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Playfulness of Preschool-Aged Children With Autism in a Sensory Integration Room.

Clinical pediatrics2025

Kars Sinem, Aki Esra

What this study means for families

Researchers studied how well 36 autistic preschoolers (around 5 years old) played in a special sensory room. They found that children's playfulness was linked to family factors - children played more when mums worked, but played less when dads had higher education or families had higher income. This early research helps us understand what might affect how autistic children play in therapy settings.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This cross-sectional study examined playfulness in 36 preschool-aged children with autism (mean age 62.1 months) within a sensory integration room environment. Using the Turkish version of the Test of Playfulness, researchers assessed three key elements of playfulness: intrinsic motivation, internal control, and freedom to suspend reality. The study found significant associations between children's playfulness scores and specific family demographic factors. Higher father education levels and family income were associated with lower playfulness scores, while maternal employment was associated with higher playfulness.

The research provides preliminary insights into how family socioeconomic factors may influence play behaviors in autistic children within structured therapeutic environments.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Father's education level negatively correlated with playfulness (r = -0.534, p < 0.01)

    Confidence: moderateRelevance: Family demographic factors may influence play engagement in therapeutic settings
  • 2

    Mother's employment status positively correlated with playfulness (r = 0.335, p < 0.05)

    Confidence: moderateRelevance: Maternal work status may be associated with enhanced play behaviors
  • 3

    Family income negatively correlated with playfulness (r = -0.469, p < 0.01)

    Confidence: moderateRelevance: Higher socioeconomic status may paradoxically relate to reduced spontaneous play

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Therapists should consider family socioeconomic factors when assessing play behaviors in autistic children. The unexpected negative correlation between higher SES and playfulness warrants further investigation and may inform intervention approaches in sensory integration therapy.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Single cross-sectional study with small sample size (n=36). Correlational design prevents causal inferences. Study methodology and measurement details not fully described. Limited to one cultural context (Turkish population). No comparison group included.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Playfulness can be determined by evaluation for the presence of 3 elements: intrinsic motivation, internal control, and the freedom to suspend reality. Playfulness may be affected by the child's physical, social, and cognitive skills and the physical, social, and cultural aspects of the play environment. Therefore, we aimed to investigate the playfulness of children with autism in a sensory integration room. Thirty-six children with autism, with a mean (SD) age of 62.1 (7.1) months, participated.

Demographic Information Questionnaire and Turkish version of Test of Playfulness were used. The playfulness of the children with autism were analyzed according to children's gender, age and birth order, parents' age, education level and employment status, family income, and number of siblings. The playfulness is related to the father's education level (= -0.534,< .01), the mother's employment status (= 0.335,< .05) and family income (= -0.469,< .01). Implications are discussed and suggestions for future research are formulated.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Clinical pediatrics
Year
2025
PMID
40483675
DOI
10.1177/00099228251345199

MeSH Terms

HumansPlay and PlaythingsMaleFemaleChild, PreschoolAutistic DisorderSurveys and QuestionnairesTurkey