Risk Factors Associated with Self-Injurious Behaviors in Children and Adolescents with Autism Spectrum Disorders
Risk Factors Associated with Self-Injurious Behaviors in Children and Adolescents with Autism Spectrum Disorders
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DOI：
10.1007/s10803-012-1497-9
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发表时间：
2012-11-01
影响因子：
3.9
通讯作者：
Roberts, S. Wendy
中科院分区：
文献类型：
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作者：
Duerden, Emma G.;Oatley, Hannah K.;Roberts, S. Wendy
虽然自残行为 (SIB) 可能会导致自闭症谱系障碍 (ASD) 儿童显着发病，但人们对其相关的危险因素知之甚少。我们评估了一大群自闭症儿童可能影响自残的 7 个因素：(a) 非典型的感觉处理； (b) 认知能力受损； (c) 功能性通讯异常； (d) 社会功能异常； (e) 年龄； (f) 相同性的需要； (g) 仪式和强迫行为。一半（52.3%，n = 126）的儿童（n = 241，年龄 2-19 岁）表现出 SIB。感觉处理异常是自残的最强单一预测因素，其次是千篇一律、认知能力和社会功能受损。由于非典型感觉处理和千篇一律对 SIB 具有更大的相对影响，因此关注这些因素的治疗方法可能有助于减少自闭症儿童的自残行为。
While self-injurious behaviors (SIB) can cause significant morbidity for children with autism spectrum disorders (ASD), little is known about its associated risk factors. We assessed 7 factors that may influence self-injury in a large cohort of children with ASD: (a) atypical sensory processing; (b) impaired cognitive ability; (c) abnormal functional communication; (d) abnormal social functioning; (e) age; (f) the need for sameness; (g) rituals and compulsions. Half (52.3%, n = 126) of the children (n = 241, aged 2-19 years) demonstrated SIB. Abnormal sensory processing was the strongest single predictor of self-injury followed by sameness, impaired cognitive ability and social functioning. Since atypical sensory processing and sameness have a greater relative impact on SIB, treatment approaches that focus on these factors may be beneficial in reducing self-harm in children with ASD.