اثربخشی آموزشی مبتنی بر یکپارچگی حسی بر وضعیت حسی و دانش جنسی کودکان اوتیسم با عملکرد بالا

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترا گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران. parvaneh313@yahoo.com,

2 نویسنده مسئول، استاد گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران nmafrah@yahoo.com@yahoo.com

3 استادیار گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران febram315@yahoo.com,

4 دانشیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران saeedb81@yahoo.com,

چکیده

مقدمه : اختلال طیف اوتیسم، اختلالی عصبی - رشدی است که با نقص‎های گسترده در تعاملات اجتماعی و همچنین رفتارهای انعطاف‎ناپذیر و تکراری توصیف می‎شود و بر روی رشد و عملکرد افراد ‌تأثیر منفی می‎گذارد. هدف از پژوهش حاضر اثربخشی آموزشی مبتنی بر یکپارچگی حسی بر وضعیت حسی و دانش جنسی کودکان اوتیسم با عملکرد بالا بود.
روش پژوهش: این مطالعه نیمه آزمایشی با طرح پیش‌آزمون – پس‌آزمون با گروه کنترل بود. جامعه آماری شامل تمامی کودکان اوتیسم با عملکرد بالا در شهر کرج در سال 1399 بود، که از میان جامعه آماری تعداد 30 دانش‎آموز به روش نمونه‎گیری هدفمند به ‎عنوان حجم نمونه انتخاب و در دو گروه آزمایش (15) و کنترل (15) گمارش شدند. برنامه آموزشی به مدت 12 جلسه 90دقیقه‎ای برای گروه آزمایش اجرا شد، اما گروه کنترل آموزشی را دریافت نکردند. به‎منظور جمع‎آوری داده‎های پژوهش از برنامه آموزشی مبتنی بر یکپارچگی حسی، مقیاس درجه‎بندی اوتیسم گیلیام- ویرایش دوم ، آزمون نیمرخ حسی و مقیاس خودگزارشی کودک‎آزاری حیدری‎زاده استفاده شده است. داده‎های پژوهش با استفاده از تحلیل کوواریانس مورد تجزیه‎وتحلیل قرار گرفت.
یافتههای پژوهش: نتایج این تحلیل نشان داد که آموزشی مبتنی بر یکپارچگی حسی ‌تأثیر معناداری بر بهبود وضعیت حسی (P= 0/0001، F=41/46 ) و دانش جنسی کودکان (P= 0/0001، 67/69  F=) اوتیسم با عملکرد بالا دارد.
نتیجه گیری : با توجه به نتایج این پژوهش می‎توان گفت که آموزشی مبتنی بر یکپارچگی حسی رویکردی مؤثر در بهبود وضعیت حسی و دانش جنسی کودکان اوتیسم با عملکرد بالا  است.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Education Based on Sensory Integration on the Sensory Status and Sexual Knowledge of High-functioning Autistic Children

نویسندگان [English]

  • Parvaneh Behroozmanesh 1
  • Farah Naderi 2
  • Fariba Hafezi 3
  • saeed Bakhtiyarpoor 4
1 PhD Student, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran. parvaneh313@yahoo.com,
2 Corresponding Author, Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran, nmafrah @ yahoo.com
3 Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran, febram315@yahoo.com,
4 Associate Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran, saeedb81@yahoo.com
چکیده [English]

Introduction: Autism spectrum disorder is a neurodevelopmental disorder that is characterized by widespread deficits in social interactions as well as inflexible and repetitive behaviors and negatively affects the growth and function of individuals. The aim of this study was to evaluate the effectiveness of sensory integration training on the sensory status and sexual knowledge of high-functioning autistic children.
 Methods: In this study, it was quasi-experimental with a pretest-posttest design with a control group. The statistical population of this study included all children with high-performance autism in Karaj in 1399, which was selected from the statistical population of 30 students by purposive sampling as sample size and in two groups of experimental (15) and control (15) were appointed. The training program was performed for 12 sessions of 90 minutes for the experimental group, but the control group did not receive training. In order to collect research data, an educational program based on sensory integration, Gilliam Autism Rating Scale - Second Edition, Sensory Profile Test, and Heidarizadeh Child Abuse Self-Report Scale were used. Research data were analyzed using an analysis of covariance.
Results: The results of this analysis showed that education based on sensory integration had a significant effect on improving sensory status (P = 0.0001, F = 46.41) and sexual knowledge of children (P = 0.0001, F.69.67 F). =) Has high-functioning autism.
Conclusion: According to the results of this study, it can be said that education based on sensory integration is an effective approach in improving the sensory status and sexual knowledge of children with high-performance autism.

کلیدواژه‌ها [English]

  • Autism" High
  • Performance Children" Sensory Integration Education" Sensory Status" Sexual Knowledge
  1. Will MN., Currans K., Smith J., Weber S., Duncan A., Burton J., Luebrecht A.. Evidenced-Based Interventions for Children with Autism Spectrum Disorder. Current Problems in Pediatric and Adolescent Health Care. 2018: 1-17.
  2. Bagni C., Zukin RS.. A synaptic perspective of fragile X syndrome and autism spectrum disorders. Neuron. 2019; 101(6): 1070-1088.‎
  3. Baio J., Wiggins L., Christensen DL., Maenner MJ., Daniels J., Warren Z., Durkin MS.. Prevalence of autism spectrum disorder among children aged 8 years-Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveillance Summaries. 2018; 67(6): 1- 18.
  4. Shojaee S.. Challenges Facing Families with Children with Autism Spectrum Disorders. J Child Ment Health. 2015; 2 (1):71-81.
  5. Alabaf S., Gillberg C., Lundström S., Lichtenstein P., Kerekes N., Råstam M., Anckarsäter H.. Physical health in children with neurodevelopmental disorders. Journal of autism and developmental disorders. 2018; 1-13.
  6. Adams D., Simpson K, Keen D.. School-related anxiety symptomatology in a community sample of primary-school-aged children on the autism spectrum. Journal of School Psychology. 2018;70(4): 64-73.
  7. Hovik KT., Egeland J., Isquith PK., Gioia G., Skogli EW., Andersen PN., Øie M.. Distinct patterns of everyday executive function problems distinguish children with Tourette syndrome from children with ADHD or autism spectrum disorders. Journal of attention disorders. 2017; 21(10): 811-823.
  8. Hwang S., Kim Y.S., Koh Y.J., Leventhal B.L. Autism spectrum disorder and school bullying: who is the victim? Who is the perpetrator? Journal of autism and developmental disorders. 2018; 48(1): 225-238.
  9. Sevlever M., Roth M.E., Gillis J.M. Sexual abuse and offending in autism spectrum disorders. Sexuality and Disability. 2013; 31(2):189-200.
  10. Case-Smith J., Weaver L.L, Fristad MA.. A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism. 2013; 19(2): 133-148.
  11. Mazurek M.O., Vasa R.A., Kalb L.G., Kanne S.M., Rosenberg D., Keefer A., Lowery L.A.. Anxiety, sensory over-responsivity, and gastrointestinal problems in children with autism spectrum disorders. Journal of abnormal child psychology. 2013;41(1): 165-176.
  12. Nesaeyan A., Kazemi F., Pishyare E., Hashemi azar J., Farrokhi N.. Sensory processing patterns of autistic children from teachers’ point of view. JNKUMS. 2013; 5(3): 653-661. [Persian].
  13. Jamshidian E., Jalili N., Haghgoo H.. The effect of sensory processing abilities on participation of children with autism. Daneshvar Medicine, 2016; 23 (120): 33-45.
  14. Tang S.S., Freyd J.J., Wang M.. What do we know about gender in the disclosure of child sexual abuse? Journal of Psychological Trauma. 2008; 6(4): 1-26.
  15. Robertson C.E., Baron-Cohen S.. Sensory perception in autism. Nature Reviews Neuroscience. 2017; 18(11): 62-71.‎
  16. Gorczyca P.W., Kapinos-Gorczyca A., Ziora K., Oświęcimska J.. Sexual Abuse in Autistic Children as a Risk Factor of Developing of Schizophrenia. In A Comprehensive Book on Autism Spectrum Disorders. InTech. 2011.
  17. Dominick K.C., Davis N.O., Lainhart J., Tager-Flusberg H., Folstein S.. Atypical behaviors in children with autism and children with a history of language impairment. Research in developmental disabilities. 2008; 28(2): 145-162.
  18. Will M.N., Currans K., Smith J., Weber S., Duncan A., Burton J., Luebrecht A.. Evidenced-Based Interventions for Children with Autism Spectrum Disorder. Current Problems in Pediatric and Adolescent Health Care. 2018: 1-17.

19. Derakhshan Rad, A.R., Zenhari N., Rahmani Pour B.. Efficacy of sensory integration approach in treating constructional apraxia of children with autism over four years of age: A pilot study. Journal of Research in Rehabilitation Sciences. 2012; 10 (1): 24-34. 20. Clark D.L., Arnold L.E., Crowl L., Bozzolo H., Peruggia M., Ramada Y., Hall K.L.. Vestibular Stimulation for ADHD: randomized controlled trial of Comprehensive Motion Apparatus. Journal of attention disorders. 2008; 11(5): 599-611. 21. Christensen D.L., Baio J., Van Naarden N., Bilder D., Charles J., Constantino JN.. Prevalence and characteristics of autism spectrum disorder among children aged 8 years-Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States. MMWR Surveill Summ. 2018; 65(3): 1-23.

  1. Iwanaga R., Honda S., Nakane H., Tanaka K., Toeda H., Tanaka G.. Pilot Study: Efficacy of Sensory Integration Therapy for Japanese Children with High‐Functioning Autism Spectrum Disorder. Occupational therapy international. 2014; 21(1): 4-11.

23. Nazare H.. Comparison of the effect of group and individual sensory-motor integration activities on motor skills and social development of autistic children. Master Thesis in Psychology, Faculty of Psychology and Educational Sciences, Al-Zahra University. Tehran. 2015. 24. Jaberzadeh Ansari S.H.. The effectiveness of child sex education on increasing mothers' sexual knowledge and attitude and increasing children's knowledge in preventing sexual abuse. Master Thesis, Al-Zahra University. Tehran.2015.

  1. Watling R., Hauer S.. Effectiveness of Ayres Sensory Integration and sensory-based interventions for people with autism spectrum disorder: A systematic review. American Journal of Occupational Therapy. 2015;69(5): 6905180030p1-6905180030p12.

26. Sadeghian A.. Case study of the effectiveness of sensory-motor integration exercises in reducing the symptoms of children with autism spectrum disorder. Master Thesis in Psychology, Faculty of Psychology and Educational Sciences, Semnan University.2015. 27. Emad V.. The effectiveness of sensory integration method on social interaction of students with autism spectrum disorder. Master Thesis in Psychology, Islamic Azad University, Central Tehran Branch, Tehran. 2014.

  1. Pfeiffer, B. A., Koenig, K., Kinnealey, M., Sheppard, M., Henderson, L.. Effectiveness of sensory integration interventions in children with autism spectrum disorders: A pilot study. American Journal of Occupational Therapy, 2011;65(1):76-85.

29. Ahmadi S.J., Safari T., Hemmatian M., Khalili Z.. Determaine the psychometric properties of Gilliam Autism Rating Scale (GARS) among Autistic Children and Adolescents in Isfahan. Cognitive and Behavioral Sciences Research. 2010; 1(1):87-104.

  1. Mirzakhani N, Pourjabbar N., Rezaee M., Dibajnia P., Akbarzadeh Baghban A.E.. fficacy of structured play on the executive functioning in 5 -12-year-old children with high functioning autism.   J Rehab Med. 2016; 5(3): 35 – 47.
  2. Hedarezadeh A.. Investigating the psychosocial consequences of child sexual abuse in the area of Nematabad police station. Allameh Tabatabai University. 2011.
  3. Sadeghian A.. Case study of the effectiveness of sensory-motor integration exercises in reducing the pathological symptoms of children with autism spectrum disorder. Master Thesis in Psychology, Faculty of Psychology and Educational Sciences, Semnan University. 2015.

33. Sadati Firoozabadi1 S., Abasi SH.. The Effectiveness of Sensorimotor Integration in Improving Motor Skills in Students with Learning Disabilities. Journal of Motor Psychology. 2016; 26 (4): 14-28.

  1. Muffly A.. Sensory processing of individuals who have experienced sexual assault. A Master's Thesis presented to the Faculty of the Graduate Program in Occupational Therapy Ithaca College. 2014.
  2. Brown M., Carrabine E.. The Critical Foundations of Visual Criminology: The State, Crisis, and the Sensory. Critical Criminology. 2019: 1-15.‎
  3. Karim A.E., Mohammed A.H.. Effectiveness of sensory integration program in motor skills in children with autism. Egyptian Journal of Medical Human Genetics. 2015;16(4): 375-380. [Persian].
  4. Kim Y.R.. Personal safety programs for children with intellectual disabilities. Education and Training in Autism and Developmental Disabilities. 2010; 312-319.