ABSTRACT Children with a history of maltreatment exhibit differences in a variety of domains, including sensory processing. However, little is known about how domain-specific sensory processing deficits differ by the type of maltreatment experienced. The focus of the current study was to investigate the relationship between abuse, neglect, or no maltreatment on seven sensory domains in a sample of adopted children. Caregivers of 408 adopted children (M= 7.89, SD= 2.03) reported their child’s history of maltreatment (abuse, neglect, or no maltreatment) and sensory processing abilities (Short Sensory Profile). Seventy-nine percent of the sample had sensory processing dysfunction (definite difference = 41%; probable difference = 38%). Children with a history of abuse (n = 147) had impairments in tactile sensitivity (84.4%) and taste/smell sensitivity (47.6%). Children with a history of neglect (n = 125) scored differently in underresponsive/seeks sensation (Neglect = 83.2%; Abuse = 57.8%). Both groups had significant differences in underresponsive/seeks sensation and auditory filtering. In summary, children with a history of adversity had domain-specific sensory processing differences that varied by the type of maltreatment experienced. These findings suggest that children may benefit from evaluation by an occupational therapist taking their specific history of maltreatment into account. Implications for allied health and mental health providers are discussed.

中文翻译：

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有虐待史的儿童的感觉处理：职业治疗的观点

摘要有虐待史的儿童在包括感觉处理在内的多个领域表现出差异。但是，关于域特定的感觉处理缺陷如何根据经历的虐待类型而有所不同的了解却很少。本研究的重点是调查收养儿童样本中七个感官领域的虐待，忽视或没有虐待之间的关系。408名收养的儿童的照顾者（M = 7.89，SD = 2.03）报告了他们的孩子有虐待（滥用，疏忽或没有虐待）的历史和感觉处理能力（短感官）。百分之七十九的样本有感觉处理功能障碍（确定差异= 41％；可能差异= 38％）。有虐待史的儿童（n = 147）触觉敏感性受损（84。4％）和对味道/气味的敏感度（47.6％）。有疏忽史的儿童（n = 125）在反应迟钝/寻求感觉方面得分不同（疏忽= 83.2％；虐待= 57.8％）。两组在反应不足/寻求感觉和听觉过滤方面有显着差异。总而言之，有逆境病史的儿童在特定领域的感觉处理差异因经历的虐待类型而异。这些发现表明，考虑到他们特定的绘画历史，儿童可以从职业治疗师的评估中受益。讨论了对相关健康和心理健康提供者的影响。两组在反应不足/寻求感觉和听觉过滤方面有显着差异。总而言之，有逆境病史的儿童在特定领域的感觉处理差异因经历的虐待类型而异。这些发现表明，考虑到他们特定的绘画历史，儿童可以从职业治疗师的评估中受益。讨论了对相关健康和心理健康提供者的影响。两组在反应不足/寻求感觉和听觉过滤方面有显着差异。总而言之，有逆境病史的儿童在特定领域的感觉处理差异因经历的虐待类型而异。这些发现表明，考虑到他们特定的绘画历史，儿童可以从职业治疗师的评估中受益。讨论了对相关健康和心理健康提供者的影响。