Yael Leitner, 2 Riva Tauman, 3 Hadas Avni, 1 Anat Drori-Asayag, 4. Haim Nehama, 2 Michal Greenfeld
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1 Sensory Profile of Young Children with Behavioral Insomnia and Feeding Disorders* *Sensory profile in infants and toddlers with behavioral insomnia and/or feeding disorders. Sleep Medicine Yael Leitner, 2 Riva Tauman, 3 Hadas Avni, 1 Anat Drori-Asayag, 4 Haim Nehama, 2 Michal Greenfeld 1 Child Development Center, Dana-Dwek Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel, affiliated to the Sackler School of Medicine, Tel Aviv University, 2 Pediatric Sleep Center, 3 Pediatric Clinic of Feeding Disorders and, 4 The Department of Public Health, Municipality of Tel Aviv-Yaffo, Israel.
2 Table of Contents Background Aim & Hypothesis Methods Results Conclusions Limitations Recommendations
3 The impact of BI & FD disorders Behavioral Insomnia (BI) Feeding Disorder (FD) 10-30% 25% Difficulty falling asleep and/or staying asleep Problematic eating and feeding behaviors Problematic interactions As OT s our main goal is to improve ADL
4 Co-occurrence BI FD A common mediator might play a substantial role in these two common conditions Sensory Profile
5 Aim & Hypothesis Aim: to investigate the sensory profile of children with and children with FD in comparison with healthy controls. BI Hypothesis: sensory processing difficulties are more common in children with sleep and/or feeding disorders compared with children without such difficulties.
6 Methods 3 groups of children (7-36 months old) :- BI International Classification of Sleep Disorders (ICSD) Excluded: FD Chatoor criteria Children with chronic medical conditions, Congenital abnormalities / Developmental delays Controls Attended the well-care clinics in the metropolitan of TA area for routine periodic medical examinations Process: The parents received 2 questionnaires to fill in: Demographic and socioeconomic status Infant/Toddler Sensory Profile (ITSP)
7 Results Characteristics of study groups and Controls (n=85) Socio-Economic & Demographic Variable Behavioral Insomnia (n=25) Feeding Disorders (n=28) Controls (n=32) P Age 1.18 ± ± ± Gender Maternal age (years) 34.7 ± ± ± Paternal age (years) 37.6 ± ± ± Maternal education (years) 16.2 ± ± ± Paternal education (years) 15.7 ± ± ± Gestational age (weeks) 38.4 ± ± ± Birth weight (kg) 3.10 ± ± ± Number of children 1.76 ± ± ± Birth order 1.88 ± ± ±
8 Differences between study groups and Control BI Difference between study groups: Oral Processing (p=0.0002) FD Oral Processing score (p= ) Low Sensory Threshold (p= 0.001) includes Sensation Avoiding Sections Quadrants Controls Oral Processing score (p= ) Auditory Processing score (p= 0.028) Low Sensory Threshold (p= 0.001) includes Sensory Avoiding & Sensitivity Low Sensory Registration (p= 0.027) Sensory
9 Conclusions FD Young children with either or were reported to show significantly more sensory difficulties compared with controls (low sensory threshold). These differences may partially explain the coexistence of the two disorders and might be the cause of their development. - Relation between Oral processing and FD at self-explanatory - Relation between Oral processing and BI is more complicated (sucking behavior?) - Relation between Auditory processing and FD: * Noise could distract * Reactivity to noise easier to notice in the young age * May reflect the general sensory processing BI
10 Limitations & Recommendations Limitations Small study groups Subjective questionnaires, w/o direct OT clinical evaluation Lack of information about parental anxiety Recommendations Parental sensory questionnaire are of great value as a possible target for intervention (in both sleep and feeding disorders) Direct OT examination with objective tools Expand investigate on these relations
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