Characteristics of the autism spectrum disorder gastrointestinal and related behaviors inventory in children.

Characteristics of the autism spectrum disorder gastrointestinal and related behaviors inventory in children.
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DOI:
10.1002/aur.2707
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发表时间:
2022-06
期刊:
影响因子:
4.7
通讯作者:
Fallin, M. Daniele
Fallin, M. Daniele
中科院分区:
医学2区
文献类型:
--
作者:
Holingue, Calliope;Kalb, Luther G.;Musci, Rashelle;Lukens, Colleen;Lee, Li-Ching;Kaczaniuk, Jamie;Landrum, Michelle;Buie, Timothy;Fallin, M. Daniele

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胃肠道 (GI) 症状是自闭症谱系障碍 (ASD) 中常见的并发问题之一,尽管不同研究中症状频率估计范围差异很大,这可能限制对 ASD 胃肠道问题以及潜在治疗策略的进一步研究。患病率估计值存在较大差异,部分原因是缺乏针对自闭症谱系障碍患者胃肠道症状的标准化、经过验证的测量方法。本研究的目标是(1)开发一种包括非语言和进餐行为的测量方法来评估胃肠道症状;(2)评估其心理测量特征。这是通过利用两个现有工具(自闭症治疗网络胃肠量表和简短自闭症进餐行为量表)并派生新项目来创建“自闭症谱系障碍胃肠道和相关行为量表”(ASD-GIRBI)来完成的。 ASD-GIRBI 在有 ASD 儿童的家庭在线登记处进行了试点。对 334 名 6-17 岁患有自闭症谱系障碍 (ASD) 儿童的样本进行了心理测量分析,得出了包含 36 项的工具。总体量表的 Cronbach's alpha 为 0.88。探索性因素分析确定了一个七因素模型(1.排便疼痛;2.进餐时有攻击性或破坏性;3.对食物有特殊要求;4.腹痛和胃部不适;5.拒绝食物;6.便秘和大便;7.运动或其他行为)。经过独立样本的验证和胃肠道症状的临床评估,该工具将有助于研究和临床目的。胃肠道 (GI) 症状在自闭症谱系障碍 (ASD) 儿童中很常见,但评估这些症状仍然具有挑战性。本研究开发了一份包含 36 项的家长报告问卷,用于测量自闭症谱系障碍 (ASD) 儿童的胃肠道症状。该工具包括有关食物、进餐时间、胃肠道症状、排便习惯和行为的问题。该调查问卷可以帮助研究人员和临床医生评估自闭症谱系障碍儿童的胃肠道症状。
Gastrointestinal (GI) symptoms are one of the prevalent co‐occurring issues in autism spectrum disorder (ASD), though the range of symptom frequency estimates varies dramatically across studies, which can limit the further research of GI issues in ASD as well as potential treatment strategies. The wide range of prevalence estimates is partly due to the lack of standardized, validated measures of GI symptoms among people with ASD. The goal of this study was to (1) develop a measure, which included non‐verbal and mealtime behaviors, to assess for GI symptoms and (2) evaluate its psychometric characteristics. This was accomplished by drawing on two existing tools, Autism Treatment Network Gastrointestinal Inventory and the Brief Autism Mealtime Behavior Inventory, and deriving new items, to create the “ASD Gastrointestinal and Related Behaviors Inventory” (ASD‐GIRBI). The ASD‐GIRBI was piloted in an online registry of families with a child with ASD. A psychometric analysis was carried out in a sample of 334 children aged 6–17 years with ASD, resulting in a 36‐item tool. The Cronbach's alpha for the overall scale was 0.88. Exploratory factor analysis identified a seven‐factor model (1. Bowel movement pain; 2. Aggressive or disruptive during mealtimes; 3. Particular with foods; 4. Abdominal pain and upset stomach; 5. Refusing food; 6. Constipation and encopresis; 7. Motor or other behaviors). Following validation in an independent sample with clinical evaluation of GI symptoms, this tool will be helpful for both research and clinical purposes. Gastrointestinal (GI) symptoms are common in children with autism spectrum disorder (ASD), yet assessing these symptoms remains challenging. This study developed a parent‐report, 36‐item questionnaire to measure GI symptoms in children with ASD. The tool included questions about food, mealtimes, GI symptoms, bowel habits, and behavior. This questionnaire may help researchers and clinicians assess GI symptoms among children with ASD.
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发表时间: 2018-11-16
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影响因子: --
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