Changes in Maladaptive Behaviors From Midchildhood to Young Adulthood in Autism Spectrum Disorder
Changes in Maladaptive Behaviors From Midchildhood to Young Adulthood in Autism Spectrum Disorder
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DOI：
10.1352/1944-7558-116.5.381
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发表时间：
2011-09-01
影响因子：
2.1
通讯作者：
Lord, Catherine
中科院分区：
文献类型：
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作者：
Anderson, Deborah K.;Maye, Melissa P.;Lord, Catherine
目前的研究前瞻性地检查了9-18岁患有自闭症谱系障碍的青少年和非谱系发育迟缓的对照组的易怒，多动和社交退缩症状的变化轨迹，以及这些行为的预测因素。随着时间的推移，具有更严重自闭症核心特征的儿童的易怒和多动评分始终高于具有更广泛自闭症谱系障碍和非谱系延迟的儿童。在所有诊断中，与多动症相关的行为表现出最大的改善。社交退缩随着年龄的增长而恶化，对于相当一部分患有自闭症谱系障碍的年轻人来说，但对于非谱系对照组来说则不然。与没有自闭症谱系障碍的青少年相比，患有自闭症谱系障碍的儿童在适应不良行为的轨迹上表现出更大的异质性。
The current study prospectively examined trajectories of change in symptoms of irritability, hyperactivity, and social withdrawal, as well as predictors of such behaviors, for ages 9-18 years for youths with autism spectrum disorder and a comparison group with nonspectrum developmental delays. Children with more severe core features of autism had consistently higher irritability and hyperactivity scores over time than those with broader autism spectrum disorder and nonspectrum delays. Across all diagnoses, behaviors related to hyperactivity showed the greatest improvement. Social withdrawal worsened with age for a substantial proportion of youths with autism spectrum disorder but not for the nonspectrum comparison group. Compared with youths without autism spectrum disorder, children with the disorder showed greater heterogeneity in trajectories for maladaptive behaviors.