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자폐스펙트럼장애 아동에서 대소변 가림 여부에 따른 사회지수 및 감각처리기능 비교

Comparison of Social Quotient and Sensory Processing According to the Toileting Ability in Children with Autism Spectrum Disorder

대한통합의학회지 2020년 8권 3호 p.133 ~ 142
이철상, 김태훈,
소속 상세정보
이철상 ( Lee Chul-Sang ) - Swingdaddy Center for Sensory and Behavioral Development
김태훈 ( Kim Tae-Hoon ) - Dongseo University Department of Occupational Therapy Division of Health Science

Abstract


Purpose : The purpose of this study was to investigate the differences in social quotient and sensory processing function between completed-toileting and incomplete-toileting children with autism spectrum disorder (ASD). We aims to provide a basis for the training of children with autism spectrum disorders.

Methods : The subjects of this research were children with ASD, aged from 4 to 7, receiving sensory integration therapy at the H-Child Development Research Center in Busan, South Korea. After recruiting 30 parents who had children with ASD, we interviewed them and we divided their children into completed-toileting group and incomplete-toileting group based on the past researches. We assessed them using the Social Maturity Scale and Sensory Profile. Spearman correlation was used to analyze between the sensory processing score and social quotient. Mann-Whitney U test was used to compare the Sensory Profile scores of the two groups.

Results : The social quotient was correlated with the sensory processing score in the most of component as for auditory processing, vestibular processing, touch processing, multisensory processing, orosensory processing, except for visual processing. The groups of completed-toileting and incomplete-toileting group showed statistically significant intergroup difference in sensory seeking, emotional reactive, oral-sensory sensitivity, and inattention/distractibility in the sensory factor region. No statistically significant difference from intergroup was observed in any modulation areas, nor in behavioral & emotional response domains.

Conclusion : A significant intergroup difference was observed in the most of sensory processing areas, except for modulation areas and behavioral & emotional response domains. The result revealed that toileting is significantly correlated with sensory processing. Therefore, this study suggests that the sensory processing function should be considered in the toilet training of children with ASD.

키워드

autism spectrum disorder; sensory processing; social maturity; toileting

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