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1.
Am J Occup Ther ; 76(1)2022 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-34964838

RESUMEN

IMPORTANCE: Hospital readmissions are associated with poor patient outcomes, including higher risk for mortality, nutritional concerns, deconditioning, and higher costs. OBJECTIVE: To evaluate how acute occupational therapy service delivery factors affect readmission risk. DESIGN: Cross-sectional, retrospective study. SETTING: Single academic medical center. PARTICIPANTS: Medicare inpatients with a diagnosis included in the Hospital Readmissions Reduction Program (HRRP; N = 17,618). Data were collected from medical records at a large urban hospital in southeastern Wisconsin. Outcomes and Measures: Logistic regression models were estimated to examine the association between acute occupational therapy service delivery factors and odds of readmission. In addition, the types of acute occupational therapy services for readmitted versus not-readmitted patients were compared. RESULTS: Patients had significantly higher odds of readmission if they received occupational therapy services while hospitalized (odds ratio [OR] = 1.18, 95% confidence interval [CI] [1.07, 1.31]). However, patshients who received acute occupational therapy services had significantly lower odds of readmission if they received a higher frequency (OR = 0.99, 95% CI [0.99,1.00]) of acute occupational therapy services. A significantly higher proportion of patients who were not readmitted, compared with patients who were readmitted, received activities of daily living (ADL) or self-care training (p < .01). CONCLUSIONS AND RELEVANCE: For patients with HRRP-qualifying diagnoses who received acute occupational therapy services, higher frequency of acute occupational therapy services was linked with lower odds of readmission. Readmitted patients were less likely to have received ADL or self-care training while hospitalized. What This Article Adds: Identifying factors of acute occupational therapy services that reduce the odds of readmission for Medicare patients may help to improve patient outcomes and further define occupational therapy's role in the U.S. quality-focused health care system.


Asunto(s)
Terapia Ocupacional , Readmisión del Paciente , Actividades Cotidianas , Anciano , Estudios Transversales , Humanos , Medicare , Estudios Retrospectivos , Estados Unidos
2.
Am J Occup Ther ; 76(1)2022 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-34964839

RESUMEN

IMPORTANCE: Readmissions are costly for Medicare and are associated with poor patient outcomes. OBJECTIVE: To determine whether two domains relevant to acute occupational therapy practice-self-care status and social factors-were associated with readmissions for Medicare patients in the Medicare Hospital Readmissions Reduction Program (HRRP). DESIGN: Cross-sectional, retrospective study. SETTING: Single academic medical center. PARTICIPANTS: Medicare inpatients with a diagnosis included in the HRRP (N = 17,618). Outcomes and Measures: Three logistic regression models were estimated to examine the associations among (1) self-care status and 30-day readmission, (2) social support and 30-day readmission, and (3) housing situation and 30-day readmission. Subgroup analyses were conducted for the individual HRRP diagnoses. RESULTS: No associations were found between acute self-care status, social support, or housing situation and 30-day readmission when all HRRP diagnoses were examined together. However, higher levels of independence with self-care were significantly associated with reduced odds of readmission for patients with pneumonia. CONCLUSIONS AND RELEVANCE: The findings for patients with pneumonia are consistent with those of other studies done in the acute care setting. Deficiencies in acute occupational therapy documentation may have affected the findings for the other HRRP diagnoses. What This Article Adds: This study is the first to examine the association between acute self-care status (as documented by acute care occupational therapy practitioners) and readmission.


Asunto(s)
Pacientes Internos , Readmisión del Paciente , Anciano , Estudios Transversales , Humanos , Medicare , Estudios Retrospectivos , Autocuidado , Factores Sociales , Estados Unidos
3.
Am J Occup Ther ; 75(6)2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34842912

RESUMEN

The American Journal of Occupational Therapy (AJOT) retains its ranking as the top-rated occupational therapy journal in North America by maintaining its commitment to publishing high-quality research aimed at occupational therapy professionals. As the needs and scope of the profession continue to expand, AJOT will continue to serve as a resource to practitioners, academics, and administrators to help guide best practices. Communication and engagement with readers will be facilitated through the new AJOT website as well as the new AJOT: Authors and Issues series. The journal seeks to expand its scope through its website, manuscript submission platform, and new ways to engage readers.


Asunto(s)
Terapia Ocupacional , Edición , Comunicación , Humanos , Encuestas y Cuestionarios
4.
Am J Occup Ther ; 75(6)2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34817594

RESUMEN

IMPORTANCE: Occupational therapy using an Ayres Sensory Integration® (ASI) approach is a common intervention that has not been extensively studied in children with idiopathic sensory processing and integration challenges (e.g., without a diagnosis of autism). OBJECTIVE: To test the effectiveness of ASI using measures related to motor coordination and functional performance in children with a sensory-based motor disorder (SBMD). DESIGN: Nonconcurrent, multiple baseline, single subject. SETTING: Outpatient clinic that was part of a children's hospital in an urban setting. PARTICIPANTS: Three boys (ages 5-8 yr) with an SBMD. INTERVENTION: Each participant received ASI 3 times per week for 10 wk. Outcomes and Measures: Three motor probes were measured weekly. Pre- and posttest assessments included goal attainment scaling (GAS) and the Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2). RESULTS: All 3 participants showed improvements in motor probes during the intervention period on the basis of a 2 SD band method of analysis. Statistically significant improvements were noted across GAS goals, and positive changes were found on the BOT-2, with large effect sizes. CONCLUSIONS AND RELEVANCE: Findings suggest improved motor performance and high goal achievement using ASI for children with idiopathic sensory processing and integration challenges. What This Article Adds: This study adds to a body of literature suggesting that ASI is effective in increasing functional performance in children with sensory processing and integration challenges. Future studies using multiple baseline designs are feasible in the clinic setting and can help build the evidence base for ASI.


Asunto(s)
Terapia Ocupacional , Niño , Preescolar , Cognición , Humanos , Masculino , Destreza Motora , Percepción , Sensación , Trastornos de la Sensación
5.
Am J Occup Ther ; 75(6)2021 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-34817598

RESUMEN

The American Journal of Occupational Therapy (AJOT) retains its ranking as the top-rated occupational therapy journal in North America by maintaining its commitment to publishing high-quality research aimed at occupational therapy professionals. As the needs and scope of the profession continue to expand, AJOT will continue to serve as a resource to practitioners, academics, and administrators to help guide best practices. Communication and engagement with readers will be facilitated through the new AJOT website as well as the new AJOT: Authors and Issues series. The journal seeks to expand its scope through its website, manuscript submission platform, and new ways to engage readers.


Asunto(s)
Terapia Ocupacional , Comunicación , Humanos , Edición , Encuestas y Cuestionarios
6.
Artículo en Inglés | MEDLINE | ID: mdl-34664126

RESUMEN

Children with autism spectrum disorder frequently present with atypical behavioral responses to sensory stimuli, as well as differences in autonomic nervous system (ANS) and neuroendocrine activity. However, no one consistent pattern appears to explain these differences within this heterogeneous population. To conceptualize more homogenous ASD subgroups, sensory-based subtypes have been explored. One subtyping mechanism groups children by sensory responsivity pattern in addition to sensory domain. Differences in nervous system responsivity to sensory input within this sensory-based subtyping scheme have not yet been investigated. This exploratory study used ANS indices (respiratory sinus arrhythmia [RSA], skin conductance level) and neuroendocrine (salivary cortisol) response to examine patterns differentiating these subtypes. Significant differences in RSA were found during baseline, and during tactile, tone and movement stimuli (p < 0.05). Subtype membership was predicted by RSA changes during auditory stimulation and recovery periods (p < 0.05). Results confirm that children with an adaptive sensory responsivity subtype differ from those children with sensory processing dysfunction, however, physiological variables did not distinguish between children with different patterns of sensory processing dysfunction.

7.
Am J Occup Ther ; 75(Supplement_1): 7511210050p1-7511210050p8, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34405798

RESUMEN

Older adults living in skilled nursing facilities (SNFs) and long-term care facilities are particularly susceptible to the coronavirus disease 2019 virus and face unique challenges during their rehabilitation process. This case report highlights the disease and rehabilitation course of an older adult who received all of his medical and rehabilitative treatment while residing in a SNF. The occupational therapy evaluation and intervention processes, as well as the client's response to intervention, are described. The client's positive outcomes are linked directly to occupational therapy's ability to incorporate medical, physical, and psychosocial aspects into part of the interdisciplinary model of care in a SNF.


Asunto(s)
COVID-19 , Terapia Ocupacional , Anciano , Humanos , SARS-CoV-2 , Instituciones de Cuidados Especializados de Enfermería
8.
Occup Ther Health Care ; 35(4): 424-441, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34278921

RESUMEN

The objective of this study was to explore the effectiveness of Touchpoints™ on improving sleep in children with sensory over-responsivity, specifically, whether wearing Touchpoints™ on the sleep setting before bed would improve children's sleep. Using three study phases (baseline, intervention, and withdrawal), eight young children with sensory over-responsivity and sleep deficits wore Touchpoints™ on their ankles before bed during the intervention phase. Data was collected using an activity tracker to measure sleep latency, sleep duration, number of nighttime awakenings and sleep efficiency as well as parent report. Results indicated that participants did not demonstrate any significant changes in sleep efficiency, sleep duration, or number of awakenings but demonstrated a significant improvement in sleep latency. Parents also reported improvement in their child's sleep quality. Results suggest Touchpoints™ before bedtime may decrease the time it takes for children with sensory over-responsivity to fall asleep and improve parental perceptions of children's sleep quality.


Asunto(s)
Terapia Ocupacional , Trastornos del Sueño-Vigilia , Niño , Preescolar , Humanos , Sueño , Trastornos del Sueño-Vigilia/terapia , Encuestas y Cuestionarios
9.
Am J Occup Ther ; 74(6): 7406070010p1-7406070010p7, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33275559

RESUMEN

Throughout this challenging year, the American Journal of Occupational Therapy (AJOT) has stayed committed to publishing high-quality research so that occupational therapy professionals can make informed decisions about best practice. As we look to the future with a new Editor-in-Chief, our goals are to remain the leading journal for our profession while enhancing our engagement with readers, improving our review process, and ensuring that a diverse group of reviewers and associate editors are able to assume leadership positions with the journal.


Asunto(s)
Políticas Editoriales , Terapia Ocupacional , Humanos , Edición
10.
Front Integr Neurosci ; 13: 40, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31555103

RESUMEN

Years of research have added to our understanding of Attention Deficit Hyperactivity Disorder (ADHD). None-the-less there is still much that is poorly understood. There is a need for, and ongoing interest in, developing a deeper understanding of this disorder to optimally identify risk and better inform treatment. Here, we present a compilation of findings examining ADHD both behaviorally and using neurophysiologic markers. Drawing on early work of McIntosh and co-investigators, we examined response to sensory challenge in children with ADHD, measuring HPA activity and electrodermal response (EDR) secondary to sensory stressors. In addition, we have examined the relationship between these physiologic measures, and reports of behavioral sensory over-responsivity and anxiety. Findings suggest that sensory responsivity differentiates among children with ADHD and warrants consideration. We link these findings with research conducted both prior to and after our own work and emphasize that there a growing knowledge supporting a relationship between ADHD and sensory over-responsivity, but more research is needed. Given the call from the National Institute of Health to move toward a more dimensional diagnostic process for mental health concerns, and away from the more routine categorical diagnostic process, we suggest sensory over-responsivity as a dimension in the diagnostic process for children with ADHD.

11.
Am J Occup Ther ; 73(4): 7304345010p1-7304345010p8, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31318678

RESUMEN

IMPORTANCE: People with Barth syndrome (BTHS) present with sensory and motor deficits that affect their ability to swallow medications in solid form. Inability to swallow pills can reduce opportunities for people with BTHS to participate in clinical trial research. OBJECTIVE: To evaluate the effectiveness of a brief, multifaceted pill-swallowing program that used evidence-based training methods. DESIGN: Pretest-posttest with 6-mo follow-up. SETTING: Community setting. PARTICIPANTS: A convenience sample of children, adolescents, and adults with a genetically confirmed diagnosis of BTHS. INTERVENTION: Possible intervention strategies included behavioral approaches (e.g., shaping), adaptive approaches, and positioning approaches. Interventions were tailored to each participant's needs and were carried out by occupational therapy practitioners with advanced training in feeding and eating. OUTCOMES AND MEASURES: Pill-swallowing milestones were ranked on a scale ranging from 0 to 12; participants were scored pretraining, immediately posttraining, and at 6-mo posttraining. RESULTS: Sixteen participants with BTHS, ages 6-34 yr, participated in the training. Fourteen of the 16 participants demonstrated improvement in their pill-swallowing ability. Overall, there was a statistically significant change in pill-swallowing ability from pretraining to posttraining, and these changes were maintained after 6 mo. CONCLUSION: and Relevance: This study suggests that a brief multifaceted training approach, led by trained professionals, may be effective for helping people with sensory and motor deficits learn to swallow pills independently. WHAT THIS ARTICLE ADDS: Very little has been published in the occupational therapy literature describing how to teach the skill of pill swallowing to clients or how to measure progress toward this goal. This study tested the outcomes of a multifaceted approach to pill swallowing that can be conducted by occupational therapy practitioners; a novel measurement approach is also introduced that can be used with clients in clinical practice.


Asunto(s)
Síndrome de Barth , Deglución , Adolescente , Adulto , Niño , Humanos , Adulto Joven
12.
Am J Occup Ther ; 71(2): 7102220010p1-7102220010p8, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28218587

RESUMEN

Parents of children with autism spectrum disorder (ASD) may have difficulty engaging their children through play, thus affecting the parent-child relationship and parental self-efficacy. This study intended to examine children's sensory profile and adults' playfulness as predictors of parental self-efficacy. A total of 136 parents of children ages 3-7 yr completed the Short Sensory Profile, the Playfulness Scale for Adults, and the Tool to Measure Parenting Self-Efficacy. For the parental couples of children with ASD, the most relevant predictor of general parental self-efficacy was the child's sensory profile. However, adult playfulness resulted in the most relevant predictor of emotional parental self-efficacy. Findings suggest the importance of considering play as a relevant co-occupation that must be acknowledged when intervening with families of children with ASD and considering the child's sensory modulation abilities, as well as parents' playfulness and sense of self-efficacy, as potential outcomes when designing and evaluating treatment programs.


Asunto(s)
Trastorno del Espectro Autista/fisiopatología , Responsabilidad Parental/psicología , Padres/psicología , Juego e Implementos de Juego/psicología , Autoeficacia , Sensación , Niño , Preescolar , Emociones , Femenino , Humanos , Modelos Lineales , Masculino
13.
Am J Occup Ther ; 71(2): 7102360010p1-7102360010p10, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28218599

RESUMEN

Pediatric occupational therapy practitioners frequently provide interventions for children with differences in sensory processing and integration. Confusion exists regarding how best to intervene with these children and about how to describe and document methods. Some practitioners hold the misconception that Ayres Sensory Integration intervention is the only approach that can and should be used with this population. The issue is that occupational therapy practitioners must treat the whole client in varied environments; to do so effectively, multiple approaches to intervention often are required. This article presents a framework for conceptualizing interventions for children with differences in sensory processing and integration that incorporates multiple evidence-based approaches. To best meet the needs of the children and families seeking occupational therapy services, interventions must be focused on participation and should be multifaceted.


Asunto(s)
Terapia Ocupacional/métodos , Trastornos de la Percepción/rehabilitación , Trastornos de la Sensación/rehabilitación , Terapia Conductista , Niño , Terapia Cognitivo-Conductual , Ambiente , Práctica Clínica Basada en la Evidencia , Humanos , Padres , Maestros , Sensación
14.
Am J Occup Ther ; 70(1): 7001220030p1-7001220030p11, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26709423

RESUMEN

This systematic review describes the published evidence related to the effectiveness of frequency modulation (FM) devices in improving academic outcomes in children with auditory processing difficulties. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards were used to identify articles published between January 2003 and March 2014. The Cochrane Population, Intervention, Control, Outcome, Study Design approach and the American Occupational Therapy Association process forms were used to guide the article selection and evaluation process. Of the 83 articles screened, 7 matched the systematic review inclusion criteria. Findings were consistently positive, although limitations were identified. Results of this review indicate moderate support for the use of FM devices to improve children's ability to listen and attend in the classroom and mixed evidence to improve specific academic performance areas. FM technology should be considered for school-age children with auditory processing impairments who are receiving occupational therapy services to improve functioning in the school setting.


Asunto(s)
Trastornos de la Percepción Auditiva/rehabilitación , Terapia Ocupacional/instrumentación , Radio , Niño , Evaluación Educacional , Escolaridad , Humanos , Terapia Ocupacional/métodos , Tecnología de Sensores Remotos , Percepción del Habla , Resultado del Tratamiento
15.
J Multidiscip Healthc ; 8: 345-58, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26251611

RESUMEN

This review describes and summarizes the available evidence related to the treatment and management of Barth syndrome. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards were used to identify articles published between December 2004 and January 2015. The Cochrane Population, Intervention, Control, Outcome, Study Design (PICOS) approach was used to guide the article selection and evaluation process. Of the 128 articles screened, 28 articles matched the systematic review inclusion criteria. The results of this review indicate the need for a flexible and multidisciplinary approach to manage the symptoms most commonly associated with Barth syndrome. It is recommended that a comprehensive care team should include individuals with Barth syndrome, their family members and caregivers, as well as medical, rehabilitative, nutritional, psychological, and educational professionals. The evidence for specific treatments, therapies, and techniques for individuals with Barth syndrome is currently lacking in both quality and quantity.

16.
J Rare Disord ; 3(1): 1-9, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26191532

RESUMEN

BACKGROUND: Feeding problems are common in boys with Barth syndrome and may contribute to the population's propensity for growth delay and muscle weakness. The purpose of this study was to quantify and describe these feeding issues and examine altered taste perception and sensory sensitivity as contributing factors. METHODOLOGY: A cross-sectional, two-group comparison design was used to examine feeding preferences and behaviors, chemical taste perception, and sensory sensitivities in fifty boys with (n=24) and without (n=26) Barth ages 4-17 years. Taste perception was measured using chemical test strips saturated with phenylthiocarbamide (PTC) and sodium benzoate (NaB). Feeding problems were documented by parents using a Food Inventory, while sensory sensitivities were recorded using a Short Sensory Profile. RESULTS: Boys with Barth differed significantly from typical peers with regards to problem feeding behaviors. For boys with Barth, food refusal and food selectivity were identified as being present in 50% the sample, while 70% of had identified problems related to gagging or swallowing foods. About half of all Barth families noted that their child's eating habits did not match the family's and that separate meals were often prepared. As demonstrated in previous research, about 50% of boys with Barth demonstrated probable or definite differences in taste/smell sensitivity, which was significantly higher than controls. On tests of chemical taste perception, boys with Barth were significantly more likely to be supertasters to PTC and non-tasters to NaB. Taster-status did not directly relate to the presence of feeding problems, however, taste/smell sensitivity did significantly relate to food selectivity by type and texture. CONCLUSIONS: Results indicate feeding problems in at least 50-70% of boys with Barth syndrome, and suggest that behaviors are often present before 6 months of age. Differences in taste perception may influence dietary choices in boys with Barth, particularly their craving of salty foods. Taste/smell sensitivity also appears to influence food selectivity, and therefore may be important to consider in this population, particularly in light of dietary influences on cardiac function, energy consumption, and overall growth.

17.
Am J Occup Ther ; 69(3): 6903350010p1-5, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25871605

RESUMEN

Deep pressure stimulation has been used in therapeutic practice because of the assumption that it changes physiological arousal. The purpose of this study was to test the effects of deep pressure stimulation, applied with a Vayu Vest (Therapeutic Systems), on both autonomic arousal and performance in a normative adult sample. A repeated-measures, repeated-baseline design was used with participants completing a performance test before and after deep pressure application. A convenience sample of 50 adults participated in the study. Results showed that wearing the Vayu Vest for even short periods of time reduced sympathetic arousal and non-stimulus-driven electrical occurrences. Concomitant increases in parasympathetic arousal were found. Performance improvements were noted after wearing the Vayu Vest, potentially because of changes in arousal. We conclude that deep pressure stimulation is capable of eliciting changes in autonomic arousal and may be a useful modality in diagnostic groups seen by occupational therapy practitioners.


Asunto(s)
Nivel de Alerta , Estimulación Física , Presión , Sistema Nervioso Simpático , Tacto , Adolescente , Adulto , Sistema Nervioso Autónomo , Estudios Transversales , Femenino , Respuesta Galvánica de la Piel , Humanos , Masculino , Arritmia Sinusal Respiratoria , Adulto Joven
18.
Autism Res ; 6(5): 337-43, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23813950

RESUMEN

Lower order and higher order repetitive behaviors have been documented in the BTBR T+tf/J (BTBR) mouse strain, a mouse model that exhibits all three core behavioral domains that define autism. The purpose of this study was to evaluate the effectiveness of environmental enrichment for reducing repetitive behaviors in BTBR mice. Lower order behaviors were captured by assaying the time and sequence of grooming, while higher order behaviors were measured using pattern analysis of an object exploration task from digital recordings. Baseline scores were established at 7 weeks of age, followed by 30 days of housing in either a standard or enriched cage. As expected, BTBR mice spent significantly more time grooming and had a more rigid grooming sequence than control C57BL/6J mice did at baseline. After 30 days of enrichment housing, BTBR mice demonstrated a significant reduction in time spent grooming, resulting in levels that were lower than those exhibited by BTBR mice in standard housing. However, no changes were noted in the rigidity of their grooming sequence. In contrast to previous findings, there was no difference in repetitive patterns of exploration at baseline between BTBR and C57BL/6J mice in the object exploration test. Subsequently, enrichment did not significantly alter the number of repetitive patterns at posttest. Overall, the results suggest that environmental enrichment may be beneficial for reducing the time spent engaging in lower order repetitive behaviors, but may not change the overall quality of the behaviors when they do manifest.


Asunto(s)
Trastorno Autístico/genética , Trastorno Autístico/psicología , Modelos Animales de Enfermedad , Juego e Implementos de Juego/psicología , Medio Social , Conducta Estereotipada , Animales , Conducta Exploratoria , Aseo Animal , Masculino , Ratones , Ratones Endogámicos C57BL , Factores de Tiempo
19.
Occup Ther Int ; 20(3): 144-54, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23696328

RESUMEN

The purposes of this study were to determine the prevalence of sensory modulation disorder (SMD) in a sample of Puerto Rican preschoolers and to examine differences in the prevalence of SMD based on socioeconomic status (SES) variables. Caregivers of children from Head Start programs and private preschools were recruited from three regions in Puerto Rico (PR) to participate in the study. Each caregiver completed a Short Sensory Profile (SSP) and a demographic data sheet. Total scores on the SSP were used to establish diagnosis of SMD. The total sample included 141 participants (response rate of 64%). Prevalence of SMD among the total PR sample (19.9%) was higher than previously reported estimates on the US mainland (5-16%). Statistical results indicated no difference in the overall prevalence of SMD based on SES. However, significant differences in scores based on caregivers' educational degree were found on the SSP sub-domain of Movement sensitivity and Under-responsive/seeks sensation; differences in scores based on caregiver household income were also found for the SSP sub-domain of Under-responsive/seeks. Although SMD appears to be prevalent in preschoolers in PR, variables associated with SES do not appear to contribute to an overall SMD diagnosis. However, additional research linking specific sub-domains of SMD to SES variables may be warranted.


Asunto(s)
Trastornos de la Sensación/epidemiología , Cuidadores/educación , Niño , Preescolar , Escolaridad , Femenino , Humanos , Masculino , Prevalencia , Puerto Rico/epidemiología , Trastornos de la Sensación/etnología , Clase Social
20.
Am J Occup Ther ; 66(5): 595-603, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22917126

RESUMEN

OBJECTIVE. To explore the relationship between sensory overresponsivity (SOR) and anxiety in children with autism, attention deficit hyperactivity disorder, and typical development. METHOD. Path analysis was used to examine the primary SOR model (Green & Ben-Sasson, 2010) using both physiological and behavioral data. RESULTS. The magnitude of physiological responses to sensory challenge was a mediator variable between predictors (baseline arousal and attention) and outcomes (anxiety and physiological recovery). Behavioral SOR was correlated with anxiety but not with physiological variables. CONCLUSION. The intensity or magnitude of sensory responsivity mediates the relationship between baseline arousal and attention and outcome anxiety and physiologic recovery from sensory challenge. Behavioral tools used to measure SOR do not reflect physiological responsiveness; this mismatch warrants further investigation. SOR can prevent children from participating in the occupations of childhood; the greater the understanding of SOR, the more successful occupational therapy practitioners will be in developing effective interventions.


Asunto(s)
Ansiedad , Trastorno por Déficit de Atención con Hiperactividad/fisiopatología , Trastorno por Déficit de Atención con Hiperactividad/psicología , Trastorno Autístico/fisiopatología , Trastorno Autístico/psicología , Trastornos de la Sensación/psicología , Nivel de Alerta , Atención , Trastorno por Déficit de Atención con Hiperactividad/complicaciones , Trastorno Autístico/complicaciones , Niño , Preescolar , Femenino , Humanos , Masculino , Terapia Ocupacional , Trastornos de la Sensación/fisiopatología
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