The Role of Pediatric Sensory Over-responsivity and Anxiety Symptoms in the Development of Family Accommodations.

Sensory over-responsivity (SOR) is linked with elevated anxiety and reduced family wellbeing. Family accommodation of anxiety relates with greater symptom severity and reduced intervention outcome. This study examined the contribution of child SOR and co-occurring anxiety symptoms to family accommodation and its consequences. Ninety families of typically developing children (ages 4-13 years), completed an online survey including the Sensory Profile 2, Screen for Child Anxiety Related Emotional Disorders (SCARED), and Family Accommodation Sensory Scale (FASENS). FASENS scores include frequency of accommodation, child impact, and family impact.Children with elevated anxiety symptoms had significantly higher sensory and FASENS scores. Stepwise linear regression indicated that only SOR symptoms significantly predicted the frequency of sensory family accommodation, while both SOR and anxiety symptoms predicted the impact of family accommodation upon child and family well-being.Both SOR and anxiety symptoms in children predict the impact of sensory family accommodations on child and family well-being.

When It's Impossible to Ignore: Development and Validation of the Sensory Habituation Questionnaire.

IMPORTANCE: Sensory overresponsivity (SOR) in adults is frequently overlooked and misdiagnosed. In some cases, the sensory symptoms are attributed to psychopathology or negative emotionality. Developing sound tools for examining various dimensions of sensory overresponsivity in adults, particularly sensitivity versus habituation, can more precisely guide scientific and intervention efforts. OBJECTIVE: To evaluate the psychometric properties, content validity, internal reliability, and construct validity of the new Sensory Habituation Questionnaire. DESIGN: A Classical Test Theory approach and a multitrait-multimethod matrix was used to evaluate the questionnaire's psychometric properties. PARTICIPANTS: A nonclinical sample of 160 adults ages 18-65 yr (mean = 31.85, standard deviation = 10.72); 56.87% were female. MEASURES: Participants completed the Sensory Habituation Questionnaire, Sensory Perception Quotient, Adolescent/Adult Sensory Profile, and the Brief Symptom Inventory. RESULTS: The Sensory Habituation Questionnaire had high internal reliability (α = .88) and was significantly correlated with other standardized SOR questionnaires (rs = .57-.61). In contrast to the Adolescent/Adult Sensory Profile overresponsivity score, the perceptually oriented measures (the Sensory Perception Quotient and the Sensory Habituation Questionnaire) were not associated with the Brief Symptom Inventory. CONCLUSIONS AND RELEVANCE: The Sensory Habituation Questionnaire is a tool that can evaluate the ability to ignore daily sensations independent of psychopathology symptoms. It can guide practitioners and researchers in breaking down the dimensions of SOR. WHAT THIS ARTICLE ADDS: This article introduces a questionnaire for evaluating the rate of sensory habituation in adults, a dimension of SOR that greatly affects daily functioning. The questionnaire is also advantageous in identifying sensory difficulties that differ from psychopathological symptoms. Habituation is a crucial factor to consider in intervention, because it calls for work on the capacity to adjust to bothersome sensations.

Sensory over-responsivity and obsessive-compulsive disorder: Measuring habituation and sensitivity through self-report, physiological and behavioral indices.

Individuals with obsessive-compulsive disorder (OCD) may report Sensory Over Responsivity (SOR), but evidence for specific shared mechanism is limited. This study investigated a habituation-sensitivity mechanism in individuals with OCD (n = 30). Sensory habituation and sensitivity were compared with a neurotypical sample, divided to high (n = 30) and low (n = 30) obsessive-compulsive symptoms (HOCS and LOCS). Participants completed self-report sensory questionnaires and a physiological protocol measuring Electro Dermal Activity (EDA) while presenting aversive and neutral sounds in two conditions: Aversive stimuli followed by neutral stimuli (AVfirst), or neutral stimuli followed by aversive stimuli (NEfirst). In addition, participants could shorten the stimulus duration by pressing a key. LOCS differed from HOCS and OCD in most sensory self-report scores, with no significant difference between OCD and HOCS. HOCS had no significant differences in habituation patterns across conditions, while OCD had no differences in habituation patterns in AVfirst (p = .08) but significantly slower habituation patterns to the NEfirst neutral stimuli (p < .001). Condition order determined sensitivity for LOCS (AVfirst p = .017; NEfirst p = .045) but not for OCD and HOCS. HOCS and OCD shortened aversive stimuli by key pressing more than LOCS, with no significant difference between OCD and HOCS. The habituation process of individuals with OCD and HOCS was more influenced by stimulus type than by condition order, which might be due to a cognitive bias of prediction. Individuals with elevated OCS have difficulty relying upon sensory input to respond adaptively to the environment. This process can explain the avoidant behavior and complains of individuals with OCD not being able to ignore and to habituate to the sensory environment. These evidence warrants design of psychoeducation and intervention methods for relying on prior sensory information to improve functioning in individuals with OCD and SOR.

Sensory Habituation as a Shared Mechanism for Sensory Over-Responsivity and Obsessive-Compulsive Symptoms.

Background: Some individuals who suffer from obsessive-compulsive (OC) disorder (OCD), report disturbing sensory preoccupations. The inability to stop obsessing over stimuli resonates with a difficulty in sensory habituation. Impaired sensory habituation, to a degree that clearly dysregulates response to sensory stimuli, and impairs participation in everyday activities, can be part of a disorder known as sensory over-responsivity (SOR). Although previous studies indicated a correlation between OCD and SOR, physiological experiments show that individuals with OCD are not more sensitive to sensory stimuli than controls. In the current study, we (1) validated a sensory habituation psycho-physiological protocol and (2) tested whether a "slow to habituate" mechanism can explain the occurrence of elevated SOR and OC symptoms. Methods: We designed a protocol to test auditory sensory habituation through electrodermal activity (EDA) recording. The protocol included two randomly ordered aversive and neutral sound conditions; each set of six everyday life sounds was presented as a continuous stimulus. During the presentation of sounds, EDA was measured and participants could press a button to shorten the stimuli. Participants also completed sensory and OC symptom questionnaires. Participants included 100 typically developing adults that were divided into high versus low OC symptom groups. Mixed models analysis was used throughout to meet the need for capturing the temporal nature of habituation. Results: Distinct physiological indices were computed to measure sensitivity versus habituation. Habituation was slower in the aversive versus neutral condition. Sensitivity was higher for the aversive stimuli. Self-report of sensory habituation and sensitivity partially correlated with the physiological habituation indices. A comparison of the physiological pattern between those with high versus low OC symptoms revealed significant differences in the habituation and sensitivity indices, across conditions. Conclusion: The interplay between SOR and OC symptoms can be explained by a "slow to habituate" mechanism. Identifying behavioral and physiological markers of sensory problems in OCD is important for assessment, intervention and the discovery of underlying mechanisms.

Corrigendum: Sensory Habituation as a Shared Mechanism for Sensory Over-Responsivity and Obsessive-Compulsive Symptoms.

[This corrects the article DOI: 10.3389/fnint.2020.00017.].