Une revue de la tolérance réduite aux sons dans l’autisme : définitions, phénoménologie et mécanismes potentiels

Auteurs

Résumé

Les réponses comportementales atypiques aux sons environnementaux sont fréquentes chez les enfants et les adultes autistes, 50 à 70 % de cette population présentant une tolérance réduite aux sons (DST) à un moment de leur vie. Ce symptôme est une source de détresse et d’altération importantes tout au long de la vie, contribuant à l’anxiété, aux comportements difficiles, à une participation réduite à la vie communautaire et à des difficultés scolaires ou professionnelles. Cependant, on connaît relativement peu de choses sur sa phénoménologie ou ses fondements neurocognitifs. Le présent article synthétise un vaste corpus de littérature sur la phénoménologie et la physiopathologie des affections liées à la DST afin de produire une description théorique complète de la DST dans l’autisme. Il est à noter que nous nous opposons à la conceptualisation de la DST comme un construit unifié, suggérant qu’elle soit divisée en trois affections phénoménologiquement distinctes : l’hyperacousie (la perception des sons quotidiens comme excessivement forts ou douloureux), la misophonie (une réaction aversive acquise à des sons spécifiques) et la phonophobie (une phobie spécifique des sons), chacune étant responsable d’une partie des comportements de DST observés. Nous développons davantage notre cadre en proposant des modèles neurocognitifs préliminaires de l’hyperacousie, de la misophonie et de la phonophobie qui intègrent des résultats neurophysiologiques issus d’études sur l’autisme.

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