Prevalence and risk factors of maladaptive behaviour in young children with Autistic Disorder
Prevalence and risk factors of maladaptive behaviour in young children with Autistic Disorder
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DOI：
10.1111/j.1365-2788.2008.01065.x
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发表时间：
2008-10-01
影响因子：
3.6
通讯作者：
Mccoy, R.
中科院分区：
文献类型：
--
作者：
Hartley, S. L.;Sikora, D. M.;Mccoy, R.
背景：自闭症儿童比正常发育的同龄人和其他病因所致的智力残疾儿童有更多的适应不良行为。本研究调查了患病率的临床显着的适应不良行为，在幼儿期和确定的危险亚组的幼儿AD.Method父母评定他们的孩子的适应不良行为的儿童行为量表（CBCL）在169名儿童AD年龄为1.5至5.8 years.Results三分之一的幼儿AD有CBCL总问题评分在临床显着的范围。具有临床意义的评分百分比最高的是退缩、注意力和攻击性CBCL综合征量表。临床显著适应不良行为的共病率较高。几个主题特征的风险因素适应不良behaviors.Conclusions研究结果强调，需要包括行为管理策略，旨在增加社会参与，持续关注和减少侵略行为的综合干预方案，为幼儿AD。
Background Children with Autistic Disorder (AD) evidence more co-occurring maladaptive behaviours than their typically developing peers and peers with intellectual disability because of other aetiologies. The present study investigated the prevalence of Clinically Significant maladaptive behaviours during early childhood and identified at-risk subgroups of young children with AD.Method Parents rated their child's maladaptive behaviours on the Child Behaviour Checklist (CBCL) in 169 children with AD aged 1.5 to 5.8 years.Results One-third of young children with AD had a CBCL Total Problems score in the Clinically Significant range. The highest percentage of Clinically Significant scores were in the Withdrawal, Attention, and Aggression CBCL syndrome scales. There was a high degree of co-morbidity of Clinically Significant maladaptive behaviours. Several subject characteristic risk factors for maladaptive behaviours were identified.Conclusions Findings highlight the need to include behavioural management strategies aimed at increasing social engagement, sustained attention and decreasing aggressive behaviour in comprehensive intervention programmes for young children with AD.