The relationship between stereotyped movements and self-injurious behavior in children with developmental or sensory disabilities
The relationship between stereotyped movements and self-injurious behavior in children with developmental or sensory disabilities
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DOI：
10.1016/j.ridd.2008.06.003
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发表时间：
2009-03-01
影响因子：
3.1
通讯作者：
Passmore, Anne
中科院分区：
文献类型：
--
作者：
Gal, Eynat;Dyck, Murray J.;Passmore, Anne
我们评估了是否刻板的运动（SM），是自闭症的定义特征是从其他疾病中观察到的区别，以及是否刻板的自我伤害的运动，这是排除在DSM-IV SM的范例，不同于其他SM的严重程度或种类。我们使用刻板印象和自我伤害运动访谈来评估自闭症儿童（n = 56），智力残疾儿童（n = 29），视力障碍儿童（n = 50），听力障碍儿童（n = 51）和典型儿童（n = 30）的自我伤害和其他SM。交叉表的分数表明，自我伤害的行为很少进行其他SM的情况下。可靠性分析表明，SM项目之间的协变模式不同，使不同的项目集是必要的，以可靠地测量SM在每个组。方差分析表明，孤独症组在15个SM的频率上超过一个或多个其他组，视力障碍组在5个SM上超过其他组，听力障碍组在1个SM上超过其他组。SM项目的判别函数分析表明，虽然只有66%的参与者被准确分类，但患有不同疾病的儿童被错误分类为自闭症或视力障碍的情况很少见。我们的结论是，自伤行为是SM的一种更严重的形式，并且有一种独特的SM模式，包括自伤行为，这是自闭症儿童的特征。(C)2008爱思唯尔有限公司版权所有。
We assessed whether the stereotyped movements (SM) that are a defining characteristic of autism are discriminable from those observed in other disorders, and whether stereotyped self-injurious movements, which are excluded as exemplars of SM in DSM-IV, differ from other SM in severity or in kind. We used the Stereotyped and Self-injurious Movement Interview to assess self-injurious and other SM in children with autism (n = 56), intellectual disability (n = 29), vision impairment (n = 50), or hearing impairment (n = 51) and in typical children (n = 30). Cross-tabulation of scores indicated that self-injurious behavior is rarely performed in the absence of other SM. Reliability analyses indicated that patterns of covariation among SM items differ across groups so that different item sets are necessary to reliably measure SM in each group. Analyses of variance indicated the autism group exceeded one or more other groups in the frequency of 15 SM, the vision impaired group exceeded others on 5 SM, and the hearing impaired group exceeded others on I SM. Discriminant function analysis of SM items indicated that although only 66% of participants were accurately classified, it was rare for a child with a different disorder to be misclassified as having autism or visual impairment. We concluded that self-injurious behavior is a more severe form of SM, and there is a distinctive pattern of SM, including self-injurious behavior, that characterizes children with autism. (C) 2008 Elsevier Ltd All rights reserved.