Utilisation de tâches psychoacoustiques et de questionnaires multidimensionnels pour caractériser l'hyperréactivité auditive chez les jeunes autistes
Titre original en anglais : Using Psychoacoustic Tasks and Multidimensional Questionnaires to Characterize Auditory Hyperreactivity in Autistic Young People
Dwyer, P., Sillas, A., Enzler, F., Noreña, A., Saron, C. D., & Rivera, S. M. (2025). Using Psychoacoustic Tasks and Multidimensional Questionnaires to Characterize Auditory Hyperreactivity in Autistic Young People. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-025-06924-7
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Résumé
Les études antérieures sur l'hyperréactivité auditive dans l'autisme n'ont souvent pas distingué les différents aspects de l'inconfort sensoriel auditif, tels que l'hyperacousie et la misophonie. La présente étude caractérise rigoureusement plusieurs formes d'hyperréactivité sensorielle auditive, à l'aide d'une combinaison de tâches psychoacoustiques réalisées en laboratoire et de questionnaires auto-rapportés et rapportés par les aidants, et examine les différences entre groupes ainsi que les relations entre différentes mesures. Dix-huit adolescents autistes et 22 adolescents du groupe de comparaison ont évalué le caractère agréable de sons conventionnellement agréables, conventionnellement désagréables et de sons déclencheurs misophoniques, à des intensités de 50 à 80 dB SPL. Ils ont également fourni des seuils auditifs, des niveaux d'inconfort liés à l'intensité sonore et ont rempli plusieurs questionnaires ; leurs aidants ont rempli des questionnaires supplémentaires. Les participants autistes ont évalué les sons conventionnellement agréables comme étant plus désagréables à des intensités de 60 à 80 dB, mais l'inconfort global lié à l'intensité sonore causé par des sons purs ne différait pas significativement entre les groupes, et les évaluations des déclencheurs misophoniques courants ne semblaient pas non plus différer. Les participants autistes ont néanmoins rapporté eux-mêmes une hyperréactivité auditive plus importante, y compris une hyperacousie et une misophonie. Toutefois, dans le groupe autiste, les scores d'hyperréactivité auditive auto-rapportés étaient, de manière inattendue, inférieurs aux scores rapportés par les aidants. Les mesures issues des tâches psychoacoustiques et certaines mesures de la misophonie fondées sur des questionnaires concordaient bien, mais les mesures de l'hyperacousie ne concordaient pas bien. L'intolérance aux sons aurait affecté la qualité de vie des participants autistes. Toutefois, les résultats variés selon les différentes mesures, telles que les évaluations de sons purs par rapport aux sons conventionnellement agréables, soulignent la complexité et l'apparente idiosyncrasie de l'inconfort et de la détresse sensoriels dans l'autisme. Les tâches psychoacoustiques d'évaluation des sons ont montré une certaine convergence et une certaine divergence avec les mesures par questionnaire, soulignant l'importance d'une mesure multimodale.
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