Should Therapists Pay More Attention to Sensory Processing Sensitivity in Individuals with Depression?
DOI:
https://doi.org/10.61173/ha2g5m03Keywords:
depression, Sensory Processing Sensitiv-ity, SPS, Highly Sensitive Person, diagnosis, treatmentAbstract
Ever since the concept of Sensory Processing Sensitivity (SPS) was introduced, extensive research has solidified its theoretical and empirical foundations. SPS is characterized by enhanced awareness, deeper information processing, and increased emotional and physiological reactivity (Acevedo, 2020). Moreover, research has found that a significant portion of 20-30% of the population exhibits high SPS (Greven et al., 2018). The prevalence of SPS becomes particularly concerning for increasing the likelihood of individuals developing depression. Studies indicate that individuals with high SPS are more susceptible to depressive symptoms under stress (Wu et al., 2020). High levels of sensory processing sensitivity might be related to the appearance of depression. This raises critical questions about current therapeutic practices: Do therapists consider SPS when diagnosing depression? Should treatment protocols differ for patients with both depression and high SPS compared to those without SPS? This literature review aimed to explore the relationship between SPS and depression and how therapists might leverage this understanding to refine diagnostic and treatment methods for individuals with high SPS. To examine potential ways to ensure that SPS is appropriately considered in depression diagnoses, this review also compared and contrasted diagnostic methods for individuals with high SPS and those with depression. Furthermore, the review explored possible alternative treatments that could be used or developed specifically for individuals with high SPS and depression.
References
Acevedo, B.P., Aron, E.N., Pospos, S., & Jessen, D. (2018). The functional highly sensitive brain: a review of the brain circuits underlying sensory processing sensitivity and seemingly related disorders. Philosophical Transactions of the Royal Society B: Biological Sciences, 373. https://doi.org/10.1098/rstb.2017.0161 Acevedo, B.P., Santander, T., Marhenke, R., Aron, A., & Aron,
E.N. (2021). Sensory Processing Sensitivity Predicts Individual Differences in Resting-State Functional Connectivity Associated with Depth of Processing. Neuropsychobiology, 80, 185 - 200. https://doi.org/10.1159/000513527
Aron, E.N., & Aron, A. (1997). Sensory-processing sensitivity and its relation to introversion and emotionality. Journal of Personality and Social Psychology, 73 2, 345-68. https://doi. org/10.1037/0022-3514.73.2.345
Aron, E.N., Aron, A., & Jagiellowicz, J. (2012). Sensory Processing Sensitivity. Personality and Social Psychology Review, 16, 262 - 282. https://doi. org/10.1177/1088868311434213 Brindle, K.A., Moulding, R., Bakker, K., & Nedeljkovic,
M. (2015). Is the relationship between sensory-processing sensitivity and negative affect mediated by emotional regulation? Australian Journal of Psychology, 67, 214 - 221. https://doi. org/10.1111/AJPY.12084 Engel-Yeger, B., Muzio, C., Rinosi, G., Solano, P., Geoffroy,
P.A., Pompili, M., Amore, M., & Serafini, G. (2016). Extreme sensory processing patterns and their relation with clinical conditions among individuals with major affective disorders. Psychiatry Research, 236, 112-118. https://doi.org/10.1016/ j.psychres.2015.12.022 Greven, C. U., Lionetti, F., Booth, C., Aron, E. N., Fox, E.,
Schendan, H. E., & Homberg, J. (2019). Sensory processing sensitivity in the context of environmental sensitivity: A critical review and development of research agenda. Neuroscience & Biobehavioral Reviews, 98, 287-305. https://doi.org/10.1016/ j.neubiorev.2019.01.009 Hockenberry, J.M., Joski, P.J., Yarbrough, C.R., & Druss,
B.G. (2019). Trends in Treatment and Spending for Patients Receiving Outpatient Treatment of Depression in the United States, 1998-2015. JAMA Psychiatry. https://doi.org/10.1001/ jamapsychiatry.2019.0633
Hofmann, S. G., & Bitran, S. (2007). Sensory-processing sensitivity in social anxiety disorder: Relationship to harm avoidance and diagnostic subtypes. Journal of Anxiety Disorders, 21(7), 944–954. https://doi.org/10.1016/j.janxdis.2006.12.003 Holm, S.E., Hansen, B.S., Kvale, G., Eilertsen, T., Hagen, K., & Solem, S. (2019). Is sensory processing sensitivity related to treatment outcome in concentrated exposure and response prevention treatment for obsessive-compulsive disorder? Journal of Obsessive-Compulsive and Related Disorders. https://doi. org/10.3389/fnint.2020.556660
McFarland, W., Jacobs, M.S., & Morgane, P.J. (1979). Neuroscience and Biobehavioral Reviews, Volume 3, Supplement 1, 1979 94 pages blood supply to the brain of the dolphin, Tursiops truncatus, with comparative observations Dean&Francis ISSN 2959-6122 on special aspects of the cerebrovascular supply of other vertebrates. Brain Research Bulletin, 4. https://doi.org/10.1016/ j.neubiorev.2019.01.009
Paquet, A., Calvet, B., Lacroix, A., & Girard, M. (2022). Sensory Processing in Depression: Assessment and Intervention Perspective. Clinical Psychology & Psychotherapy. https://doi. org/10.1002/cpp.2785 Pettersson, A., Boström, K.B., Gustavsson, P., & Ekselius, L. (2015). Which instruments to support diagnosis of depression have sufficient accuracy? A systematic review. Nordic Journal of Psychiatry, 69, 497 - 508. https://doi.org/10.3109/08039488.201 5.1008568
Protić, S., & Mestre, J. M. (2021). Sensory-Processing Sensitivity and Pathways to Depression and Aggression: The Mediating Role of Trait Emotional Intelligence and Decision-Making Style. A Pilot Study. International Journal of Environmental Research and Public Health, 18(24), 13202. https://doi.org/10.3390/ijerph182413202 Sanchez-SanSegundo, M., Ferrer-Cascales, R., & Albaladejo-
Blázquez, N. (2021). Relationship between Sensory Processing Sensitivity and Mental Health. Medical Sciences Forum, 4(1), 19. https://doi.org/10.3390/ECERPH-3-09064 Serafini, G., Gonda, X., Canepa, G., Pompili, M., Rihmer,
Z., Amore, M., & Engel-Yeger, B. (2017). Extreme sensory processing patterns show a complex association with depression, and impulsivity, alexithymia, and hopelessness. Journal of Affective Disorders, 210, 249-257. https://doi.org/10.1016/ j.jad.2016.12.019
Smith, K.M., Renshaw, P.F., & Bilello, J.A. (2013). The diagnosis of depression: current and emerging methods. Comprehensive Psychiatry, 54 1, 1-6. https://doi.org/10.1016/ j.comppsych.2012.06.006
Wu, X., Zhang, R., Li, X., Feng, T., & Yan, N. (2020). The moderating role of sensory processing sensitivity in the link between stress and depression: A VBM study. Neuropsychologia, 150. https://doi.org/10.1016/j.neuropsychologia.2020.107704
Wyller, H.B., Wyller, V.B., Crane, C., & Gjelsvik, B. (2017). The relationship between sensory processing sensitivity and psychological distress: A model of underpinning mechanisms and an analysis of therapeutic possibilities. https://doi. org/10.15714/SCANDPSYCHOL.4.E15
Yano, K., Kase, T., & Oishi, K. (2019). The effects of sensoryprocessing sensitivity and sense of coherence on depressive symptoms in university students. Health Psychology Open, 6. https://doi.org/10.1177/2055102919871638
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