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Eşik altı Dikkat Eksikliği Hiperaktivite Bozukluğunun Dikkatsizlik Baskın Görünümünde (DEHB-I) olan Çocuklar Duyu Bütünleme Terapisi ile Tedavi Edilmeli mi? Bir Vaka Kontrol Çalışması.

Yıl 2020, Cilt: 12 Sayı: 3, 539 - 545, 20.10.2020
https://doi.org/10.18521/ktd.709847

Öz

Amaç: Duyu bütünleme terapisi, davranışsal ve gelişimsel bozukluklar için umut verici olan önleyici terapi seçeneklerinden biridir. Bu çalışma, Dikkat eksikliği hiperaktivite bozukluğunun dikkatsizlik baskın görünümünde (DEHB-D) olan okul çağındaki çocuklar için duyu bütünleme terapisinin etkinliğine dair bir fikir vermektedir.

Yöntem: Tek kollu bir klinik çalışma olan bu çalışmaya, ağırlıklı olarak dikkatsizlik baskın görünümde olan 7-10 yaş arası 20 eşik altı DEHB-D tanısı olan çocuk dahil edildi. Duyu bütünleme terapisi, duyusal modülasyon ilkeleri ve müdahale stratejilerine uygun olarak hazırlanmış ve haftada iki seans olacak şekilde 12 hafta devam etmiştir. Etkinlik, Conners Öğretmen / Ebeveyn ölçekleri, Klinik Global İzlenim ölçeği, Kanada Duyusal Bütünleştirme Performans Ölçümü ve Duyusal Profil kullanılarak değerlendirildi.


Bulgular: Duyu bütünleme terapisi sonrasında, duyusal profilin işitsel işlemleme alanında “tipik” veya “daha iyi” performansa sahip hastaların oranı, önemli ölçüde artmıştır; terapi öncesinde 9 hasta (% 45); terapi sonrasında 15 hasta (% 75) (p = 0,031). Duyusal Profilin dikkatsizlik-dikkat dağınıklığı faktör puanında “tipik” veya “daha iyi” performans gösteren katılımcıların oranları, duyu bütünleme terapisinden sonra anlamlı olarak artmıştır; öncesi 6 (% 30) ve sonrası 16 (% 80) (p = 0,006).


Sonuç: Duyu bütünleme terapisi, özel gereksinime sahip olan kişilerin önemli ve amaçlı buldukları günlük yaşam aktivitelerine katılmalarını desteklemeye odaklanır. Bu çalışmada eşik altı dikkat eksikliği hiperaktivite bozukluğu olan bireylerin yaşadıkları zorluklar ele alınmış ve farklı duyusal modaliteler ile ilişkili olabilecek günlük yaşamın yönleri araştırılmıştır. Bu çocuklarda özellikle Duyu bütünleme terapisi yoluyla iyileştirilebilen bozulmuş işitsel işlemleme süreçleri gözlenmiştir.

Destekleyen Kurum

yok

Proje Numarası

37732058-514.10 (etik kurul sayısı)

Teşekkür

Teşekkürler

Kaynakça

  • References 1. National Institute for Health and Care Excellence, 2018. Attention deficit hyperactivity disorder: diagnosis and management. NICE Guideline #87.http://www.nice.org.uk/NG87 (accessed 21 June 2019).
  • 2. Rowland AS, Skipper BJ, Umbach DM, Rabiner DL, Campbell RA, Naftel AJ, Sandler DP.The Prevalence of ADHD in a Population-Based Sample. J AttenDisord. 2015 Sep;19(9):741-54. doi: 10.1177/1087054713513799. Epub 2013 Dec 11.
  • 3. American Psychiatric Association. Attention-deficit/hyperactivity disorder. In: Diagnostic and Statistical Manual of Mental Disorders.5thed. Arlington, VA:American Psychiatric Association; 2013. p.59.
  • 4. Zulauf CA, Sprich SE, Safren SA, Wilens TE. The complicated relationship between attention deficit/hyperactivity disorder and substance use disorders. Curr Psychiatry Rep 2014;16:436.
  • 5. Elkins IJ, McGue M, Iacono WG. Prospective effects of attention‐deficit/hyperactivity disorder, conduct disorder, and sex on adolescent substance use and abuse. Arch Gen Psychiatry 2007;64:1145–1152.
  • 6. Biederman J, Faraone SV, Spencer TJ, Mick E, Monuteaux MC, Aleardi M. Functional impairments in adults with self‐reports of diagnosed ADHD: a controlled study of 1001 adults in the community. J Clin Psychiatry 2006;67:524–540.
  • 7. Hong SB, Dwyer D, Kim JW et al. Subthreshold attention‐deficit/hyperactivity disorder is associated with functional impairments across domains: a comprehensive analysis in a large‐scale community study. Eur Child Adolesc Psychiatry 2014;23:627–636.
  • 8. Shankman SA, Lewinsohn PM, Klein DN, et al. Subthreshold conditions as precursors for full syndrome disorders: a 15‐year longitudinal study of multiple diagnostic classes. J Child Psychol Psychiatry. 2009;50:1485-94.
  • 9. Kim HW, Cho SC, Kim BN, Kim JW, Shin MS, Kim Y. Perinatal and familial risk factors are associated with full syndrome and subthreshold attention-deficit hyperactivity disorder in a Korean community sample. Psychiatry Investig2009;6:278–285.
  • 10. Rucci P, Gherardi S, Tansella M, et al. Subthreshold psychiatric disorders in primary care: prevalence and associated characteristics. J Affect Disord. 2003;76:171-181.
  • 11. Cho SC, Kim HW, Kim BN, Shin MS, Yoo HJ, Kim JW, Bhang SY, Cho IH. Are teacher ratings and parent ratings differently associated with children’s intelligence and cognitive performance? Psychiatry Investig 2011;8:15–21.
  • 12. Costello EJ. Early detection and prevention of mental healthproblems: developmental epidemiology and systems of support. JClin Child AdolescPsychol2016;45:710–717.
  • 13. Höhl W, Moll S, Pfeiffer A. Sensory integration therapy interventions in the treatment of people with severe mental illness. CurrOpin Psychiatry. 2017 Jul;30(4):300-305.
  • 14. Kreider CM, Bendixen RM, Huang YY, Lim Y. Review of Sensory integration Therapy Intervention Research in the Practice Area of Children and Youth 2009–2013. Am J OccupTher. 2014 Mar-Apr; 68(2): e61–e73.
  • 15. Chu S. Developing a model of sensory integration therapy practice for children with attention deficit hyperactivity disorder (ADHD). Unpublished PhD thesis. Uxbridge, Middx: School of Health Sciences and Social Care, Brunel University. 2005. http://bura.brunel.ac.uk/handle/2438/5158(accessed 28 December 2019).
  • 16. Chu S. Attention deficit hyperactivity disorder (ADHD), part one: a review of literature. International Journal of Therapy and Rehabilitation, 2003;10(5), 218-26.
  • 17. Shaffer RJ, Jacokes LE, Cassily JF, Greenspan SI, Tuchman RF, Stemmer PJ. Effect of interactive metronome training on children with ADHD. American Journal of Sensory integration Therapy, 2001;55(2), 155-62.
  • 18. Gökler B, Ünal F, Pehlivantürk B, Kültür EÇ, Akdemir D, Taner Y. Reliability and Validity of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T) Turk J Child AdolescMent Health. 2004;11(3):109–116.
  • 19. Dunn W. Sensory Profile. San Antonio, TX: Psychological Corporation; 1999.
  • 20. Conners CK. Conners Rating Scales Revised Technical Manual. Toronto: Multi-Health Systems; 1997.
  • 21. LawM, Baptiste S, Carswell-OpzoomerA, McColl M, Polatajko H, Pollock N.CanadianSensory integration Performance Measure manual.2nd ed.Toronto, ON: CAOT Publications ACE; 1994.
  • 22. GuyW. Ecdeu assessment manual for psychopharmacology. Maryland: National Institute of Mental Health; 1976.
  • 23. Maeir A, Fisher O, Bar-Ilan RT, Boas N, Berger I, Landau YE. Effectiveness of Cognitive-Functional (Cog-Fun) sensory integration therapy intervention for young children with attention deficit hyperactivity disorder: a controlled study. Am J Occup Ther. 2014 May-Jun;68(3):260-7.
  • 24. American Sensory integration Therapy Association. Sensory integration therapy practice framework: domain and process. American Journal of Sensory integration Therapy. 2002;56(6), 609-639.
  • 25. Cheung PPP, Siu AMH. A comparison of patterns of sensory processing in children with and without developmental disabilities. Res Dev Disabil. 2009;30(6):1468-80.
  • 26. Eggermont JJ. Acquired hearing loss and brain plasticity. Hear Res. 2017 Jan;343:176-190.
  • 27. GharebaghyS, Rassafiani M, Cameron D. Effect of Cognitive Intervention on Children with ADHD. Physical &Sensory integration Therapy InPediatrics. 2014;35(1), 13–23.
  • 28. Johnston C, Freeman W. Parents Beliefs About ADHD: Implications for Assessment and Treatment. The ADHD Report. 2002;10(1), 6–9.
  • 29. HozaB, OwensJS, PelhamWE, et al. Parent cognitions as predictors of child treatment response in attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 2000;28, 569-583.

Should children with sub-threshold ADHD predominantly inattentive subtype (ADHD-I) symptoms be treated with Sensory ıntegration therapy? A case-control study.

Yıl 2020, Cilt: 12 Sayı: 3, 539 - 545, 20.10.2020
https://doi.org/10.18521/ktd.709847

Öz

Objective: Sensory integration therapy is one of the promising preventive therapy options for behavioral and developmental disorders. Hypothesizing a degree of parallelism, this study provides an insight into the effectiveness of the sensory integration therapy potencies for school-aged children with subthreshold ADHD predominantly inattentive subtype.

Method: The study was a single-arm clinical trial and 20 patients aged 7–10 years with subthreshold ADHD predominantly inattentive subtype, were included. The sensory integration intervention was prepared in accordance with sensory modulation principles and intervention strategies and lasted 12 weeks with two sessions per week. The effectiveness was assessed using the Conner’s teacher/parent scales, the Clinical Global Impression scale, the Canadian Sensory integration Performance Measure and the Sensory Profile.

Results: The rate of patients with typical or better performance in auditory processing domain of the Sensory Profile was found significantly increased after sensory integration therapy; 9 patients (45%) before and 15 patients after (75%) (p=0.031). The rates of participants with typical or better performance in inattention–distractibility factor score of the Sensory Profile were found significantly increased after sensory integration therapy; 6 before (30%) and 16 after (80%) (p=0.006).

Conclusion: Sensory integration therapy focuses on supporting persons with varied disability terms to engage in daily life activities that they find significant and purposeful. Difficulties experienced by individuals with subthreshold attention-deficit hyperactivity disorder are addressed in this study and aspects of daily life are explored while swiping through different sensory modalities. Impaired auditory processing improvable through sensory integration therapy was observed in these children.

Proje Numarası

37732058-514.10 (etik kurul sayısı)

Kaynakça

  • References 1. National Institute for Health and Care Excellence, 2018. Attention deficit hyperactivity disorder: diagnosis and management. NICE Guideline #87.http://www.nice.org.uk/NG87 (accessed 21 June 2019).
  • 2. Rowland AS, Skipper BJ, Umbach DM, Rabiner DL, Campbell RA, Naftel AJ, Sandler DP.The Prevalence of ADHD in a Population-Based Sample. J AttenDisord. 2015 Sep;19(9):741-54. doi: 10.1177/1087054713513799. Epub 2013 Dec 11.
  • 3. American Psychiatric Association. Attention-deficit/hyperactivity disorder. In: Diagnostic and Statistical Manual of Mental Disorders.5thed. Arlington, VA:American Psychiatric Association; 2013. p.59.
  • 4. Zulauf CA, Sprich SE, Safren SA, Wilens TE. The complicated relationship between attention deficit/hyperactivity disorder and substance use disorders. Curr Psychiatry Rep 2014;16:436.
  • 5. Elkins IJ, McGue M, Iacono WG. Prospective effects of attention‐deficit/hyperactivity disorder, conduct disorder, and sex on adolescent substance use and abuse. Arch Gen Psychiatry 2007;64:1145–1152.
  • 6. Biederman J, Faraone SV, Spencer TJ, Mick E, Monuteaux MC, Aleardi M. Functional impairments in adults with self‐reports of diagnosed ADHD: a controlled study of 1001 adults in the community. J Clin Psychiatry 2006;67:524–540.
  • 7. Hong SB, Dwyer D, Kim JW et al. Subthreshold attention‐deficit/hyperactivity disorder is associated with functional impairments across domains: a comprehensive analysis in a large‐scale community study. Eur Child Adolesc Psychiatry 2014;23:627–636.
  • 8. Shankman SA, Lewinsohn PM, Klein DN, et al. Subthreshold conditions as precursors for full syndrome disorders: a 15‐year longitudinal study of multiple diagnostic classes. J Child Psychol Psychiatry. 2009;50:1485-94.
  • 9. Kim HW, Cho SC, Kim BN, Kim JW, Shin MS, Kim Y. Perinatal and familial risk factors are associated with full syndrome and subthreshold attention-deficit hyperactivity disorder in a Korean community sample. Psychiatry Investig2009;6:278–285.
  • 10. Rucci P, Gherardi S, Tansella M, et al. Subthreshold psychiatric disorders in primary care: prevalence and associated characteristics. J Affect Disord. 2003;76:171-181.
  • 11. Cho SC, Kim HW, Kim BN, Shin MS, Yoo HJ, Kim JW, Bhang SY, Cho IH. Are teacher ratings and parent ratings differently associated with children’s intelligence and cognitive performance? Psychiatry Investig 2011;8:15–21.
  • 12. Costello EJ. Early detection and prevention of mental healthproblems: developmental epidemiology and systems of support. JClin Child AdolescPsychol2016;45:710–717.
  • 13. Höhl W, Moll S, Pfeiffer A. Sensory integration therapy interventions in the treatment of people with severe mental illness. CurrOpin Psychiatry. 2017 Jul;30(4):300-305.
  • 14. Kreider CM, Bendixen RM, Huang YY, Lim Y. Review of Sensory integration Therapy Intervention Research in the Practice Area of Children and Youth 2009–2013. Am J OccupTher. 2014 Mar-Apr; 68(2): e61–e73.
  • 15. Chu S. Developing a model of sensory integration therapy practice for children with attention deficit hyperactivity disorder (ADHD). Unpublished PhD thesis. Uxbridge, Middx: School of Health Sciences and Social Care, Brunel University. 2005. http://bura.brunel.ac.uk/handle/2438/5158(accessed 28 December 2019).
  • 16. Chu S. Attention deficit hyperactivity disorder (ADHD), part one: a review of literature. International Journal of Therapy and Rehabilitation, 2003;10(5), 218-26.
  • 17. Shaffer RJ, Jacokes LE, Cassily JF, Greenspan SI, Tuchman RF, Stemmer PJ. Effect of interactive metronome training on children with ADHD. American Journal of Sensory integration Therapy, 2001;55(2), 155-62.
  • 18. Gökler B, Ünal F, Pehlivantürk B, Kültür EÇ, Akdemir D, Taner Y. Reliability and Validity of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T) Turk J Child AdolescMent Health. 2004;11(3):109–116.
  • 19. Dunn W. Sensory Profile. San Antonio, TX: Psychological Corporation; 1999.
  • 20. Conners CK. Conners Rating Scales Revised Technical Manual. Toronto: Multi-Health Systems; 1997.
  • 21. LawM, Baptiste S, Carswell-OpzoomerA, McColl M, Polatajko H, Pollock N.CanadianSensory integration Performance Measure manual.2nd ed.Toronto, ON: CAOT Publications ACE; 1994.
  • 22. GuyW. Ecdeu assessment manual for psychopharmacology. Maryland: National Institute of Mental Health; 1976.
  • 23. Maeir A, Fisher O, Bar-Ilan RT, Boas N, Berger I, Landau YE. Effectiveness of Cognitive-Functional (Cog-Fun) sensory integration therapy intervention for young children with attention deficit hyperactivity disorder: a controlled study. Am J Occup Ther. 2014 May-Jun;68(3):260-7.
  • 24. American Sensory integration Therapy Association. Sensory integration therapy practice framework: domain and process. American Journal of Sensory integration Therapy. 2002;56(6), 609-639.
  • 25. Cheung PPP, Siu AMH. A comparison of patterns of sensory processing in children with and without developmental disabilities. Res Dev Disabil. 2009;30(6):1468-80.
  • 26. Eggermont JJ. Acquired hearing loss and brain plasticity. Hear Res. 2017 Jan;343:176-190.
  • 27. GharebaghyS, Rassafiani M, Cameron D. Effect of Cognitive Intervention on Children with ADHD. Physical &Sensory integration Therapy InPediatrics. 2014;35(1), 13–23.
  • 28. Johnston C, Freeman W. Parents Beliefs About ADHD: Implications for Assessment and Treatment. The ADHD Report. 2002;10(1), 6–9.
  • 29. HozaB, OwensJS, PelhamWE, et al. Parent cognitions as predictors of child treatment response in attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 2000;28, 569-583.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Hicran Doğru 0000-0001-7022-0461

Onur Burak Dursun 0000-0003-2990-9851

Nurşah Öztekin Bu kişi benim 0000-0003-0939-9209

Proje Numarası 37732058-514.10 (etik kurul sayısı)
Yayımlanma Tarihi 20 Ekim 2020
Kabul Tarihi 5 Eylül 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 12 Sayı: 3

Kaynak Göster

APA Doğru, H., Dursun, O. B., & Öztekin, N. (2020). Should children with sub-threshold ADHD predominantly inattentive subtype (ADHD-I) symptoms be treated with Sensory ıntegration therapy? A case-control study. Konuralp Medical Journal, 12(3), 539-545. https://doi.org/10.18521/ktd.709847
AMA Doğru H, Dursun OB, Öztekin N. Should children with sub-threshold ADHD predominantly inattentive subtype (ADHD-I) symptoms be treated with Sensory ıntegration therapy? A case-control study. Konuralp Medical Journal. Ekim 2020;12(3):539-545. doi:10.18521/ktd.709847
Chicago Doğru, Hicran, Onur Burak Dursun, ve Nurşah Öztekin. “Should Children With Sub-Threshold ADHD Predominantly Inattentive Subtype (ADHD-I) Symptoms Be Treated With Sensory ıntegration Therapy? A Case-Control Study”. Konuralp Medical Journal 12, sy. 3 (Ekim 2020): 539-45. https://doi.org/10.18521/ktd.709847.
EndNote Doğru H, Dursun OB, Öztekin N (01 Ekim 2020) Should children with sub-threshold ADHD predominantly inattentive subtype (ADHD-I) symptoms be treated with Sensory ıntegration therapy? A case-control study. Konuralp Medical Journal 12 3 539–545.
IEEE H. Doğru, O. B. Dursun, ve N. Öztekin, “Should children with sub-threshold ADHD predominantly inattentive subtype (ADHD-I) symptoms be treated with Sensory ıntegration therapy? A case-control study”., Konuralp Medical Journal, c. 12, sy. 3, ss. 539–545, 2020, doi: 10.18521/ktd.709847.
ISNAD Doğru, Hicran vd. “Should Children With Sub-Threshold ADHD Predominantly Inattentive Subtype (ADHD-I) Symptoms Be Treated With Sensory ıntegration Therapy? A Case-Control Study”. Konuralp Medical Journal 12/3 (Ekim 2020), 539-545. https://doi.org/10.18521/ktd.709847.
JAMA Doğru H, Dursun OB, Öztekin N. Should children with sub-threshold ADHD predominantly inattentive subtype (ADHD-I) symptoms be treated with Sensory ıntegration therapy? A case-control study. Konuralp Medical Journal. 2020;12:539–545.
MLA Doğru, Hicran vd. “Should Children With Sub-Threshold ADHD Predominantly Inattentive Subtype (ADHD-I) Symptoms Be Treated With Sensory ıntegration Therapy? A Case-Control Study”. Konuralp Medical Journal, c. 12, sy. 3, 2020, ss. 539-45, doi:10.18521/ktd.709847.
Vancouver Doğru H, Dursun OB, Öztekin N. Should children with sub-threshold ADHD predominantly inattentive subtype (ADHD-I) symptoms be treated with Sensory ıntegration therapy? A case-control study. Konuralp Medical Journal. 2020;12(3):539-45.