Wandering Among Preschool Children with and Without Autism Spectrum Disorder.
Wandering Among Preschool Children with and Without Autism Spectrum Disorder.
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DOI：
10.1097/dbp.0000000000000780
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发表时间：
2020-05
期刊：
影响因子：
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通讯作者：
Levy S
中科院分区：
文献类型：
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作者：
Wiggins LD;DiGuiseppi C;Schieve L;Moody E;Soke G;Giarelli E;Levy S
(1)报告确诊患有自闭症谱系障碍(ASD)的儿童、既往有但未确诊的ASD诊断的其他发育迟缓(DD)、无ASD诊断的DD以及不再期望流浪的人群对照组(POP)在不再期望流浪的年龄发生流浪或离开受监管的空间的情况，(2)探索ASD状态是否与流浪独立于行为、发育和母亲因素有关。父母和4至5岁的儿童参加了这项探索早期发育阶段1+2的研究。所有儿童在登记时都接受了ASD症状的筛查。那些有ASD症状和/或既往ASD诊断的人接受了马伦早期学习量表(MSEL)以确定他们的发育水平，并接受了两项ASD诊断测试以确定他们的ASD状况。所有其他儿童都单独使用MSEL进行评估。母亲们完成了儿童行为检查表/1.5−5，其中包括一项关于孩子是否走失的项目(分类为至少有时是对的，而不是不是的)和评估行为问题的项目。ASD儿童(N=1195)走失的概率明显高于DDprevASD(N=230)、DD(N=1199)和POP(N=1272)儿童(分别为60.4%、41.3%、22.3%和12.4%，p<；0.01)。ASD状态、非常低的发展水平以及情感、焦虑、注意力和对立问题都与流浪行为独立相关。与其他儿童相比，自闭症儿童以及有行为和发育问题的儿童中，游荡明显更常见。这些发现可以用来提高非典型发育儿童对流浪的认识。
(1) Report the occurrence of wandering, or leaving a supervised space, among children with confirmed autism spectrum disorder (ASD), other developmental delay (DD) with a previous but unconfirmed ASD diagnosis (DDprevASD), DD without a previous ASD diagnosis, and a population comparison group (POP) at an age when wandering is no longer expected and (2) explore whether ASD status is associated with wandering independent of behavioral, developmental, and maternal factors. Parents and children aged 4 to 5 years enrolled in the Study to Explore Early Development Phase-1+2. All children were screened for ASD symptoms upon enrollment. Those with ASD symptoms and/or a previous ASD diagnosis received the Mullen Scales of Early Learning (MSEL) to determine their developmental level and 2 ASD diagnostic tests to determine their ASD status. All other children were evaluated with the MSEL alone. Mothers completed the Child Behavior Checklist/1½−5, which includes an item on whether the child wanders away (categorized as at least sometimes true vs not true) and items assessing behavior problems. Children with ASD (N = 1195) were significantly more likely to wander than children classified as DDprevASD (N = 230), DD (N = 1199), or POP (N = 1272) (60.4%, 41.3%, 22.3%, and 12.4%, respectively, p < 0.01). ASD status, very low developmental level, and affective, anxiety, attention, and oppositional problems were each independently associated with wandering behavior. Wandering is significantly more common among children with ASD and those with behavioral and developmental problems compared with other children. These findings can be used to increase the awareness of wandering among children with atypical development.