Sensory hypersensitivity in children with high-functioning pervasive developmental disorder.

Osaka city medical journal Pub Date : 2014-12-01
Eri Futoo, Dai Miyawaki, Ayako Goto, Yu Okada, Nobuyoshi Asada, Yoshihiro Iwakura, Erika Yanagihara, Koki Inoue
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Abstract

Background: Studies have shown that children with pervasive developmental disorder (PDD) have high rates of sensory hypersensitivity. In addition, a few recent studies suggested that sensory hypersensitivity was related to anxiety or depression. However, most studies had methodological limitations because they included children with mental retardation and did not examine broadband psychopathology. Therefore, the purpose of this study was to examine the prevalence of sensory hypersensitivity in children with high-functioning PDD (HFPDD) and the correlation among sensory hypersensitivity, various characteristics, and broadband psychopathology.

Methods: We assessed 132 children with HFPDD (aged 6-15 years, 75% male) that were divided into sensory hypersensitivity (HS) and sensory non-hypersensitivity (non-HS) groups. A logistic regression model was used to examine correlations among sensory hypersensitivity, age, gender, PDD subtypes, socioeconomic status, and broadband psychopathology, including symptoms of anxiety and depression.

Results: Of the 132 children with HFPDD, 65.9% (n = 87) were categorized as HS and 34.1% (n = 45) as non-HS. The most common sensory hypersensitivity was auditory. Logistic regression analyses revealed that sensory hypersensitivity in HFPDD was significantly associated with autistic disorder and symptoms of anxiety and depression.

Conclusions: Majority of children with HFPDD exhibited sensory hypersensitivity. Our findings suggested that sensory hypersensitivity may be a core feature of HFPDD and is possibly correlated to symptoms of anxiety and depression. We propose that sensory hypersensitivity in children with PDD should be aggressively assessed.

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高功能广泛性发育障碍儿童的感觉超敏反应。
背景:研究表明,广泛性发育障碍(PDD)儿童有很高的感觉超敏反应率。此外,最近的一些研究表明,感觉超敏反应与焦虑或抑郁有关。然而,大多数研究都有方法上的局限性,因为他们纳入了智力迟钝的儿童,并且没有检查宽带精神病理学。因此,本研究旨在探讨高功能PDD (high-functioning PDD, HFPDD)患儿感觉超敏反应的患病率,以及感觉超敏反应与各种特征、宽频精神病理之间的相关性。方法:对132例HFPDD患儿(6 ~ 15岁,男性占75%)进行评估,分为感觉超敏(HS)组和感觉非超敏(non-HS)组。采用logistic回归模型检验感觉超敏反应、年龄、性别、PDD亚型、社会经济地位和宽频精神病理(包括焦虑和抑郁症状)之间的相关性。结果:132例HFPDD患儿中,HS占65.9% (n = 87),非HS占34.1% (n = 45)。最常见的感觉超敏反应是听觉。逻辑回归分析显示,HFPDD的感觉超敏反应与自闭症、焦虑和抑郁症状显著相关。结论:大多数HFPDD患儿表现为感觉超敏。我们的研究结果表明,感觉超敏可能是HFPDD的核心特征,并可能与焦虑和抑郁症状相关。我们建议应该积极评估PDD患儿的感觉超敏反应。
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