Sensory integrative dysfunction affecting behavioral problems and intelligence in children with attention deficit hyperactivity disorder
2015
Objective
To investigate the behavioral problems and intelligence in children with attention deficit hyperactivity disorder (ADHD) with different degree of sensory integrative dysfunction (SID).
Methods
Ninety-eight children with ADHD and fifty typical developing children (TD) whose intelligence were assessed with Chinese revised wechsler intelligence scale for children(C-WISC) in this study. Parental report measures of sensory integrative dysfunction and behavioral problems were administrated using the sensory integrative rating scale of children, conners' parent symptom questionnaire (PSQ) and achenbach children behavior checklist scale (CBCL) respectively. Relationship between behavioral problems, cognitive profiles and SID were examined in in children with ADHD with different degree of SID (33 without SID, 33 mild SID and 32 severe SID).
Results
(1) Behavioral problems: the children with ADHD with severe SID (SS) had higher scores in Conduct problem, Learinng problem, Impulsivity-hyperactivity, Hyperactivity index of the PSQ and Depression, Somatic complaint of the CBCL than the children with ADHD without SID (NS), the children with ADHD with mild SID (MS), and TD. SS group had higher scores in Withdrawn behavior, Hyperactivity index, Aggressive and Delinquent behavior in CBCL than the TD and NS groups(P<0.05). (2) Intelligence: the SS group(98.53±10.80) had lower Verbal Intelligence Quotient (VIQ) than the TD group(107.40±12.03) and lower Performance Intelligence Quotient (PIQ)(94.59±10.56) than the other groups(TD: 108.96±10.20; NS: 101.88±8.15; MS: 100.73±9.52). Additionally, the SS group had lower full scale intelligence quotient (FIQ)(96.22±10.12) than the NS(102.70±7.52) and TD group (109.18±9.95)(P<0.05). (3) The scores of SID were negatively correlated with behavior problems (PSQ and CBCL) and positively correlated with PIQ and FIQ.
Conclusion
SID have negative impact on behavioral problems and cognitive function in children with ADHD. The relationship between sensory integration and cognitive function may provide a new way for the clinical intervention of children with ADHD.
Key words:
Attention deficit hyperactivity disorder; Sensory integrative dysfunction; Behavioral problems; Intelligence
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