INTEROCEPTION: ASSESSMENT OF BODY PERCEPTION IN CHILDREN WITH AUTISM AND SENSORY ISSUE: Background and Aims: Children with autism and sensory processing disorder may suffer from issues in interoception or its awareness. However, limited studies have been conducted till date this study is aimed to assess the interoceptive awareness among children with autism and sensory processing disorder.   Methodology: A cross-sectional survey was conducted on autistic children to observe interoception through a self-administered questionnaire based on emotional awareness, self-regulation and body awareness formulated on Google Docs and distributed via email or Whatsapp group.  Results: A total number of 63 children consisted of 42 (67%) males and 21 (33%) females showed that (30.3%) children were always able to recognize their anger, (47.6%) feels pain in their body, (58.7%),feel and inform their parents while only (19%) children knows and feel about their mouth being dry or about their thirst. During eating, the (76.2%) children never have difficulty coordinating swallowing, chewing or sucking with breathing.  In toileting routines, (41%) and (28.6%) always communicated regarding urination and defecation.  Conclusion: It was concluded that less notable interoceptive differences were found in the children with autism; however, future trials may use standardized approaches to rule out such components in autistic children for effective care and management of the disability.

Mehvish Iqbal

INTEROCEPTION: ASSESSMENT OF BODY PERCEPTION IN CHILDREN WITH AUTISM AND SENSORY ISSUE

Background and Aims: Children with autism and sensory processing disorder may suffer from issues in interoception or its awareness. However, limited studies have been conducted till date this study is aimed to assess the interoceptive awareness among children with autism and sensory processing disorder. Methodology: A cross-sectional survey was conducted on autistic children to observe interoception through a self-administered questionnaire based on emotional awareness, self-regulation and body awareness formulated on Google Docs and distributed via email or Whatsapp group. Results: A total number of 63 children consisted of 42 (67%) males and 21 (33%) females showed that (30.3%) children were always able to recognize their anger, (47.6%) feels pain in their body, (58.7%),feel and inform their parents while only (19%) children knows and feel about their mouth being dry or about their thirst. During eating, the (76.2%) children never have difficulty coordinating swallowing, chewing or sucking with breathing. In toileting routines, (41%) and (28.6%) always communicated regarding urination and defecation. Conclusion: It was concluded that less notable interoceptive differences were found in the children with autism; however, future trials may use standardized approaches to rule out such components in autistic children for effective care and management of the disability.

Authors

Mehvish Iqbal Lecturer/Occupational Therapist Sindh Institute of Physical Medicine and Rehabilitation

Keywords:

Sensations, awareness, emotions, hunger, thirst, disability

Abstract

Background and Aims: Children with autism and sensory processing disorder may suffer from issues in interoception or its awareness. However, limited studies have been conducted till date this study is aimed to assess the interoceptive awareness among children with autism and sensory processing disorder.

Methodology: A cross-sectional survey was conducted on autistic children to observe interoception through a self-administered questionnaire based on emotional awareness, self-regulation and body awareness formulated on Google Docs and distributed via email or Whatsapp group.

Results: A total number of 63 children consisted of 42 (67%) males and 21 (33%) females showed that (30.3%) children were always able to recognize their anger, (47.6%) feels pain in their body, (58.7%),feel and inform their parents while only (19%) children knows and feel about their mouth being dry or about their thirst. During eating, the (76.2%) children never have difficulty coordinating swallowing, chewing or sucking with breathing. In toileting routines, (41%) and (28.6%) always communicated regarding urination and defecation.

Conclusion: It was concluded that less notable interoceptive differences were found in the children with autism; however, future trials may use standardized approaches to rule out such components in autistic children for effective care and management of the disability.

References

Goodall E. Interoception as a proactive tool to decrease challenging behaviour. Scan: The Journal for Educators. 2020;39(1):20.

Fiene L, Brownlow C. Investigating interoception and body awareness in adults with and without autism spectrum disorder. Autism Research. 2015 Dec;8(6):709-16.

Seth AK, Frion KJ. Active interoceptive inference and the emotional brain. Philosophical Transactions of the Royal Society B: Biological Sciences. 2016 Nov 19;371(1708):20160007.

Khan I, Khan MA. Sensory and Perceptual Alterations. StatPearls [Internet]. 2020 Oct 12.

Mul CL, Stagg SD, Herbelin B, Aspell JE. The feeling of me feeling for you: Interoception, alexithymia and empathy in autism. Journal of Autism and Developmental Disorders. 2018 Sep 1;48(9):2953-67.

Minshew NJ, Hobson JA. Sensory sensitivities and performance on sensory perceptual tasks in high-functioning individuals with autism. Journal of autism and developmental disorders. 2008 Sep 1;38(8):1485-98.

Hample K, Mahler K, Amspacher A. An Interoception-Based Intervention for Children with Autism Spectrum Disorder: A Pilot Study. Journal of Occupational Therapy, Schools, & Early Intervention. 2020 Mar 22:1-4.

Critchley HD, Garfinkel SN. The influence of physiological signals on cognition. Current Opinion in Behavioral Sciences. 2018 Feb 1;19:13-8.

Farb N, Daubenmier J, Price CJ, Gard T, Kerr C, Dunn BD, Klein AC, Paulus MP, Mehling WE. Interoception, contemplative practice, and health. Frontiers in psychology. 2015 Jun 9;6:763.

Marco EJ, Hinkley LB, Hill SS, Nagarajan SS. Sensory processing in autism: a review of neurophysiologic findings. Pediatric research. 2011 May;69(8):48-54.

Fotopoulou A, Tsakiris M. Mentalizing homeostasis: The social origins of interoceptive inference. Neuropsychoanalysis. 2017 Jan 2;19(1):3-28.

DuBois D, Ameis SH, Lai MC, Casanova MF, Desarkar P. Interoception in autism spectrum disorder: A review. International Journal of Developmental Neuroscience. 2016 Aug 1;52:104-11.

Shah P, Catmur C, Bird G. Emotional decision-making in autism spectrum disorder: the roles of interoception and alexithymia. Molecular autism. 2016 Dec 1;7(1):43.

Brener J, Ring C. Towards a psychophysics of interoceptive processes: the measurement of heartbeat detection. Philosophical Transactions of the Royal Society B: Biological Sciences. 2016 Nov 19;371(1708):20160015.

Faivre N, Salomon R, Blanke O. Visual consciousness and bodily self-consciousness. Current opinion in neurology. 2015 Feb 1;28(1):23-8.

Takarae Y, Luna B, Minshew NJ, Sweeney JA. Patterns of visual sensory and sensorimotor abnormalities in autism vary in relation to history of early language delay. Journal of the International Neuropsychological Society. 2008 Nov;14(6):980-9.

Brewer R, Happé F, Cook R, Bird G. Commentary on “Autism, oxytocin and interoception”: Alexithymia, not Autism Spectrum Disorders, is the consequence of interoceptive failure. Neuroscience & Biobehavioral Reviews. 2015 Sep 1;56:348-53.

Quattrocki E, Friston K. Autism, oxytocin and interoception. Neuroscience & Biobehavioral Reviews. 2014 Nov 1;47:410-30.

Nicholson TM, Williams DM, Grainger C, Christensen JF, Calvo-Merino B, Gaigg SB. Interoceptive impairments do not lie at the heart of autism or alexithymia. Journal of abnormal psychology. 2018 Aug;127(6):612.

Price CJ, Hooven C. Interoceptive awareness skills for emotion regulation: Theory and approach of mindful awareness in body-oriented therapy (MABT). Frontiers in psychology. 2018 May 28;9:798.

Cameron OG. Interoception: the inside story—a model for psychosomatic processes. Psychosomatic medicine. 2001 Sep 1;63(5):697-710.

Little LM, Benton K, Manuel-Rubio M, Saps M, Fishbein M. Contribution of Sensory Processing to Chronic Constipation in Preschool Children. The Journal of pediatrics. 2019 Jul 1;210:141-5.

McLay L, Blampied N. Toilet training: Strategies involving modeling and modifications of the physical environmental. InClinical guide to toilet training children 2017 (pp. 143-167). Springer, Cham.

Macias MM, Roberts KM, Saylor CF, Fussell JJ. Toileting concerns, parenting stress, and behavior problems in children with special health care needs. Clinical Pediatrics. 2006 Jun;45(5):415-22.

Hatfield TR, Brown RF, Giummarra MJ, Lenggenhager B. Autism spectrum disorder and interoception: Abnormalities in global integration?. Autism. 2019 Jan;23(1):212-22.

Whyatt C, Craig C. Sensory-motor problems in Autism. Frontiers in integrative neuroscience. 2013 Jul 18;7:51.

Nazarali N, Glazebrook CM, Elliott D. Movement planning and reprogramming in individuals with autism. Journal of autism and developmental disorders. 2009 Oct 1;39(10):1401-11.

Glazebrook CM, Elliott D, Szatmari P. How do individuals with autism plan their movements?. Journal of autism and developmental disorders. 2008 Jan 1;38(1):114-26.

Nowinski CV, Minshew NJ, Luna B, Takarae Y, Sweeney JA. Oculomotor studies of cerebellar function in autism. Psychiatry research. 2005 Nov 15;137(1-2):11-9.

Courchesne E, Pierce K. Brain overgrowth in autism during a critical time in development: implications for frontal pyramidal neuron and interneuron development and connectivity. International journal of developmental neuroscience. 2005 Apr 1;23(2-3):153-70.

Glazebrook CM, Elliott D, Lyons J. A kinematic analysis of how young adults with and without autism plan and control goal-directed movements. Motor control. 2006 Jul 1;10(3):244-64.

Mari M, Castiello U, Marks D, Marraffa C, Prior M. The reach–to–grasp movement in children with autism spectrum disorder. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences. 2003 Feb 28;358(1430):393-403.

Published

2022-07-07

How to Cite

Iqbal, M. (2022). INTEROCEPTION: ASSESSMENT OF BODY PERCEPTION IN CHILDREN WITH AUTISM AND SENSORY ISSUE: Background and Aims: Children with autism and sensory processing disorder may suffer from issues in interoception or its awareness. However, limited studies have been conducted till date this study is aimed to assess the interoceptive awareness among children with autism and sensory processing disorder. Methodology: A cross-sectional survey was conducted on autistic children to observe interoception through a self-administered questionnaire based on emotional awareness, self-regulation and body awareness formulated on Google Docs and distributed via email or Whatsapp group. Results: A total number of 63 children consisted of 42 (67%) males and 21 (33%) females showed that (30.3%) children were always able to recognize their anger, (47.6%) feels pain in their body, (58.7%),feel and inform their parents while only (19%) children knows and feel about their mouth being dry or about their thirst. During eating, the (76.2%) children never have difficulty coordinating swallowing, chewing or sucking with breathing. In toileting routines, (41%) and (28.6%) always communicated regarding urination and defecation. Conclusion: It was concluded that less notable interoceptive differences were found in the children with autism; however, future trials may use standardized approaches to rule out such components in autistic children for effective care and management of the disability. Pakistan Journal of Rehabilitation, 11(2), 160–168. Retrieved from http://ojs.zu.edu.pk/ojs/index.php/pjr/article/view/942

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Vol. 11 No. 2 (2022): Pakistan Journal of Rehabilitation

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