بررسی ارتباط پردازش حسی و مشکلات رفتار در کودکان مبتلا به اوتیسم با عملکرد بالا (7 تا 10 ساله)

نوع مقاله : مقاله پژوهشی

نویسندگان

1 1. کمیته پژوهش دانشجویی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی. تهران، ایران.

2 دانشگاه علوم پزشکی شهید بهشتی. گروه آموزشی کاردرمانی.

3 3. دکتری علوم اعصاب شناختی عضو هیئت علمی و مربی گروه کاردرمانی دانشگاه علوم پزشکی ایران، تهران، ایران

4 4. دکترای تخصصی روانشناسی کودکان استثنایی . استادیار دانشگاه شهید مدنی آذربایجان، تبریز، ایران.

5 5. کارشناس ارشد روانشناسی بالینی، اهواز، ایران.

چکیده

مقدمه و اهداف
مطالعه حاضر به بررسی ارتباط بین مشکلات رفتاری و وضعیت حسی در کودکان مبتلا به اختلال اوتیسم به عملکرد بالا پرداخته است.
مواد و روش ها
در این پژوهش توصیفی- تحلیلی،28 کودک مبتلا به اختلال اوتیسم با عملکرد بالا  و 29 کودک طبیعی همسان شده شرکت کردند . پس از تکمیل پرسشنامه دموگرافیک و اخذ رضایت، از والدین کودکان در هر دو گروه خواسته شد که پرسشنامه وضعیت حسی ( Sensory Profile(SP)) و سیاهه رفتاری کودکان آخنباخ (Children behavior Check list (CBCL)) را تکمیل کنند.
یافته ها
به منظور  توصیف اطلاعات بدست آمده،  از شاخص های گرایش مرکزی، پراکندگی و توزیع نمره ها استفاده شد. برای تحلیل داده‏ها از روش آماری تحلیل واریانس چند متغیری(MANOVA ( با استفاده از نر م افزار آماری SPSS 16  استفاده شد. بین میانگین نمره های کودکان عادی و کودکان دارای اوتیسم در 7 مولفه حس طلبی، تهییج پذیری، تحمل عضلانی پایین، حساسیت حس دهانی، بی توجهی و حواسپرتی، ضعف ثبت حسی و حرکات ظریف/ درک تفاوت معنادار وجود دارد.
نتیجه گیری
با توجه به ضرایب به دست آمده می توان نتیجه گرفت که فاکتور حس طلبی و بی تحرکی بیشترین ارتباط را با مشکلات رفتاری در کودکان اوتیسم داشته اند.

کلیدواژه‌ها


عنوان مقاله [English]

Relationship between sensory processing and behavior problems in children with high-functioning autism

نویسندگان [English]

  • Faezeh dehghan 1
  • Navid Mirzakhani 2
  • Mahdi alizade zarei 3
  • Mehran Soleimani 4
  • Mehrnoosh sartipizade 5
1 1. Student Research Committee. MSc of Occupational therapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences,Tehran,Iran
2 2. MSc of Occupational therapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences,Tehran,Iran
3 3. PhD in Cognitive Neuroscience and Department of Occupational Therapy Faculty of Medical Sciences , Tehran, Iran
4 4. PhD in Psychology Of Exceptional Children. Assistant Professor Of Azarbaijan Shahid Madani University. Tabriz. Iran
5 5. MS in Clinical Psychology, Ahvaz , Iran
چکیده [English]

Background and Aim: Investigating the relationship between sensory processing and behavior in 7 to 10 years old children with attention deficit disorder and hyperactivity.
Materials and Methods: In this descriptive-analytic study 28 children with high functioning autism and 29 normal matched children in the age range of 7- 10 years old were participated.  After completing a demographic questionnaire and signing a consent informed Letter by their parents, the children's parents were asked to complete Sensory Profile Questionnaire (SP) and Child Behavior Checklist (CBCL). In order to describe the data obtained from the study, Indicators of central tendency, dispersion and distribution of the scores was used. For data analysis, analysis of variance (MANOVA (using SPSS 16 statistical software was used. 
Results: Results showed that the difference between the means of two groups in sensory seeking, low endurance /muscle ton, inattention / distractibility, poor sensory registration, fine movement/ perception .oral sensivity and emotional reactivity were significant.
Conclusion: according to the values obtained, sensory seeking and sedentary are the most relevant factors to behavioral problems in children with autism.
 

کلیدواژه‌ها [English]

  • Sensory Processing
  • high functioning disorder
  • Behavioral problems
  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (4th ed., Text revision). 2000; Washington DC: American Psychiatric Association##
  2. Lecavalier  L, Leone  S, & Wiltz  J. The imPact of behavior Problems on caregiver stress in young PeoPle with autism sPectrum disorders. Journal of Intellectual Disability Research, 2006; 50(Pt 3):172–183.##
  3. Hartley S L, Sikora, D M, & McCoy R. Prevalence and risk factors of maladaPtive behavior in young children with autistic disorder. Journal of Intellectual Disability Research.2008; 52(10):819–829.##
  4. Lane A, Young R L, Baker A. E, and Angley M T. Sensory Processing subtyPes in autism: Association with adaPtive behavior. Journal of Autism and DeveloPmental Disorders.2010; 40(1): 112–122.##
  5. Allik, H, Larsson J O and Smedje H. Health-related quality of life in Parents of school-age children with AsPerger Syndrome or High-Functioning Autism. Health Qual Life Outcomes. 2006 Jan 4;4:1.##
  6. Miller L J. Lane S J. Towards a consensus in terminology in sensory integration theory and Practice: Part 1: Taxonomy of neurophysiologyical Processes. Sensory Integration SPecial Interest Section Quarterly. 2000; 23, 1–4.##
  7. Miller L J, Anzalone M E, Lane S J, Cermak S A, & Osten E T, ConcePt evolution in sensory integration: A ProPosed nosology for diagnosis. American Journal of OccuPational TheraPy. 2007; 61(2):135–140.##
  8. Kern, Carolyn R, Garver, Thomas Carmody, Alonzo A, Andrews, Jyutika A, Mehta, Madhukar H, Trivedi. Examining sensory modulation in individuals with autism as comPared to community controls Janet K. Research in Autism Spectrum Disorders, v2 n1 p85-94 Jan-Mar 2008##
  9. Cesaroni L, Garber M. ExPloring the exPerience of autism through firsthand accounts. Journal of Autism and DeveloPmental Disorders. 1991 ;( 21):303–313.##
  10. Baranek G T, Foster L G, and  Berkson, G. Tactile defensiveness and stereotyPed behaviors. American Journal of OccuPational TheraPy. 1997; (51): 91–95.##
  11. Watling, R L, Deitz  J, & White O. ComParison of Sensory Profile scores of young children with and without autism sPectrum disorders. American Journal of OccuPational TheraPy. 2001; (55):416–423.##
  12. Hilton C L, HarPer J D, Kueker R H, Lang A R., Abbacchi A M., Todorov A . Sensory resPonsiveness as a Predictor of social severity in children with high functioning autism sPectrum disorders. Journal of Autism and DeveloPmental Disorders. 2010; 40(8): 937–945.##
  13. Gal E, Dyck M J, Passmore A. Sensory differences and stereotyPed movements in children with autism. Behavior Change.  2002;( 4): 207–219.##
  14. Kern J K, Trivedi  M. H, Garver  C  R , Grannemann  B  D, Andrews A A ,  Savla J S. The Pattern of sensory Processing abnormalities in autism. Autism 2006; 10(5): 480–494.##
  15. Tomchek S D, & Dunn W. Sensory Processing in children with and without autism: A comParative study using the short sensory Profile. American Journal of OccuPational TheraPy.2007; 61(2): 190–200.##
  16. Baranek G T, David  F J, Poe M D, Stone W L, and Watson L R. Sensory ExPeriences Questionnaire: Discriminating sensory features in young children with autism, develoPmental delays, and tyPical develoPment. Journal of Child Psychology and Psychiatry. 2005; 47(6): 591–601##
  17. Kientz M A, & Dunn W. A comParison of the Performance of children with and without autism on the Sensory Profile. American Journal of OccuPational TheraPy. 1997; 51(7):530–537.##
  18. Pfeiffer B, Kinnealey M, Reed C, Herzberg G .Sensory Modulation and Affective Disorders in Children and Adolescents with AsPerger’s Disorder. Am J Occup Ther. 2005 May-Jun;59(3):335-45. ##
  19. Hilton C, Graver K,  LaVesser P. RelationshiP between social comPetence and sensory Processing in children with high functioning autism sPectrum disorders. Research in Autism SPectrum Disorders. 2007; 1(2): 164–173.##
  20. Matsushima K, Kato ,Toshihiro .Social Interaction and AtyPical Sensory Processing in Children with Autism SPectrum Disorders Hong Kong Journal of OccuPational TheraPy.( 2013); 23: 89-96##
  21. Hochhauser M, Engel-Yeger B .Sensory Processing abilities and their relation to ParticiPation in leisure activities among children with high-functioning autism sPectrum disorder (HFASD). Research in Autism Spectrum Disorders. 2010;4(4):746–754.##
  22. Ben-Sasson S, Cermak GI, Orsmond H ,Tager-Flusberg MB, Kadlec.and Carter AS. Sensory clusters of toddlers with autism sPectrum disorders: differences in affective symPtoms. J Child Psychol Psychiatry. 2008 Aug;49(8):817-25.##
  23. Dunn W .The Sensory Profile: examiner's manual. 1999; San Antonio, TX: Psychological CorPoration.##
  24. Mirzakhani N, Zeynali R, Fendereski T, Dehghan F, Malak H. Normalization of sensory Profile questionnaires in Iranian children (5-12 year old). Shaid Beheshti University of medical science. Rehabilitation school.2012. 122-128. [ In Persian]##
  25. Achenbach,P  M. Manual for the child behavior check list 2-3 and  Profile. Burlington, V.T. University of Vermont. (1992).##
  26. Ahadi B. Behavior Problems and academic achievement in children with and without motor Problems. Journal of Rehabilitation. 1388; 10 (1) :0-0 [In Persian].##
  27. Case-Smith j, Clifford, O’Brien j .OccuPational TheraPy for Children, 6e (OCCUPATIONAL THERAPY FOR CHILDREN (CASE-SMITH)) .6 nd  ed . Mosby; 2009 .P. 1213-1256.##
  28. Miller L J, Anzalone, M. E, Lane S J, Cermak S A., and Osten ET. ConcePt evolution in sensory integration: A ProPosed nosology for diagnosis. American Journal of OccuPational TheraPy. 2007 ; 61(2): 135–140.##
  29. Kramer P, Hinojosa J. Frame of reference for Pediatric occuPational theraPy. 3nd ed. Baltimore: LiPPincott Williams & Wilkins. 2005. P.140- 153.##
  30. Berroch E E. Basic neuroscience whit clinical aPPlication. PhiladelPhia: butter worth Heinemann.  2006:439-451.##
  31. Robin L, Gabriels , Agnew J A , Miller L J , Gralla J , Pan Z, Goldson E, Ledbetter J C , Dinkins J P , Hooks E .Is there a relationshiP between restricted, rePetitive, stereotyPed behaviors and interests and abnormal sensory resPonse in children with autism sPectrum disorders?.  Research in Autism SPectrum Disorders. 2008; 2(4): 660–670.##
  32. Gabriel R, Agnew J, Miller J, Gralla J, Pan Z, Goldson E, et al. Is there a relationshiP between restricted, rePetitive, stereotyPed behaviors and interests and abnormal sensory resPonse in children with autism sPectrum disorders? Research in Autism SPectrum Disorders. 2008 ;2(4) :660–670.##
  33. Leekam SR, Nieto C, Libby SJ, Wing L, Gould J. Describing the sensory abnormalities of children and adults with autism. J Autism Dev Disorder. 2007; 37:894–910.##
  34. Cheatum b, Hammond A, Physical Activities for ImProving Children's Learning and Behavior 1999. Human Kinetics; 1nd ed .1999. P. 233-256.##
  35. Bo¨ lte S ,Holtmann M, Poustka F ,Scheurich A ,Schmidt L. Gestalt PercePtion and Local-Global Processing in High-Functioning Autism. J Autism Dev Disorder . 2007; 37:1493–1504.##
  36. HaPP´e, F. G.Studying weak central coherence at low levels: Children with autism do not succumb to visual illusions. Journal of Child Psychology and Psychiatry. 1996; 37(7), 873–877.##