자폐스펙트럼장애 아동에서 대소변 가림 여부에 따른 감각처리기능 비교 (Comparison of Social Quotient and Sensory Processing according to the Toileting Ability in Children with Autism Spectrum Disorder)

서지정보

· 발행기관 : 대한통합의학회
· 수록지 정보 : 대한통합의학회지 / 8권 / 3호 / 133 ~ 142페이지
· 저자명 : 이철상, 김태훈

초록

본 연구는 자폐스펙트럼장애 아동에서 대소변을 가리는 집단과 가리지 못하는 집단의 감각처리기능을 비교하고자 하였다. 아동의 부모 면담을 통하여 대소변 가림여부를 조사 후 사회성숙도 검사와 감각프로파일을 평가하였다. 연구 결과 사회성숙도 검사의 사회지수는 시각처리를 제외한 모든 감각처리 영역의 점수와 유의한 상관관계가 있었다. 대소변 가림군과 못가림군은 모든 감각처리 영역에서 유의한 차이가 있었고, 감각요소 중 감각추구, 감정반응, 구강감각-민감성, 부주의/산만에서 유의한 차이가 있었으나, 낮은 지구력/근긴장도, 감각등록의 저하, 감각 민감성, 앉아있으려는 성향, 미세동작/지각력에서는 유의한 차이가 없었다. 감각조절 영역과 행동 및 정서반응 영역에서는 유의한 차이가 없었다 . 가림군과 못가림군은 감각처리 영역과 일부 감각요소에서 차이가 있으므로 대소변 훈련 시 감각처리 및 감각요소를 향상하기 위한 중재가 필요할 것으로 사료된다.

영어초록

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.

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