Sensory Modulation in Children Exposed to Continuous Traumatic Stress

Abstract

Preliminary evidence supports a possible association between post-traumatic stress disorder (PTSD) and sensory modulation disorder (SMD). Nevertheless, the research focusing on this relationship in children is notably limited. This study examined children with and without PTS symptoms, by comparing their mothers’ perceptions of their responses to sensory events in daily life. Mothers of 134 non-referred children aged 5–11, exposed to continuous traumatic stress due to political violence, completed the UCLA-RI and the Short Sensory Profile questionnaires. Significant differences emerged between children with different levels of PTS symptoms in various sensory modalities. Furthermore, half of the symptomatic children had suspected clinically significant deficits in sensory processing. In addition, PTSD symptoms were significantly associated with most of the sensory processing scores. Logistic regression indicated that the overall sensory processing score was a significant predictor of group classification. The results indicate that children with PTS symptoms may be at increased risk for sensory processing deficits. Evaluation of sensory processing should be incorporated into the routine evaluation of this population in order to determine whether this is an additional factor contributing to a child’s difficulties in participating in daily activities. Subsequent intervention programs should then address the multiple needs of these children.

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References

  1. Ahn, R. R., Miller, L. J., Milberger, S., & McIntosh, D. N. (2004). Prevalence of parents perceptions of sensory processing disorders among kindergarten children. American Journal of Occupational Therapy, 58, 287–302. https://doi.org/10.5014/ajot.58.3.287.

    Article  PubMed  Google Scholar 

  2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.

    Google Scholar 

  4. Atchison, B. J. (2007). Sensory modulation disorders among children with a history of trauma: A frame of reference for speech pathologists. Language, Speech, and Hearing Services in Schools, 38, 109–116. https://doi.org/10.1044/0161-1461(2007/011).

    Article  PubMed  Google Scholar 

  5. Atchison, B., & Morkut, B. (2012). Developmental trauma disorder. In B. Atchison & D. K. Dirette (Eds.), Conditions in occupational therapy: Effect on occupational performance (pp. 323–334). Philadelphia, PA: Lippincott Williams & Wilkins.

    Google Scholar 

  6. Bailliard, A. L., & Whigham, S. C. (2017). Centennial topics—Linking neuroscience, function, and intervention: A scoping review of sensory processing and mental illness. American Journal of Occupational Therapy, 71, 1–18. https://doi.org/10.5014/ajot.2017.024497.

    Article  Google Scholar 

  7. Barron, I. G., & Abdallah, G. (2015). Intergenerational trauma in the occupied Palestinian territories: Effect on children and promotion of healing. Journal of Child & Adolescent Trauma, 8(2), 103–110. https://doi.org/10.1007/s40653-015-0046-z.

    Article  Google Scholar 

  8. Bar-Shalita, T., Vatine, J., & Parush, S. (2008). Sensory modulation disorder: A risk factor for participation in daily life activities. Developmental Medicine and Child Neurology, 50(12), 932–937. https://doi.org/10.1111/j.1469-8749.2008.03095.x.

    Article  PubMed  Google Scholar 

  9. Bar-Shalita, T., Vatine, J., Yarnitsky, D., Parush, S., & Weissman-Fogel, I. (2014). Atypical central pain processing in sensory modulation disorder: Absence of temporal summation and higher after-sensation. Experimental Brain Research, 232(2), 587–595. https://doi.org/10.1007/s00221-013-3767-y.

    Article  PubMed  Google Scholar 

  10. Ben-Sasson, A., & Podoly, T. Y. (2017). Sensory over-responsivity and obsessive-compulsive symptoms: A cluster analysis. Comprehensive Psychiatry, 73, 151–159. https://doi.org/10.1016/j.comppsych.2016.10.013.

    Article  PubMed  Google Scholar 

  11. Ben-Sasson, A., Carter, A. S., & Briggs-Gowan, M. J. (2009). Sensory over-responsivity in elementary school: Prevalence and social-emotional correlates. Journal of Abnormal Child Psychology, 37(5), 705–716. https://doi.org/10.1007/s10802-008-9295-8.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Betancourt, T. S., & Khan, K. T. (2008). The mental health of children affected by armed conflict: Protective processes and pathways to resilience. International Review of Psychiatry, 20(3), 317–328. https://doi.org/10.1080/09540260802090363.

    Article  PubMed  Google Scholar 

  13. Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59(1), 20–28. https://doi.org/10.1037/0003-066X.59.1.20.

    Article  PubMed  Google Scholar 

  14. Brett-Green, B. A., Miller, L. J., Gavin, W. J., & Davies, P. L. (2008). Multisensory integration in children: A preliminary ERP study. Brain Research, 1242, 283–290. https://doi.org/10.1016/j.brainres.2008.03.090.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Brett-Green, B. A., Miller, L. J., Schoen, S. A., & Nielsen, D. M. (2010). An exploratory event-related potential study of multisensory integration in sensory over-responsive children. Brain Research, 1321, 67–77. https://doi.org/10.1016/j.brainres.2010.01.043.

    Article  PubMed  Google Scholar 

  16. Brown, C., & Dunn, W. (2002). Adolescent-adult sensory profile: User’s manual. San Antonio, TX: Therapy Skill Builders.

    Google Scholar 

  17. Champagne, T. (2010). Occupational therapy in special and high-risk situations. In M. A. Scheinholtz (Ed.), Occupational therapy in mental health: Considerations for advanced practice (pp. 179–197). Bethesda, MD: American Occupational Therapy Association.

    Google Scholar 

  18. Champagne, T., & Tewfick, D. (2010). Trauma, mental health care & occupational therapy practice. In M. A. Scheinholtz (Ed.), Occupational therapy in mental health: Considerations for advanced practice (pp. 215–230). Bethesda, MD: American Occupational Therapy Association.

    Google Scholar 

  19. Clancy, K., Ding, M., Bernat, E., Schmidt, N. B., & Li, W. (2017). Restless ‘rest’: Intrinsic sensory hyperactivity and disinhibition in post-traumatic stress disorder. Brain, 140(7), 2041–2050. https://doi.org/10.1093/brain/awx116.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Dar, R., Kahn, D. T., & Carmeli, R. (2012). The relationship between sensory processing, childhood rituals and obsessive-compulsive symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 43(1), 679–684. https://doi.org/10.1016/j.jbtep.2011.09.008.

    Article  PubMed  Google Scholar 

  21. Dean, E. E., Little, L., Tomchek, S., & Dunn, W. (2018). Sensory processing in the general population: Adaptability, resiliency, and challenging behavior. American Journal of Occupational Therapy, 72, 1–8. https://doi.org/10.5014/ajot.2018.019919.

    Article  Google Scholar 

  22. Dunn, W. (2001). The sensations of everyday life: Empirical, theoretical, and pragmatic considerations. American Journal of Occupational Therapy, 55, 608–620. https://doi.org/10.5014/ajot.55.6.608.

    Article  PubMed  Google Scholar 

  23. Ehlers, A., & Clark, D. M. (2000). A cognitive model of post-traumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345. https://doi.org/10.1016/S0005-7967(99)00123-0.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Engel-Yeger, B. (2010). The applicability of the short sensory profile for screening sensory processing disorders among Israeli children. International Journal of Rehabilitation Research, 33, 311–318. https://doi.org/10.1097/MRR.0b013e32833abe59.

    Article  PubMed  Google Scholar 

  25. Engel-Yeger, B., Palgy-Levin, D., & Lev-Wiesel, R. (2013). The sensory profile of people with post-traumatic stress symptoms. Occupational Therapy in Mental Health, 29, 266–278. https://doi.org/10.1080/0164212x.2013.819466.

    Article  Google Scholar 

  26. Engel-Yeger, B., Palgy-Levin, D., & Lev-Wiesel, R. (2015). Predicting fears of intimacy among individuals with post-traumatic stress symptoms by their sensory profile. British Journal of Occupational Therapy, 78(1), 51–57. https://doi.org/10.1177/0308022614557628.

    Article  Google Scholar 

  27. Feldman, R., & Vengrober, A. (2011). Post-traumatic stress disorder in infants and young children exposed to war-related trauma. Journal of the American Academy of Child & Adolescent Psychiatry, 50(7), 645–658. https://doi.org/10.1016/j.jaac.2011.03.001.

    Article  Google Scholar 

  28. Ghisolfi, E. S., Margis, R., Becker, J., Zanardo, A. P., Strimitzer, I. M., & Lara, D. R. (2004). Impaired P50 sensory gating in post-traumatic stress disorder secondary to urban violence. International Journal of Psychophysiology, 51(3), 209–214. https://doi.org/10.1016/j.ijpsycho.2003.09.002.

    Article  PubMed  Google Scholar 

  29. Gouze, K. R., Hopkins, J., Lebailly, S. A., & Lavigne, J. V. (2009). Re-examining the epidemiology of sensory regulation dysfunction and comorbid psychopathology. Journal of Abnormal Child Psychology, 37(8), 1077–1087. https://doi.org/10.1007/s10802-009-9333-1.

    Article  PubMed  Google Scholar 

  30. Green, S. A., & Ben-Sasson, A. (2010). Anxiety disorders and sensory over-responsivity in children with autism spectrum disorders: Is there a causal relationship? Journal of Autism and Developmental Disorders, 40, 1495–1504. https://doi.org/10.1007/s10803-010-1007-x.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Halevi, G., Djalovski, A., Vengrober, A., & Feldman, R. (2016). Risk and resilience trajectories in war-exposed children across the first decade of life. Journal of Child Psychology and Psychiatry, 57(10), 1183–1193.

    Article  Google Scholar 

  32. Hayes, J. P., Van Elzakker, M. B., & Shin, L. M. (2012). Emotion and cognition interactions in PTSD: A review of neurocognitive and neuroimaging studies. Frontiers in Integrative Neuroscience, 6, 89. https://doi.org/10.3389/fnint.2012.00089.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Holstein, D. H., Vollenweider, F. X., Jäncke, L., Schopper, C., & Csomor, P. A. (2010). P50 suppression, pre-pulse inhibition, and startle reactivity in the same patient cohort suffering from post-traumatic stress disorder. Journal of Affective Disorders, 126, 188–197. https://doi.org/10.1016/j.jad.2010.02.122.

    Article  PubMed  Google Scholar 

  34. Karl, A., Malta, L. S., & Maercker, A. (2006). Meta-analytic review of event related potential studies in post-traumatic stress disorder. Biological Psychology, 71(2), 123–147. https://doi.org/10.1016/j.biopsycho.2005.03.004.

    Article  PubMed  Google Scholar 

  35. Karr, N. (2009). Psychological impact of disasters on children: Review of assessment and intervention. World Journal of Pediatrics, 5, 5–11. https://doi.org/10.1007/s12519-009-0001-x.

    Article  Google Scholar 

  36. Kinnealey, M., Koenig, K. P., & Smith, S. (2011). Relationships between sensory modulation and social supports and health-related quality of life. American Journal of Occupational Therapy, 65(3), 320–327. https://doi.org/10.5014/ajot.2011.001370.

    Article  PubMed  Google Scholar 

  37. Kinniburgh, K. J., Blaustein, M., Spinazzola, J., & Van der Kolk, B. A. (2005). Attachment, Self- Regulation, and Competency: A comprehensive intervention framework for children with complex trauma. Psychiatric Annals, 35, 424–430. https://doi.org/10.3928/00485713-20050501-08.

    Article  Google Scholar 

  38. Koomar, J. A. (2009). Trauma and attachment-informed sensory integration assessment and intervention. Sensory Integration Special Interest Section Quarterly, 32(4), 1–4.

    Google Scholar 

  39. Lacoviello, B. M., & Charney, D. S. (2014). Psychosocial facets of resilience: Implications for preventing posttrauma psychopathology, treating trauma survivors, and enhancing community resilience. European Journal of Psychotraumatology, 5, 1. https://doi.org/10.3402/ejpt.v5.23970.

    Article  Google Scholar 

  40. Lane, S. J. (2002). Sensory modulation. In Bundy. A.C., Lane, S.J., & Murray, E.A. (Eds.). Sensory integration: Theory and practice (pp. 101–122). Philadelphia, PA: F. A. Davis Company.

  41. Lane, S. J., Reynolds, S., & Dumenci, L. (2012). Sensory over-responsivity and anxiety in typically developing children and children with autism and attention deficit hyperactivity disorder: Cause or coexistence? American Journal of Occupational Therapy, 66, 595–603. https://doi.org/10.5014/ajot.2012.004523.

    Article  PubMed  Google Scholar 

  42. LeBel, J., Champagne, T., Stromberg, N., & Coyle, R. (2010). Integrating sensory and trauma-informed interventions: A Massachusetts state initiative, part 1. Mental Health Special Interest Section Quarterly, 33(1), 1–4.

    Google Scholar 

  43. Levit-Binnun, N., & Golland, Y. (2012). Finding behavioral and network indicators of brain vulnerability. Frontiers in Human Neuroscience, 6, 10. https://doi.org/10.3389/fnhum.2012.00010.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Levit-Binnun, N., Szepsenwol, O., Stern-Ellran, K., & Engel-Yeger, B. (2014). The relationship between sensory responsiveness profiles, attachment orientations, and anxiety symptoms. Australian Journal of Psychology, 66(4), 233–240. https://doi.org/10.1111/ajpy.12064.

    Article  Google Scholar 

  45. Lewin, A. B., Wu, M. S., Murphy, T. K., & Storch, E. A. (2015). Sensory over-responsivity in pediatric obsessive-compulsive disorder. Journal of Psychopathology and Behavioral Assessment, 37(1), 13–143. https://doi.org/10.1007/s10862-014-9442-1.

    Article  Google Scholar 

  46. Lipskaya-Velikovsky, L., Bar-Shalita, T., & Bart, O. (2015). Sensory modulation and daily-life participation in people with schizophrenia. Comprehensive Psychiatry, 58, 130–137. https://doi.org/10.1016/j.comppsych.2014.12.009.

    Article  PubMed  Google Scholar 

  47. Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56(3), 227–238. https://doi.org/10.1037/0003-066X.56.3.227.

    Article  PubMed  Google Scholar 

  48. May-Benson, T., & Sawyer, S. (2016). An intervention manual for SAFE PLACE. Newton, MA: OTA The Koomar Center.

    Google Scholar 

  49. McFarlane, A. C., Weber, D. L., & Clark, C. R. (1993). Abnormal stimulus processing in post-traumatic stress disorder. Biological Psychiatry, 34(5), 311–320. https://doi.org/10.1016/0006-3223(93)90088-U.

    Article  PubMed  Google Scholar 

  50. McIntosh, D. N., Miller, L. J., & Dunn, W. (1999a). Overview of the short sensory profile (SSP). In W. Dunn (Ed.), The sensory profile: Examiner’s manual (pp. 59–73). San Antonio, TX: The Psychological Corporation.

  51. McIntosh, D. N., Miller, L. J., Shyu, V., & Hagerman, R. J. (1999b). Sensory modulation disruption, electrodermal response, and functional behaviors. Developmental Medicine and Child Neurology, 41(9), 608–615. https://doi.org/10.1111/j.1469-8749.1999.tb00664.x.

    Article  PubMed  Google Scholar 

  52. Meredith, P. J., Rappel, G., Strong, J., & Bailey, K. J. (2015). Sensory sensitivity and strategies for coping with pain. American Journal of Occupational Therapy, 69, 1–10. https://doi.org/10.5014/ajot.2015.014621.

    Article  Google Scholar 

  53. Miller, L. J., Anzalone, M. E., Lane, S. J., Cermak, S. A., & Osten, E. T. (2007). Concept evolution in sensory integration: A proposed nosology for diagnosis. The American Journal of Occupational Therapy, 21, 135–140. https://doi.org/10.5014/ajot.61.2.135.

    Article  Google Scholar 

  54. Miller, L. J., Nielsen, D. M., & Schoen, S. A. (2012). Attention deficit hyperactivity disorder and sensory modulation disorder: A comparison of behavior and physiology. Research in Developmental Disabilities, 33, 804–818. https://doi.org/10.1016/j.Ridd.2011.12.005.

    Article  PubMed  Google Scholar 

  55. Muffly, A., & Gerney, A. (2015). Occupational preferences of people who have experienced sexual assault. Occupational Therapy in Mental Health, 31(2), 101–112. https://doi.org/10.1080/0164212X.2015.1027842.

    Article  Google Scholar 

  56. Nugent, N. R., Sumner, J. A., & Amstadter, A. B. (2014). Resilience after trauma: From surviving to thriving. European Journal of Psychotraumatology, 5(1), 25339. https://doi.org/10.3402/ejpt.v5.25339.

    Article  Google Scholar 

  57. Ogden, P., Pain, C., & Fisher, J. (2006). A sensorimotor approach to the treatment of trauma and dissociation. Psychiatric Clinics of North America, 29, 263–279.

    Article  Google Scholar 

  58. Pat-Horenczyk, R. (2004). Post-traumatic distress in Israeli adolescents exposed to ongoing terrorism: Selected findings from school-based screenings in Jerusalem and nearby settlements. Journal of Aggression, Maltreatment & Trauma, 9(3–4), 335–347. https://doi.org/10.1300/J146v09n03_04.

    Article  Google Scholar 

  59. Pat-Horenczyk, R., Rabinowitz, R., Rice, A., & Tucker-Levin, A. (2009a). The search for risk and protective factors in childhood PTSD: From variables to processes. In D. Brom, R. Pat-Horenczyk, & J. Ford (Eds.), Treating traumatized children: Risk, resilience and recovery (pp. 51–71). London: Routledge.

    Google Scholar 

  60. Pat-Horenczyk, R., Qasrawi, R., Lesack, R., Haj-Yahia, M., Peled, O., Shaheen, M., Berger, R., Brom, D., Garber, R., & Abdeen, Z. (2009b). Post-traumatic symptoms, functional impairment, and coping among adolescents on both sides of the Israeli–Palestinian conflict: A cross-cultural approach. Applied Psychology, 58(4), 688–708. https://doi.org/10.1111/j.1464-0597.2008.00372.x.

    Article  Google Scholar 

  61. Pat-Horenczyk, R., Ziv, Y., Asulin-Peretz, L., Achituv, M., Cohen, S., & Brom, D. (2013). Relational trauma in times of political violence: Continuous versus past traumatic stress. Peace and Conflict: Journal of Peace Psychology, 19(2), 125–137. https://doi.org/10.1037/a0032488.

    Article  Google Scholar 

  62. Pat-Horenczyk, R., Cohen, S., Ziv, Y., Achituv, M., Brickman, S., Blanchard, T., & Brom, D. (2017). Stability and change in posttraumatic distress: A 7-year follow-up study of mothers and young children exposed to cumulative trauma. Journal of Traumatic Stress, 30(2). https://doi.org/10.1002/jts.22177.

    Article  Google Scholar 

  63. Perry, B. D. (2006). Applying principles of neurodevelopment to clinical work with maltreated and traumatized children. In N. B. Webb (Ed.), Working with traumatized youth in child welfare (pp. 27–52). New York, NY: Guilford Press.

    Google Scholar 

  64. Perry, B. D. (2009). Examining child maltreatment through a neurodevelopmental lens: Clinical applications of the neurosequential model of therapeutics (NMT). Journal of Trauma and Loss, 14, 1–16. https://doi.org/10.1080/15325020903004350.

    Article  Google Scholar 

  65. Reynolds, S., & Lane, S. J. (2009). Sensory over-responsivity and anxiety in children with ADHD. American Journal of Occupational Therapy, 63, 433–440. https://doi.org/10.5014/ajot.63.4.433.

    Article  PubMed  Google Scholar 

  66. Roussos, A., Goenjian, A. K., Steinberg, A. M., Sotiropoulou, C., Kakaki, M., Kabakos, C., & Manouras, V. (2005). Post-traumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. American Journal of Psychiatry, 162(3), 530–537. https://doi.org/10.1176/appi.ajp.162.3.530.

    Article  PubMed  Google Scholar 

  67. Ryan, K., & Lane, S.J. (2017). A Multidisciplinary Model for Treating Complex Trauma in Early Childhood. International Journal of Play Therapy, 26, 111–123. https://doi.org/10.1037/pla0000044

    Article  Google Scholar 

  68. Sagi-Schwartz, A. (2008). The wellbeing of children living in chronic war zones: The Palestinian- Israeli case. International Journal of Behavioral Development, 32(4), 322–336. https://doi.org/10.1177/0165025408090974.

    Article  Google Scholar 

  69. Schaaf, R. C., Miller, L. J., Seawell, D., & O’Keefe, S. (2003). Children with disturbances in sensory processing: A pilot study examining the role of the parasympathetic nervous system. American Journal of Occupational Therapy, 57, 442–449. https://doi.org/10.5014/ajot.57.4.442.

    Article  PubMed  Google Scholar 

  70. Shalev, A. Y., Peri, T., Brandes, D., Freedman, S., Orr, S., & Pitman, R. (2000). Auditory startle response in trauma survivors with post-traumatic stress disorder: A prospective study. American Journal of Psychiatry, 157(2), 255–261. https://doi.org/10.1176/appi.ajp.157.2.255.

    Article  PubMed  Google Scholar 

  71. Slone, M., & Mann, S. (2016). Effects of war, terrorism, and armed conflict on young children: A systematic review. Child Psychiatry & Human Development, 47(6), 950–965. https://doi.org/10.1007/s10578-016-0626-7.

    Article  Google Scholar 

  72. Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles post-traumatic stress disorder reaction index. Current Psychiatry Reports, 6(2), 96–100. https://doi.org/10.1007/s11920-004-0048-2.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Stewart, L. P., & White, P. M. (2008). Sensory filtering phenomenology in PTSD. Depression and Anxiety, 25(1), 38–45. https://doi.org/10.1002/da.20255.

    Article  PubMed  Google Scholar 

  74. Thabet, A. A., Karim, K., & Vostanis, P. (2006). Trauma exposure in preschool children in a war zone. The British Journal of Psychiatry, 188(2), 154–158. https://doi.org/10.1192/bjp.188.2.154.

    Article  PubMed  Google Scholar 

  75. Torchalla, I., Killoran, J., Fisher, D., & Bahen, M. (2018). Trauma- focused treatment for individuals with posttraumatic stress disorder: The role of occupational therapy. Occupational Therapy in Mental Health, 1–21. https://doi.org/10.1080/0164212X.2018.1510800.

    Article  Google Scholar 

  76. Trickey, D., Siddaway, A. P., Meiser-Stedman, R., Serpell, L., & Field, A. P. (2012). A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents. Clinical Psychological Review, 32, 122–138. https://doi.org/10.1016/j.cpr.2011.12.001.

    Article  Google Scholar 

  77. Van der Kolk, B. A. (2006). Clinical implications of neuroscience research in PTSD. Annals of the New York Academy of Sciences, 1071(1), 277–293. https://doi.org/10.1196/annals.1364.022.

    Article  PubMed  Google Scholar 

  78. Warner, E., Koomar, J., Lary, B., & Cook, A. (2013). Can the body change the score? Application of sensory modulation principles in the treatment of traumatized adolescents in residential settings. Journal of Family Violence, 28, 729–738. https://doi.org/10.1007/s10896-013-9535-8.

    Article  Google Scholar 

  79. Wolmer, L., Hamiel, D., Versano-Eisman, T., Slone, M., Margalit, N., & Laor, N. (2015). Preschool Israeli children exposed to rocket attacks: Assessment, risk, and resilience. Journal of Traumatic Stress, 28(5), 441–447. https://doi.org/10.1002/jts.22040.

    Article  PubMed  Google Scholar 

  80. Yochman, A., Alon-Beery, O., Sribman, A., & Parush, S. (2013). Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): Participation, sensation, and attention. Frontiers in Human Neuroscience, 7, 1–10. https://doi.org/10.3389/fnhum.2013.00862.

    Article  Google Scholar 

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Funding

This study was supported by a grant from the Israel Science Foundation (ISF) to Ruth. Pat-Horenczyk, Principal investigator. We are grateful to the Bernard van Leer Foundation and Herbert Bearman Foundation for their generous support of the study and the treatment of the traumatized families.

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Correspondence to Aviva Yochman.

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Yochman, A., Pat-Horenczyk, R. Sensory Modulation in Children Exposed to Continuous Traumatic Stress. Journ Child Adol Trauma 13, 93–102 (2020). https://doi.org/10.1007/s40653-019-00254-4

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Keywords

  • Post-traumatic stress disorder
  • Sensory processing
  • Sensory profile
  • Regulation
  • Hyperarousal