Social communication difficulties and autism in previously institutionalized children.
Social communication difficulties and autism in previously institutionalized children.
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先前被收容的儿童的社交沟通困难和自闭症。
DOI：
10.1016/j.jaac.2014.11.011
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发表时间：
2015-02
影响因子：
13.3
通讯作者：
Nelson, Charles A.
中科院分区：
文献类型：
--
作者：
Levin, April R.;Fox, Nathan A.;Zeanah, Charles H., Jr.;Nelson, Charles A.
确定社会沟通困难和限制/重复行为的风险，以及在婴儿早期机构化的儿童自闭症的发病率，并评估寄养干预对改善这种风险的影响。出生时被遗弃并在罗马尼亚布加勒斯特的机构中长大的儿童被随机分配到一个照常照顾组（机构照顾，CAUG），或作为布加勒斯特早期干预项目（BEIP）的一部分被安置在以家庭为中心的寄养家庭（FCG）。在大约10岁时，社会沟通问卷（SCQ）管理的照顾者的儿童在这两个群体中，以及父母的一个典型的发展中国家的社区样本（从未机构化组，NIG）居住在布加勒斯特，罗马尼亚。SCQ评分≥ 12的儿童接受自闭症谱系障碍（ASD）的临床评估。有收容史儿童的照顾者报告说，在SCQ的所有子域上，这些儿童比从未收容过的儿童有更多的偏差行为（所有p<0.001）。FCG组儿童的SCQ得分显著低于CAUG组儿童（p<0.001），特别是在互惠社会互动领域，表明干预减少了社会沟通问题。60名CAUG儿童中有3名，57名FCG儿童中有2名，NIG儿童中没有一名接受正式的ASD诊断。早期机构养育与社会沟通困难和ASD的风险增加有关。以家庭为中心的寄养干预改善了社会沟通能力。
To determine the risk of difficulties with social communication and restricted/repetitive behaviors as well as the rate of autism in children institutionalized in early infancy and to assess the impact of a foster care intervention on ameliorating this risk. Children abandoned at birth and raised in institutions in Bucharest, Romania were randomly assigned to a care-as-usual group (institutional care, CAUG), or placed in family-centered foster care (FCG) as part of the Bucharest Early Intervention Project (BEIP). At approximately 10 years of age, the Social Communication Questionnaire (SCQ) was administered to caregivers of children in both groups, as well as to parents of a typically developing community sample (Never Institutionalized group, NIG) residing in Bucharest, Romania. Children scoring ≥ 12 on the SCQ underwent clinical evaluation for autism spectrum disorder (ASD). Caregivers of children with a history of institutionalization reported that these children had significantly more deviant behavior than never institutionalized children on all subdomains of the SCQ (all p<0.001). Children in the FCG had significantly lower scores on the SCQ than children in the CAUG (p<.001), particularly in the reciprocal social interaction domain, indicating that the intervention reduced problems in social communication. Three of 60 CAUG children, 2 of 57 FCG children, and none of the NIG children received a formal ASD diagnosis. Early institutional rearing was associated with an increased risk of social communication difficulties and ASD. A family-centered foster care intervention improved social communication skills.
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DOI：
10.1111/j.1469-7610.2010.02355.x
发表时间：
2011-09
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Fox NA;Almas AN;Degnan KA;Nelson CA;Zeanah CH
通讯作者：
Zeanah CH
影响因子：
3.8
作者：
Landgren, Magnus;Gronlund, Marita Andersson;Stromland, Kerstin
通讯作者：
Stromland, Kerstin
DOI：
10.1111/j.1469-7610.1989.tb00770.x
发表时间：
1989-01-01
影响因子：
7.6
作者：
HODGES, J;TIZARD, B
通讯作者：
TIZARD, B
影响因子：
120.7
作者：
JOHNSON, DE;MILLER, LC;HOSTETTER, MK
通讯作者：
HOSTETTER, MK
DOI：
10.1073/pnas.1121256109
发表时间：
2012-10-16
影响因子：
11.1
作者：
Almas, Alisa N.;Degnan, Kathryn A.;Fox, Nathan A.
通讯作者：
Fox, Nathan A.