关键词:

孤独症谱系障碍, 遗尿症, 感觉统合, 孤独症行为评定量表, 儿童

Abstract:

Objective　To explore the relationship between sensory integration abilities and behavior in children with autism spectrum disorder (ASD) who have comorbid enuresis. Methods　This study was a cross-sectional analysis. Using purposive sampling, 72 children with ASD hospitalized within 2 weeks at the Rehabilitation Department of Guangdong Women and Children Hospital were consecutively selected from March to September 2023. They were divided into a non-comorbid group (43 cases) and a comorbid group (29 cases) based on the presence of enuresis. Among the 72 ASD children, there were 59 males and 13 females, with ages of 4, 5, 6, and 8 years accounting for 40, 20, 11, and 1 case, respectively. The sensory integration assessment scale and autism behavior assessment scale scores were analyzed and compared between the two groups. Statistical analysis was conducted using Fisher's exact probability method and t tests. Results　There were no statistically significant differences in age and gender between the two groups of ASD children aged 4 to 6 years (P>0.05). The comorbid group had lower scores on the vestibular sense subscale of the sensory integration scale compared to the non-comorbid group, and higher scores on the self-care ability subscale of the autism behavior assessment scale [(43.21±5.93) points vs. (48.33±5.78) points, (9.66±4.70) points vs. (7.35±4.50) points], with statistically significant differences (t=3.647, -2.096, both P<0.05). Conclusion　Children with autism spectrum disorder and comorbid enuresis exhibit more severe vestibular dysfunction and poorer self-care abilities. Sensory integration training combined with life skills intervention may improve their prognosis. 

Key words: Autism spectrum disorder, Sleep enuresis, Sensory integration, Autism Behavior Rating Scale, Children