory features may often instigate symptoms and cause significant distress and functional impairment. In addition, a purported class of conditions known as "sensory processing disorders" may significantly overlap with childhood anxiety and OCD, which provides further support for a connection between abnormal sensation and fear-based psychopathology. METHOD The current review was conducted to synthesize and to critically evaluate the existing research on exteroceptive sensory abnormalities in childhood anxiety and OCD. Because of the paucity of research in this area, studies with adult populations were also briefly reviewed. RESULTS The review found significant support for the notion that sensory abnormalities are common in children with anxiety disorders and OCD, but there are significant limitations to research in this area that prevent firm conclusions. CONCLUSION Potential avenues for future research on sensory features of pediatric anxiety and OCD are discussed.
Collapse
|
36
|
de Paula Machado ACC, de Castro Magalhães L, de Oliveira SR, Bouzada MCF. Is sensory processing associated with prematurity, motor and cognitive development at 12 months of age? Early Hum Dev 2019; 139:104852. [PMID: 31476542 DOI: 10.1016/j.earlhumdev.2019.104852] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 07/22/2019] [Accepted: 08/20/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND Prematurity may be a risk factor for sensory processing difficulties. Limited research has investigated sensory processing in preterm infants in their first year of life, when sensory processing dysfunctions are more subtle and difficult to detect. AIMS The aims of this study were to investigate the association between prematurity and sensory processing and the associations between sensory processing and motor and cognitive development in infants at 12 months of age. STUDY DESIGN Cross-sectional study. SUBJECTS 45 infants allocated in two groups: control (37-41 weeks' gestation) and preterm (<34 weeks' gestation). OUTCOME MEASURES Sensory processing was assessed with the Test of Sensory Functions in Infants (TSFI). Motor and cognitive development was assessed with the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). RESULTS Preterm group was associated with significant decrease in TSFI's total (p < 0.01), reactivity to deep tactile pressure (p = 0.02) and vestibular stimulation reactivity (p = 0.03) scores. Bayley-III motor score was positive associated with TFSI score on ocular-motor control domain (p = 0.03). Bayley-III cognitive score and TSFI scores were not significantly associated. CONCLUSIONS Prematurity negatively interferes with sensory processing, especially in tactile and vestibular domains, and better sensory processing in ocular-motor control contributes to better motor performance at 12 months of age. It is important to consider sensory processing in early developmental evaluation and interventions to promote better developmental outcomes in preterm infants.
Collapse
Affiliation(s)
- Ana Carolina Cabral de Paula Machado
- School of Medicine, Federal University of Minas Gerais, Avenida Professor Alfredo Balena, 190 - Santa Efigênia, Belo Horizonte, Minas Gerais 30130-100, Brazil.
| | - Lívia de Castro Magalhães
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Antônio Carlos, 6627 - Pampulha, Belo Horizonte, Minas Gerais 31270-901, Brazil
| | - Suelen Rosa de Oliveira
- School of Medicine, Federal University of Minas Gerais, Avenida Professor Alfredo Balena, 190 - Santa Efigênia, Belo Horizonte, Minas Gerais 30130-100, Brazil
| | - Maria Cândida Ferrarez Bouzada
- School of Medicine, Federal University of Minas Gerais, Avenida Professor Alfredo Balena, 190 - Santa Efigênia, Belo Horizonte, Minas Gerais 30130-100, Brazil
| |
Collapse
|
37
|
Niedźwiecka A, Domasiewicz Z, Kawa R, Tomalski P, Pisula E. Sensory processing in toddlers with autism spectrum disorders. EUROPEAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2019. [DOI: 10.1080/17405629.2019.1676715] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Alicja Niedźwiecka
- Department of Health and Rehabilitation Psychology, Faculty of Psychology, University of Warsaw, Warsaw, Poland
| | | | - Rafał Kawa
- Department of Health and Rehabilitation Psychology, Faculty of Psychology, University of Warsaw, Warsaw, Poland
| | - Przemysław Tomalski
- Developmental Psychology Unit, Faculty of Psychology, University of Warsaw, Warsaw, Poland
- Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
| | - Ewa Pisula
- Department of Health and Rehabilitation Psychology, Faculty of Psychology, University of Warsaw, Warsaw, Poland
| |
Collapse
|
38
|
Schneider ML, Moore CF, Ahlers EO, Barnhart TE, Christian BT, DeJesus OT, Engle JW, Holden JE, Larson JA, Moirano JM, Murali D, Nickles RJ, Resch LM, Converse AK. PET Measures of D1, D2, and DAT Binding Are Associated With Heightened Tactile Responsivity in Rhesus Macaques: Implications for Sensory Processing Disorder. Front Integr Neurosci 2019; 13:29. [PMID: 31379528 PMCID: PMC6652150 DOI: 10.3389/fnint.2019.00029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 07/02/2019] [Indexed: 01/11/2023] Open
Abstract
Sensory processing disorder (SPD), a developmental regulatory condition characterized by marked under- or over-responsivity to non-noxious sensory stimulation, is a common but poorly understood disorder that can profoundly affect mood, cognition, social behavior and adaptive life skills. Little is known about the etiology and neural underpinnings. Clinical research indicates that children with SPD show greater prevalence of difficulties in complex cognitive behavior including working memory, behavioral flexibility, and regulation of sensory and affective functions, which are related to prefrontal cortex (PFC), striatal, and midbrain regions. Neuroimaging may provide insight into mechanisms underlying SPD, and animal experiments provide important evidence that is not available in human studies. Rhesus monkeys (N = 73) were followed over a 20-year period from birth into old age. We focused on a single sensory modality, the tactile system, measured at 5-7 years, because of its critical importance for nourishment, attachment, and social reward in development. Positron emission tomography imaging was conducted at ages 12-18 years to quantify the availability of the D1 and D2 subtypes of the DA receptor (D1R and D2R), and the DA transporter (DAT). Heightened tactile responsivity was related to (a) elevated D1R in PFC overall, including lateral, ventrolateral, medial, anterior cingulate (aCg), frontopolar, and orbitofrontal (OFC) subregions, as well as nucleus accumbens (Acb), (b) reduced D2R in aCg, OFC, and substantia nigra/ventral tegmental area, and (c) elevated DAT in putamen. These findings suggest a mechanism by which DA pathways may be altered in SPD. These pathways are associated with reward processing and pain regulation, providing top-down regulation of sensory and affective processes. The balance between top-down cognitive control in the PFC-Acb pathway and bottom-up motivational function of the VTA-Acb-PFC pathway is critical for successful adaptive function. An imbalance in these two systems might explain DA-related symptoms in children with SPD, including reduced top-down regulatory function and exaggerated responsivity to stimuli. These results provide more direct evidence that SPD may involve altered DA receptor and transporter function in PFC, striatal, and midbrain regions. More work is needed to extend these results to humans.
Collapse
Affiliation(s)
- Mary L Schneider
- Occupational Therapy Program, Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, United States.,Harlow Center for Biological Psychology, University of Wisconsin-Madison, Madison, WI, United States
| | - Colleen F Moore
- Department of Psychology, University of Wisconsin-Madison, Madison, WI, United States.,Department of Psychology, Montana State University, Bozeman, MT, United States
| | - Elizabeth O Ahlers
- Waisman Center, University of Wisconsin-Madison, Madison, WI, United States
| | - Todd E Barnhart
- Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States
| | - Bradley T Christian
- Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States
| | - Onofre T DeJesus
- Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States
| | - Jonathan W Engle
- Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States
| | - James E Holden
- Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States
| | - Julie A Larson
- Occupational Therapy Program, Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, United States.,Harlow Center for Biological Psychology, University of Wisconsin-Madison, Madison, WI, United States
| | - Jeffrey M Moirano
- Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States
| | - Dhanabalan Murali
- Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States
| | - Robert J Nickles
- Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States
| | - Leslie M Resch
- Occupational Therapy Program, Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, United States.,Harlow Center for Biological Psychology, University of Wisconsin-Madison, Madison, WI, United States
| | | |
Collapse
|
39
|
Simhon V, Elefant C, Orkibi H. Associations between music and the sensory system: An integrative review for child therapy. ARTS IN PSYCHOTHERAPY 2019. [DOI: 10.1016/j.aip.2018.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
40
|
Van Hulle CA, Lemery-Chalfant K, Hill Goldsmith H. Parent-Offspring Transmission of Internalizing and Sensory over-Responsivity Symptoms in Adolescence. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2019; 46:557-567. [PMID: 28393325 DOI: 10.1007/s10802-017-0300-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Reactions to sensory experiences are an overlooked correlate of affective regulation, despite the importance of bodily states on psychological processes. Children who display sensory over-responsivity (i.e., adverse reactions to typical sensations) are at greater risk for developing affective disorders. We extended this literature to adolescents and their middle-aged parents. Participants in a birth record-based study of families of adolescent twins (N = 506 families; 1012 adolescents; 53% female) completed a subset of items from the Adult Sensory Profile. We derived adolescent self-reported internalizing disorder symptoms and parent affective diagnoses from structured diagnostic interviews. Structural equation models tested the relationship between parent sensory over-responsivity symptoms and affective diagnoses and their adolescent offspring's sensory over-responsivity and internalizing symptoms. Adolescent sensory over-responsivity symptoms were correlated with internalizing disorder symptoms. Parents with a diagnosis of anxiety or depression (mothers only) reported more frequent SOR symptoms than parents without a diagnosis. Parent depression was significantly related to adolescent sensory over-responsivity symptoms, over and above parent sensory over-responsivity symptoms (β = 0.26, p < 0.001 for mothers; β = 0.13, p = 0.004 for fathers). Father alcohol abuse/dependency also predicted offspring sensory over-responsivity symptoms. Offspring of parents with affective disorders were at additional risk for sensory dysregulation via parents' influence on offspring internalizing problems.
Collapse
Affiliation(s)
- Carol A Van Hulle
- Waisman Center, University of Wisconsin-Madison, 1500 Highland Ave, Madison, WI, 53706, USA.
| | | | - H Hill Goldsmith
- Waisman Center, University of Wisconsin-Madison, 1500 Highland Ave, Madison, WI, 53706, USA.,Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA
| |
Collapse
|
41
|
Abstract
Aims: To examine and compare sensory processing in children diagnosed with Fetal Alcohol Spectrum Disorder (FASD) to children designated as "at risk" for neurodevelopmental disorders and FASD, associated with Prenatal Alcohol Exposure (PAE). Method: A retrospective chart review methodology was applied to examine sensory processing in a clinic referred sample of 90 children under the age of 3 with PAE of which 28 children were diagnosed with FASD and 62 were in the "at risk" category. Results: Young children with FASD rated significantly lower on the Infant/Toddler Sensory Profile in auditory processing and low registration and more often in the probable difference range in sensory sensitivity and sensation avoiding. Some children in both groups demonstrated definite differences in low threshold scores. Conclusions: Sensory processing differences in young children with FASD are supported when compared to children with PAE who are "at risk" for future diagnoses. Occupational therapists should consider sensory processing when assessing and providing early intervention services to this population.
Collapse
Affiliation(s)
- Brenda Fjeldsted
- a Occupational Therapy, Child Health Program, Health Sciences Centre , Winnipeg , Manitoba , Canada
| | - Lin Xue
- b Department of Statistics, University of Manitoba , Winnipeg , Manitoba , Canada
| |
Collapse
|
42
|
Kay RB, Gabreski NA, Triplett JW. Visual subcircuit-specific dysfunction and input-specific mispatterning in the superior colliculus of fragile X mice. J Neurodev Disord 2018; 10:23. [PMID: 29950161 PMCID: PMC6022700 DOI: 10.1186/s11689-018-9241-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Accepted: 06/14/2018] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Sensory processing deficits are frequently co-morbid with neurodevelopmental disorders. For example, patients with fragile X syndrome (FXS), caused by a silencing of the FMR1 gene, exhibit impairments in visual function specific to the dorsal system, which processes motion information. However, the developmental and circuit mechanisms underlying this deficit remain unclear. Recently, the superior colliculus (SC), a midbrain structure regulating head and eye movements, has emerged as a model for dissecting visual circuit development and function. Previous studies have demonstrated a critical role for activity-dependent processes in the development of visual circuitry in the SC. Based on the known role of the FMR1 gene product in activity-dependent synaptic plasticity, we explored the function and organization of visual circuits in the SC of a mouse model of FXS (Fmr1-/y). METHODS We utilized in vivo extracellular electrophysiology in combination with computer-controlled visual stimuli to determine the receptive field properties of visual neurons in the SC of control and Fmr1-/y mice. In addition, we utilized anatomical tracing methods to assess the organization of visual inputs to the SC and along the retinogeniculocortical pathway. RESULTS Receptive fields of visual neurons in the SC of Fmr1-/y mice were significantly larger than those found in control animals, though their shape and structure were unaffected. Further, selectivity for direction of movement was decreased, while selectivity to axis of movement was unchanged. Interestingly, axis-selective (AS) neurons exhibited a specific hyperexcitability in comparison to AS neurons in control SC and to direction-selective (DS) neurons in both control and Fmr1-/y SC. Anatomical tracings revealed that retinocollicular, retinogeniculate, and geniculocortical projections were normally organized in the absence of Fmr1. However, projections from primary visual cortex (V1) to the SC were poorly refined. CONCLUSIONS Fmr1 is required for the proper development of visual circuit organization and function in the SC. We find that visual dysfunction is heterogeneously manifested in a subcircuit-specific manner in Fmr1-/y mice, consistent with previous studies in human FXS patients. Further, we show a specific alteration of inputs to the SC from V1, but not the retina. Together, these data suggest that Fmr1 may function in distinct ways during the development of different visual subcircuits.
Collapse
Affiliation(s)
- Rachel B Kay
- Center for Neuroscience Research, Children's National Medical Center, Washington, DC, USA
| | - Nicole A Gabreski
- Center for Neuroscience Research, Children's National Medical Center, Washington, DC, USA
| | - Jason W Triplett
- Center for Neuroscience Research, Children's National Medical Center, Washington, DC, USA. .,Departments of Pediatrics and Pharmacology & Physiology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
| |
Collapse
|
43
|
Nesayan A, Asadi Gandomani R, Movallali G, Dunn W. The relationship between sensory processing patterns and behavioral patterns in children. JOURNAL OF OCCUPATIONAL THERAPY SCHOOLS AND EARLY INTERVENTION 2018. [DOI: 10.1080/19411243.2018.1432447] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Abbas Nesayan
- Department of Psychology, University of Bojnord, Bojnord, Iran (the Islamic Republic of)
| | | | - Gita Movallali
- Department of Psychology & Education of Exceptional Children, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (the Islamic Republic of)
| | - Winnie Dunn
- Department of Occupational Therapy Education, University of Kansas Medical Center, Kansas, USA
| |
Collapse
|
44
|
Eadeh HM, Langberg JM, Molitor SJ, Behrhorst K, Smith ZR, Evans SW. Factor Structure and Convergent Validity of the Stress Index for Parents of Adolescents (SIPA) in Adolescents With ADHD. Assessment 2018; 26:825-838. [PMID: 29405757 DOI: 10.1177/1073191118754707] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Parenting stress is common in families with an adolescent with attention-deficit/hyperactivity disorder (ADHD). The Stress Index for Parents of Adolescents (SIPA) was developed to assess parenting stress but has not been validated outside of the original development work. This study examined the factor structure and sources of convergent validity of the SIPA in a sample of adolescents diagnosed with ADHD (Mage = 12.3, N = 327) and their caregivers. Three first-order models, two bifactor models, and one higher order model were evaluated; none met overall model fit criteria but the first-order nine-factor model displayed the best fit. Convergent validity was also assessed and the SIPA adolescent domain was moderately correlated with measures of family impairment and conflict after accounting for ADHD symptom severity. Implications of these findings for use of the SIPA in ADHD samples are discussed along with directions for future research focused on parent stress and ADHD.
Collapse
Affiliation(s)
| | | | | | | | - Zoe R Smith
- 1 Virginia Commonwealth University, Richmond, VA, USA
| | | |
Collapse
|
45
|
Boone KM, Gracious B, Klebanoff MA, Rogers LK, Rausch J, Coury DL, Keim SA. Omega-3 and -6 fatty acid supplementation and sensory processing in toddlers with ASD symptomology born preterm: A randomized controlled trial. Early Hum Dev 2017; 115:64-70. [PMID: 28941976 PMCID: PMC9530960 DOI: 10.1016/j.earlhumdev.2017.09.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2017] [Revised: 08/21/2017] [Accepted: 09/12/2017] [Indexed: 12/11/2022]
Abstract
BACKGROUND Despite advances in the health and long-term survival of infants born preterm, they continue to face developmental challenges including higher risk for autism spectrum disorder (ASD) and atypical sensory processing patterns. AIMS This secondary analysis aimed to describe sensory profiles and explore effects of combined dietary docosahexaenoic acid (DHA), eicosapentaenoic acid (EPA), and gamma-linolenic acid (GLA) supplementation on parent-reported sensory processing in toddlers born preterm who were exhibiting ASD symptoms. STUDY DESIGN 90-day randomized, double blinded, placebo-controlled trial. SUBJECTS 31 children aged 18-38months who were born at ≤29weeks' gestation. OUTCOME MEASURE Mixed effects regression analyses followed intent to treat and explored effects on parent-reported sensory processing measured by the Infant/Toddler Sensory Profile (ITSP). RESULTS Baseline ITSP scores reflected atypical sensory processing, with the majority of atypical scores falling below the mean. Sensory processing sections: auditory (above=0%, below=65%), vestibular (above=13%, below=48%), tactile (above=3%, below=35%), oral sensory (above=10%; below=26%), visual (above=10%, below=16%); sensory processing quadrants: low registration (above=3%; below=71%), sensation avoiding (above=3%; below=39%), sensory sensitivity (above=3%; below=35%), and sensation seeking (above=10%; below=19%). Twenty-eight of 31 children randomized had complete outcome data. Although not statistically significant (p=0.13), the magnitude of the effect for reduction in behaviors associated with sensory sensitivity was medium to large (effect size=0.57). No other scales reflected a similar magnitude of effect size (range: 0.10 to 0.32). CONCLUSIONS The findings provide support for larger randomized trials of omega fatty acid supplementation for children at risk of sensory processing difficulties, especially those born preterm.
Collapse
Affiliation(s)
- Kelly M. Boone
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA,Corresponding author at: 700 Children’s Drive, Columbus, OH 43205, USA. (K.M. Boone)
| | - Barbara Gracious
- Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children’s Hospital 700 Children’s Drive, Columbus, OH 43205, USA,Department of Child and Adolescent Psychiatry and Behavioral Health, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA,Department of Psychiatry and Behavioral Health, College of Medicine, The Ohio State University, USA
| | - Mark A. Klebanoff
- Center for Perinatal Research, The Research Institute at Nationwide Children’s Hospital 700 Children’s Drive, Columbus, OH 43205, USA,Department of Pediatrics, College of Medicine, The Ohio State University, USA,Division of Epidemiology, College of Public Health, The Ohio State University, USA,Department of Obstetrics and Gynecology, College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Lynette K. Rogers
- Center for Perinatal Research, The Research Institute at Nationwide Children’s Hospital 700 Children’s Drive, Columbus, OH 43205, USA,Department of Pediatrics, College of Medicine, The Ohio State University, USA
| | - Joseph Rausch
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA,Department of Pediatrics, College of Medicine, The Ohio State University, USA
| | - Daniel L. Coury
- Department of Child and Adolescent Psychiatry and Behavioral Health, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA,Department of Pediatrics, College of Medicine, The Ohio State University, USA
| | - Sarah A. Keim
- Center for Biobehavioral Health, The Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA,Department of Pediatrics, College of Medicine, The Ohio State University, USA,Division of Epidemiology, College of Public Health, The Ohio State University, USA
| |
Collapse
|
46
|
Identification of Sensory Processing and Integration Symptom Clusters: A Preliminary Study. Occup Ther Int 2017; 2017:2876080. [PMID: 29348739 PMCID: PMC5733937 DOI: 10.1155/2017/2876080] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Revised: 09/27/2017] [Accepted: 10/26/2017] [Indexed: 11/17/2022] Open
Abstract
Rationale This study explored subtypes of sensory processing disorder (SPD) by examining the clinical presentations of cluster groups that emerged from scores of children with SPD on the Sensory Processing 3-Dimension (SP-3D) Inventory. Method A nonexperimental design was used involving data extraction from the records of 252 children with SPD. Exploratory cluster analyses were conducted with scores from the SP-3D Inventory which measures sensory overresponsivity (SOR), sensory underresponsivity (SUR), sensory craving (SC), postural disorder, dyspraxia, and sensory discrimination. Scores related to adaptive behavior, social-emotional functioning, and attention among children with different sensory modulation patterns were then examined and compared. Results Three distinct cluster groups emerged from the data: High SOR only, High SUR with SOR, and High SC with SOR. All groups showed low performance within multiple domains of adaptive behavior. Atypical behaviors associated with social-emotional functioning and attention varied among the groups. Implications The SP-3D Inventory shows promise as a tool for assisting in identifying patterns of sensory dysfunction and for guiding intervention. Better characterization can guide intervention precision and facilitate homogenous samples for research.
Collapse
|
47
|
Dunn W, Little L, Dean E, Robertson S, Evans B. The State of the Science on Sensory Factors and Their Impact on Daily Life for Children: A Scoping Review. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2017; 36:3S-26S. [PMID: 27504990 DOI: 10.1177/1539449215617923] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The objective of this study was to identify and synthesize research about how sensory factors affect daily life of children. We designed a conceptual model to guide a scoping review of research published from 2005 to October 2014 (10 years). We searched MEDLINE, CINAHL, and PsycINFO and included studies about sensory perception/processing; children, adolescents/young adults; and participation. We excluded studies about animals, adults, and review articles. Our process resulted in 261 articles meeting criteria. Research shows that children with conditions process sensory input differently than peers. Neuroscience evidence supports the relationship between sensory-related behaviors and brain activity. Studies suggest that sensory processing is linked to social participation, cognition, temperament, and participation. Intervention research illustrates the importance of contextually relevant practices. Future work can examine the developmental course of sensory processing aspects of behavior across the general population and focus on interventions that support children's sensory processing as they participate in their daily lives.
Collapse
Affiliation(s)
- Winnie Dunn
- University of Kansas Medical Center, Kansas City, KS, USA
| | - Lauren Little
- University of Kansas Medical Center, Kansas City, KS, USA
| | - Evan Dean
- University of Kansas Medical Center, Kansas City, KS, USA
| | - Sara Robertson
- University of Kansas Medical Center, Kansas City, KS, USA
| | - Benjamin Evans
- University of Kansas Medical Center, Kansas City, KS, USA
| |
Collapse
|
48
|
Mubarak A, Cyr C, St-André M, Paquette D, Emond-Nakamura M, Boisjoly L, Palardy S, Adin S, Stikarovska I. Child attachment and sensory regulation in psychiatric clinic-referred preschoolers. Clin Child Psychol Psychiatry 2017; 22:572-587. [PMID: 27635028 DOI: 10.1177/1359104516667997] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
BACKGROUND Individuals with sensory regulation disorders present with many difficulties in terms of managing emotions, behavior, and motor control. Children with such difficulties are often referred to psychiatric clinics for assessment of their behavioral and emotional problems. Few studies have investigated the role of environmental factors on sensory dysfunctions, and none have specifically studied its association with child attachment in a clinical sample. OBJECTIVE In this cross-sectional study, we examined the association between sensory regulation and child attachment among preschoolers referred to a psychiatric clinic. METHOD A sample of 60 preschoolers and their mothers were recruited through a child psychiatric clinic. Child attachment was assessed with the gold standard separation-reunion procedure for preschoolers. Parents completed the sensory profile, which assesses the presence of child hypersensitivity (sensitivity and avoidant scale) and hyposensitivity (sensory seeking and registration scale). RESULTS Data showed that 57% of the children were presented with clinical symptoms of sensory regulation. In addition, 53% of the children were classified insecure behaviorally disorganized or insecure disorganized controlling. In particular, results revealed that children classified as insecure disorganized controlling were significantly more likely to show hypersensitivity avoidance and sensory-seeking behaviors. CONCLUSION This study underscores the importance of the parent-child relationship for children with sensory regulation difficulties.
Collapse
Affiliation(s)
| | | | - Martin St-André
- 2 Perinatal and Infant Psychiatry Clinic, Sainte-Justine University Hospital Center, Canada.,3 University of Montreal, Canada
| | | | - Mutsuko Emond-Nakamura
- 2 Perinatal and Infant Psychiatry Clinic, Sainte-Justine University Hospital Center, Canada.,3 University of Montreal, Canada
| | - Louise Boisjoly
- 2 Perinatal and Infant Psychiatry Clinic, Sainte-Justine University Hospital Center, Canada
| | - Sylvain Palardy
- 4 Centre d'Évaluation en Neuropsychologie et d'Aide à l'Apprentissage/ Evaluation Center of Neurpsychology and Learning Support (CÉNAA)
| | - Stéphanie Adin
- 2 Perinatal and Infant Psychiatry Clinic, Sainte-Justine University Hospital Center, Canada
| | - Iréna Stikarovska
- 2 Perinatal and Infant Psychiatry Clinic, Sainte-Justine University Hospital Center, Canada.,3 University of Montreal, Canada
| |
Collapse
|
49
|
Demopoulos C, Yu N, Tripp J, Mota N, Brandes-Aitken AN, Desai SS, Hill SS, Antovich AD, Harris J, Honma S, Mizuiri D, Nagarajan SS, Marco EJ. Magnetoencephalographic Imaging of Auditory and Somatosensory Cortical Responses in Children with Autism and Sensory Processing Dysfunction. Front Hum Neurosci 2017; 11:259. [PMID: 28603492 PMCID: PMC5445128 DOI: 10.3389/fnhum.2017.00259] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2017] [Accepted: 05/01/2017] [Indexed: 11/25/2022] Open
Abstract
This study compared magnetoencephalographic (MEG) imaging-derived indices of auditory and somatosensory cortical processing in children aged 8–12 years with autism spectrum disorder (ASD; N = 18), those with sensory processing dysfunction (SPD; N = 13) who do not meet ASD criteria, and typically developing control (TDC; N = 19) participants. The magnitude of responses to both auditory and tactile stimulation was comparable across all three groups; however, the M200 latency response from the left auditory cortex was significantly delayed in the ASD group relative to both the TDC and SPD groups, whereas the somatosensory response of the ASD group was only delayed relative to TDC participants. The SPD group did not significantly differ from either group in terms of somatosensory latency, suggesting that participants with SPD may have an intermediate phenotype between ASD and TDC with regard to somatosensory processing. For the ASD group, correlation analyses indicated that the left M200 latency delay was significantly associated with performance on the WISC-IV Verbal Comprehension Index as well as the DSTP Acoustic-Linguistic index. Further, these cortical auditory response delays were not associated with somatosensory cortical response delays or cognitive processing speed in the ASD group, suggesting that auditory delays in ASD are domain specific rather than associated with generalized processing delays. The specificity of these auditory delays to the ASD group, in addition to their correlation with verbal abilities, suggests that auditory sensory dysfunction may be implicated in communication symptoms in ASD, motivating further research aimed at understanding the impact of sensory dysfunction on the developing brain.
Collapse
Affiliation(s)
- Carly Demopoulos
- Department of Radiology, University of California, San FranciscoSan Francisco, CA, United States
| | - Nina Yu
- Department of Neurology, University of California, San FranciscoSan Francisco, CA, United States
| | - Jennifer Tripp
- Department of Neurology, University of California, San FranciscoSan Francisco, CA, United States
| | - Nayara Mota
- Department of Radiology, University of California, San FranciscoSan Francisco, CA, United States
| | - Anne N Brandes-Aitken
- Department of Neurology, University of California, San FranciscoSan Francisco, CA, United States
| | - Shivani S Desai
- Department of Neurology, University of California, San FranciscoSan Francisco, CA, United States
| | - Susanna S Hill
- Department of Neurology, University of California, San FranciscoSan Francisco, CA, United States
| | - Ashley D Antovich
- Department of Neurology, University of California, San FranciscoSan Francisco, CA, United States
| | - Julia Harris
- Department of Neurology, University of California, San FranciscoSan Francisco, CA, United States
| | - Susanne Honma
- Department of Radiology, University of California, San FranciscoSan Francisco, CA, United States
| | - Danielle Mizuiri
- Department of Radiology, University of California, San FranciscoSan Francisco, CA, United States
| | - Srikantan S Nagarajan
- Department of Radiology, University of California, San FranciscoSan Francisco, CA, United States
| | - Elysa J Marco
- Department of Neurology, University of California, San FranciscoSan Francisco, CA, United States.,Department of Pediatrics, University of California, San FranciscoSan Francisco, CA, United States.,Department of Psychiatry, University of California, San FranciscoSan Francisco, CA, United States
| |
Collapse
|
50
|
Lee SJ, Gopalan G, Harrington D. Validation of the Parenting Stress Index-Short Form With Minority Caregivers. RESEARCH ON SOCIAL WORK PRACTICE 2016; 26:429-440. [PMID: 27616868 PMCID: PMC5014438 DOI: 10.1177/1049731514554854] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
OBJECTIVES There has been little examination of the structural validity of the Parenting Stress Index-Short Form (PSI-SF) for minority populations in clinical contexts in the Unites States. This study aimed to test prespecified factor structures (one-factor, two-factor, and three-factor models) of the PSI-SF. METHODS This study used confirmatory factor analysis in a sample of 240 predominantly Black and Latino caregivers of children with behavioral difficulties. RESULTS The three-factor model fit was reasonable, and the criterion validity for the subscale and total scores was good supporting continued cautious use of the PSI-SF for clinical minority populations. CONCLUSIONS The PSI-SF could be integrated as part of screening and intake assessment procedures, which could allow social work practitioners to make more informed decisions about treatment planning, as well as facilitate conversations with caregivers around identifying sources of stress and developing healthy coping strategies.
Collapse
Affiliation(s)
- Sang Jung Lee
- University of Maryland School of Social Work, Baltimore, MD, USA
| | - Geetha Gopalan
- University of Maryland School of Social Work, Baltimore, MD, USA
| | - Donna Harrington
- University of Maryland School of Social Work, Baltimore, MD, USA
| |
Collapse
|