Mary R. Pollock, Alexia E. Metz, Theresa Barabash; Association Between Dysfunctional Elimination Syndrome and Sensory Processing Disorder. Am J Occup Ther 2014;68(4):472–477. https://doi.org/10.5014/ajot.2014.011411
Download citation file:
© 2019 American Occupational Therapy Association
OBJECTIVE. We explored whether sensory processing disorder (SPD) is related to dysfunctional elimination syndrome (DES).
METHOD. We used the Vancouver Nonneurogenic Lower Urinary Tract Dysfunction/Dysfunctional Elimination Syndrome Questionnaire and the Short Sensory Profile with participants who sought treatment of DES (n = 19) and healthy control participants (n = 55).
RESULTS. Significantly more children with DES (53%) had SPD than was reported for the general population (p < .001; Ahn, Miller, Milberger, & McIntosh, 2004). Control participants did not have a greater rate of SPD (p = .333). We found a significant association between the occurrence of DES and SPD, χ2(1) = 20.869, p < .001, and a significant correlation between test scores (Spearman’s ρ = −.493, Rs2 = .243, p < .001).
CONCLUSION. Many children with DES may also have SPD, suggesting that a child’s sensory processing pattern would be an important aspect that could influence the plan of care.
Children with DES are likely to also have SPD. This study found that a majority of children with DES seen in one clinic also presented with SPD, which could not be accounted for by a regional difference because the rate of SPD in a control sample did not vary from that in a previous report on the general population (Ahn et al., 2004).
Referral to occupational therapy may be appropriate to address this aspect of care in an interdisciplinary team (AAP, 2012; Byrne, 2009). Understanding a child’s unique sensory processing can help practitioners and parents have a greater understanding of the child’s toileting behaviors.
Because elimination disorders have considerable impact on children and their families, expanding the understanding of how to develop a successful treatment plan that is client centered is important.
This PDF is available to Subscribers Only
For full access to this pdf, sign in to an existing account, or purchase an annual subscription.