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Tactile and hearing sensitivity of children with and without autism using the sensory profile and DSM-5

Authors:

Abstract

Background: Children with autism in their characteristics show a series of unusual reactions to stimuli in all areas of the sensory system. Aim: The aim of this paper was to compare the tactile and auditory processes, i.e. to determine the deficits of these processes by children with autism spectrum disorder (Diagnostic and Statistical Manual of Mental Disorders, 5th ed.) in relation to children with intellectual disabilities and children of the typical population. Methods: The sample consisted of a total of 105 children. During the survey, the method of proportional stratified sample was used and the data collection was carried out in 2017 on the entire territory of Bosnia and Herzegovina. Short Sensory Profile was applied (Dunn, 1999) and through 13 items, Tactile Perception and Hearing Perception were examined. Results: It was found that 71.4% of children with autism had significant difficulties in the area of tactile perception and 65.7% in the area of hearing perception. Tactile and hearing sensitivity is also common by children with intellectual disabilities, which undermines the inclusion of the difficulty of sensory processing as a key diagnostic criterion for autism.
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16
ORIGINAL
TACTILE AND HEARING SENSITIVITY OF CHILDREN WITH AND
WITHOUT AUTISM USING THE SENSORY PROFILE AND DSM-5
Bahira Demirović, Amila Mujezinović, Munevera Bećarević, Nermin Demirović,
Nejra Bećarević, Alma Dizdarević, Vesna Bratovčić
© by Acta Medica Saliniana
ISSN 0350-364X
Type of manuscript:
Professional papers
Title:
TACTILE AND HEARING SENSITIVITY
OF CHILDREN WITH AND WITHOUT
AUTISM USING THE SENSORY PROFILE
AND DSM-5
Authors:
11

3
11

Afiliations:
1Faculty of Education and


3Institute for Special Education
and Child Education Mjedenica
Received
Corresponding author:

bahira.demirovic@ukctuzla.ba
Background: Children with autism in their characteristics show a series of unusual
reactions to stimuli in all areas of the sensory system.
Aim  
           
  
with intellectual disabilities and children of the typical population.
Methods
        
            

were examined.
Results


             
autism.
Keywords
INTRODUCTION
Everything we do requires sensory
integration and when it comes to sensory
      



is experiencing the senses and the way
in which sensory input and processing
       
behaviour and learning.
Children with autism in their characteristics
show a whole series of unusual reactions
       
    
perceptive systems. Reports show that
more than 96% of children with autism
are hyper or hyposensitive in multiple
   
and sensory behavioural differences
ranging from mild to severe. Although
sensory hypersensitivity is not unique
       
common in this population than in other
populations. Studies of the comparison
of the pattern of the sensory processes of
children with autism or other pervasive
developmental disorders with the control
group of the typical population revealed
      
the sensory processes of children with
autism. These result clearly showed that
dysfunction of sensory processes is one of

Some children with autism are described
as sensitively insensitive or have a high

     

of the problem of sensory processing
(4). Recent research has reported that a
high percentage of children with autism
show unusual responses to sensory
    
offered by typically developing children
with the same chronological age (5). These
     
     
the greater the severity of the autism
symptomatology (6) and they are present

The latest version of the DSM has included
a typical sensory responsiveness or
unusual interests in sensory aspects of
the environment as one of four possible
elements of which two must be met in

    

    
Article
Full-text available
Sensory integration represents the organization of the senses for their use. It is a neuro-biological activity that allows the reception and processing of sensory information, which in arrive from the senses in huge quantities into the brain, at any time. The ability of the brain to successfully process tactile information allows the child to feel safe and develop a connection with those around it. An autistic child is not able to register many stimuli from their environment, so insufficient or poor sensory processing can contribute to the image of autism. Children with autism spectrum difficulties have specific difficulties in touch perception. The aim of the study was to examine the prevalence of sensory integration difficulties of the tactile sensory system of children with autism spectrum disorders, and to establish the statistical significance of differences in relation to children without developmental difficulties. The total sample of subjects (N=30) consisted of two subsamples. The first subsample of subjects (N=15) consisted of children with difficulties from the autism spectrum, and the second subsample of subjects (N=15) consisted of children without developmental difficulties. The measurement instrument was the „Questionnaire for testing tactile sensory sensitivity“ with 11 variables and the offered answers of possible sensory response was applied. The Mann-Whitney U test and the Wilcoxon W test at the level of statistical significance of p<0.05 were used to examine the statistical significance of the differences between the subsamples of the subjects. The results of the study showed that 86.67 % of children with autism have difficulties in sensory integration of the tactile sensory system. The hypersensitive type of sensory response has 26.67 %, and the hyposensitive sensory response 20 % of children with autism. 40.00 % of children with autism have a mixed type of tactile sensory. There is a statistically significant difference between children with autism and children without developmental difficulties on 4 variables.
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Atypical responses to sensory stimuli are a new criterion in DSM-5 for the diagnosis of an autism spectrum disorder (ASD) but are also reported in other developmental disorders. Using the Short Sensory profile (SSP) and Autism Diagnostic Interview-Revised we compared atypical sensory behaviour (hyper- or hypo-reactivity to sensory input or unusual sensory interests) in children aged 10–14 years with (N = 116) or without an ASD but with special educational needs (SEN; N = 72). Atypical sensory behaviour was reported in 92 % of ASD and 67 % of SEN children. Greater sensory dysfunction was associated with increased autism severity (specifically restricted and repetitive behaviours) and behaviour problems (specifically emotional subscore) on teacher and parent Strengths and Difficulties Questionnaires but not with IQ.
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