Child characteristics associated with outcome for children with autism in a school-based behavioral intervention
Child characteristics associated with outcome for children with autism in a school-based behavioral intervention
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DOI：
10.1177/1362361315577518
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发表时间：
2016-04-01
期刊：
影响因子：
5.2
通讯作者：
Mandell, David S.
中科院分区：
文献类型：
--
作者：
Pellecchia, Melanie;Connell, James E.;Mandell, David S.
本研究考察了临床和人口学特征在多大程度上预测自闭症谱系障碍儿童的预后。参与者包括152名患有自闭症谱系障碍的学生，他们来自一个大型城市公立学区的53个从幼儿园到二年级的自闭症支持教室。儿童特征（包括年龄、语言能力、自闭症严重程度、社交技能、适应行为、共同发生的心理症状以及限制性和重复性行为）与结果之间的关联，通过在整个样本中标准化的一学年干预后认知能力的变化来衡量，使用线性回归评估课堂随机效应。虽然有几个量表和子量表与结果有统计学上显著的双变量关联，但在调整分析中，只有年龄和与社交焦虑相关的症状（如通过儿童症状量表-4测量的社交回避和社交恐惧）的存在与结果的差异相关。关于社交焦虑的作用的发现是新的，对治疗有重要的意义。理清社交焦虑的结构，区分社交恐惧和社交动机，对于转移自闭症谱系障碍儿童早期治疗的重点具有重要意义。
This study examined the extent to which clinical and demographic characteristics predicted outcome for children with autism spectrum disorder. Participants included 152 students with autism spectrum disorder in 53 kindergarten-through-second-grade autism support classrooms in a large urban public school district. Associations between child characteristics (including age, language ability, autism severity, social skills, adaptive behavior, co-occurring psychological symptoms, and restrictive and repetitive behavior) and outcome, as measured by changes in cognitive ability following one academic year of an intervention standardized across the sample were evaluated using linear regression with random effects for classroom. While several scales and subscales had statistically significant bivariate associations with outcome, in adjusted analysis, only age and the presence of symptoms associated with social anxiety, such as social avoidance and social fearfulness, as measured through the Child Symptom Inventory-4, were associated with differences in outcome. The findings regarding the role of social anxiety are new and have important implications for treatment. Disentangling the construct of social anxiety to differentiate between social fearfulness and social motivation has important implications for shifting the focus of early treatment for children with autism spectrum disorder.