Are restricted and repetitive behaviours in two- and six-year-olds associated with emotional and behavioural difficulties?
Are restricted and repetitive behaviours in two- and six-year-olds associated with emotional and behavioural difficulties?
复制标题
DOI：
10.1002/jcv2.12209
复制
发表时间：
2024-09-01
期刊：
影响因子：
--
通讯作者：
Leekam，Susan R.
中科院分区：
文献类型：
--
作者：
Carrington，Sarah J.;Uljarevic，Mirko;Leekam，Susan R.
背景限制性和重复性行为模式（RRB）在发育中起着适应性作用。然而，RRB水平升高超过早年，与语言，认知和健康状况较差的结果相关，并且在一系列神经发育条件中可见。本研究旨在描述不同的RRB亚型在2岁和6岁的关联，与内化和外化的困难，在社区样本的childen.Methods485父母报告他们的孩子的坚持相同（IS）和重复的感觉和运动（RSM）RRB在2岁和6岁的重复行为问卷（RBQ-2）。情绪和行为的困难进行了测量，使用的优势和困难问卷（SDQ）在6岁。ResultsConsistently与以前的研究，RRBs在发展后期更好地预测情绪和行为的困难，在6岁时比RRBs早在发展。此外，IS RRB选择性地与内化行为和RSM RRB与外化行为相关。重要的是，这些选择性关联取决于何时测量RRB。只有6岁时的IS RRB与内化行为显著相关。相比之下，虽然更多的RSM RRB在6岁时与较高的外化行为率相关，但较高的RSM RRB在2岁时与较少的外化行为率相关，进一步支持先前报道的RRB在早期行为regulation.ConclusionAlthough需要进一步研究以提供IS和RSM RRB适应期的详细资料，目前的研究结果支持了RRB升高作为六岁情绪和行为困难信号的潜在用途。
BackgroundRestricted and repetitive patterns of behaviour (RRBs) serve an adaptive role in development. Elevated levels of RRBs beyond the early years, however, are associated with poorer outcome in language, cognition, and wellbeing, and are seen across a range of neurodevelopmental conditions. This study aimed to characterize the association of distinct RRB subtypes at two and six years of age, with internalising and externalising difficulties in a community sample of children.Methods485 parents reported on their child's insistence on sameness (IS) and repetitive sensory and motor (RSM) RRBs at two and six years of age using the Repetitive Behaviour Questionnaire (RBQ‐2). Emotional and behavioural difficulties were measured using the Strengths and Difficulties Questionnaire (SDQ) at age six.ResultsConsistent with previous research, RRBs later in development better predicted emotional and behavioural difficulties at age six than RRBs earlier in development. Moreover, IS RRBs were selectively associated with internalising behaviours and RSM RRBs with externalising behaviours. Importantly, these selective associations depended on when RRBs were measured. Only IS RRBs at age six were significantly associated with internalising behaviour. By contrast, while more RSM RRBs at age six were associated with higher rates of externalising behaviours, higher rates of RSM RRBs at age two were associated with fewer externalising behaviours, adding further support to the previously reported adaptive role of RRBs in early behaviour regulation.ConclusionAlthough there is a need for further research to provide a detailed profile of the adaptive periods for IS and RSM RRBs, the present findings support the potential utility of elevated RRBs as a signal for emotional and behavioural difficulties at age six.