Hiper-responsividade auditiva no transtorno do espectro autista, terminologias e mecanismos fisiológicos envolvidos: revisão sistemática

Stefanelli, Ana Cecília Grilli Fernandes; Zanchetta, Sthella; Furtado, Erikson Felipe

doi:10.1590/2317-1782/20192018287

Cited by 13 publications

(7 citation statements)

References 44 publications

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“…Esses pacientes frequentemente demonstram um Comportamento Desproporcional aos estímulos Sonoros (CDS) (Stefanelli, 2019), e está presente em 40% dos pacientes diagnosticados com TEA (Costa, 2022). A hipersensibilidade auditiva pode ser categorizada em três subtipos distintos: misofonia, caracterizada pela irritabilidade exacerbada em resposta a determinados sons; fonofobia, associada ao medo patológico de certos estímulos sonoros; e hiperacusia, na qual o paciente experimenta dor em ocorrência de estímulos auditivos específicos devido a uma sensibilidade auditiva anormalmente elevada (Costa, 2022).…”

Section: Discussionunclassified

“…Fonte: Percepção dos pais sobre hipersensibilidade auditiva de crianças com sinais clínicos de risco para o Transtorno do Espectro do Autismo A hipersensibilidade auditiva decorre dos limiares auditivos desses pacientes situados em níveis mais baixos em comparação com aqueles sem deficiência auditiva, geralmente variando entre -10 a +25 dB (Stefanelli, 2019). Não há uma concepção de quais sons estão mais diretamente associados à hipersensibilidade auditiva (Urízar-Sánchez, 2022).…”

Section: Discussionunclassified

“…Os indivíduos afetados tendem a manifestar reações desproporcionais a estímulos sonoros, 40% dos pacientes com TEA, o que pode indicar uma hipersensibilidade auditiva (Stefanelli, 2019) E esta questão quem primeiro identifica nestes pacientes são os pais, por isso é de fundamental importância a entrevista destes durante as consultas de rotina (Jorgensen, 2020). Research, Society andDevelopment, v. 13, n. 4, e6513445572, 2024 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v13i4.45572 3 Quando observado, o comprometimento auditivo em tais pacientes se manifesta como um Comportamento Desproporcional aos Sons (CDS), podendo assumir diversas formas, como misofonia, fonofobia e hiperacusia, e variando em sua intensidade e impacto sobre o paciente (Chowdhury, 2017).…”

Section: Introductionunclassified

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A influência da hipersensibilidade auditiva sobre os indivíduos diagnosticados com Transtorno do Espectro Autista

Batista,

Braga,

Pereira

et al. 2024

RSD

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Objetivo: Expor os impactos da sensibilidade auditiva em pacientes diagnosticados com Transtorno do Espectro Autista (TEA) sobre suas habilidades de interação social, destacando as limitações impostas e os padrões de comportamento repetitivo, além de suas correlações com as alterações na percepção auditiva. Método: Trata-se de uma Revisão Integrativa da Literatura que teve início das buscas nos meses de fevereiro e marco de 2024 e depois de uma seleção rigorosa dos estudos foram selecionados 22 artigos científicos para a construção do trabalho. Discussão e resultados: O Transtorno do Espectro Autista (TEA), uma condição com etiologia multifatorial envolvendo componentes genéticos e influências ambientais, tem experimentado um aumento na sua frequência de diagnóstico na sociedade contemporânea, particularmente em crianças. É amplamente reconhecido que uma das características marcantes dos indivíduos com TEA é a manifestação de comportamentos desproporcionais em resposta a estímulos sonoros. Este fenômeno frequentemente se manifesta sob a forma de hiperacusia, misofonia e fonofobia, entre outras características. A hipersensibilidade auditiva observada em pacientes com TEA carece de uma explicação fisiopatológica definitiva, embora diversas teorias tenham sido propostas para elucidar esse fenômeno.

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Section: Discussionunclassified

Section: Introductionunclassified

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A influência da hipersensibilidade auditiva sobre os indivíduos diagnosticados com Transtorno do Espectro Autista

Batista,

Braga,

Pereira

et al. 2024

RSD

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“…Children aged 3–5 years are characterized by the inability to acquire voluntary bowel continence and dependence on hygiene, which may limit their social participation, making them experience great distress [ 27 ]. In addition, from the literature, it was possible to observe that children with autism spectrum disorder who exhibit irritable bowel syndrome and abdominal pain syndrome in this age group have a stronger auditory reflex (hyperexcitation) [ 28 ]. Previous studies have assessed concurrent validity through the Virginia Encopresis-Constipation Apperception Test (VECAT-S) [ 29 ] questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Psychometric Properties of the Italian Version of the Toileting Habit Profile Questionnaire-Revised (THPQ-R) in Children with Autism Spectrum Disorder

Berardi,

Galeoto,

Ruffini

et al. 2023

Children

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Introduction: Children with autism spectrum disorder (ASD) often seem not to feel the need to go to the bathroom in whatever context they are in and may suffer from hypo-responsiveness. Recent studies show a correlation between sensory problems, constipation, and fecal incontinence in children. This requires an assessment tool to identify evacuation issues in children with sensory dysfunction. Therefore, the purpose of this study is to validate the Italian version of The Toileting Habit Profile Questionnaire-Revised (THPQ-R) in children with ASD. Methods: The inclusion criteria were a confirmed diagnosis of ASD and an age between 3 and 8 years old. The Toileting Habit Profile Questionnaire Revised (THPQ-R) was recently validated in the Italian language on a healthy population. The Italian version has 17 items with two alternative response options, frequently/always or never/rarely, based on how often the behavior occurs. The THPQ-R questionnaire is easy to administer, interpret, and manage. For concurrent validity, we used the Italian version of the Sensory Processing Measure and Sensory Processing Measure—Preschool. Results: For the THPQ-R validation, 43 participants were recruited. The internal consistency, reporting an α value of 0.763, showed that the THPQ-R was a very reliable scale. The THPQ-R appears to be correlated only with the domains “Social Participation T-point”, “Hearing T-point”, and “Planning and Ideas T-point”. However, these correlations are not statistically significant. Conclusion: The THPQ-R highlights positive results regarding validity and reliability and shows a positive correlation between defecation disorders and social participation.

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“…Hypersensitivity to sound (including hyperacuity, misophonia, phonophobia, and recruitment) is thought to be experienced by 50 to 70% of the autistic population throughout the course of their life [8]. For individuals experiencing hypersensitivity to sound, everyday occurrences may feel painful and/or unbearable [9,10]. Birkett et al [9] found young autistic people in mainstream secondary school reported their sensory experience of school to be chaotic, invasive, overwhelming, and confusing.…”

Section: Introductionmentioning

confidence: 99%

SoundFields: A Virtual Reality Home-Based Intervention for Auditory Hypersensitivity Experienced by Autistic Children

et al. 2023

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Previous studies have shown that autistic people often display atypical responses when processing sensory information, with particular prevalence within the auditory domain. Often provoked by common everyday sounds, auditory hypersensitivity can result in self-regulatory fear responses. This can be potentially harmful to autistic individuals and the people around them and is associated with greater occurrence of anxiety, depression, and poorer overall quality of life in the autistic population. Rather than a physiological causation, the literature suggests that hypersensitivity to sound is likely to be caused by how auditory stimuli are processed in the brain. This paper reports a home-based digital intervention aimed to address auditory hypersensitivity in autistic children. Developed as an interactive virtual reality game, the system integrates exposure-based therapy techniques into game mechanics and delivers target auditory stimuli to the player rendered via binaural-based spatial audio. The performance of the platform was evaluated in a 10-week feasibility study, during which children (n = 7) engaged weekly with the game during a 30 min session. Following this period, a comparison of pre- and post-study measurements showed a decrease in sensitivity for five participants, with qualitative feedback highlighting an increase in tolerance towards real-world stimuli and challenging environments. These results provide initial support for SoundFields as a home-based intervention targeting auditory hypersensitivity experienced by autistic children.

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Hiper-responsividade auditiva no transtorno do espectro autista, terminologias e mecanismos fisiológicos envolvidos: revisão sistemática

Cited by 13 publications

References 44 publications

A influência da hipersensibilidade auditiva sobre os indivíduos diagnosticados com Transtorno do Espectro Autista

A influência da hipersensibilidade auditiva sobre os indivíduos diagnosticados com Transtorno do Espectro Autista

Psychometric Properties of the Italian Version of the Toileting Habit Profile Questionnaire-Revised (THPQ-R) in Children with Autism Spectrum Disorder

SoundFields: A Virtual Reality Home-Based Intervention for Auditory Hypersensitivity Experienced by Autistic Children

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