Psychosocial and Behavioral Impact of COVID-19 in Autism Spectrum Disorder: An Online Parent Survey
Psychosocial and Behavioral Impact of COVID-19 in Autism Spectrum Disorder: An Online Parent Survey
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DOI：
10.3390/brainsci10060341
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发表时间：
2020-06-01
期刊：
影响因子：
3.3
通讯作者：
Zoccante, Leonardo
中科院分区：
文献类型：
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作者：
Colizzi, Marco;Sironi, Elena;Zoccante, Leonardo
2019年冠状病毒病（COVID-19）的爆发可能会导致更高程度的心理困扰，尤其是在已有精神健康问题的人群中。患有自闭症谱系障碍（ASD）的年轻人尤其面临风险，因为他们容易受到不可预测和复杂变化的影响。本研究旨在调查COVID-19大流行对ASD个体的影响，是否有任何大流行前的社会人口学或临床特征可以预测负面结果，并描述他们的需求。自闭症谱系障碍患者的父母和监护人填写了一份在线调查，其中包括40个问题，调查他们孩子的社会人口统计学和临床特征、COVID-19爆发对他们的健康的影响以及应对紧急情况的需求。数据来自527名调查参与者。新冠肺炎紧急情况导致93.9%的家庭经历了一段充满挑战的时期，管理日常活动，特别是自由时间（78.1%）和有组织的活动（75.7%）的困难增加，35.5%和41.5%的儿童分别出现了更严重和更频繁的行为问题。在COVID-19爆发之前的行为问题预示着更强烈(优势比（OR) = 2.16, 95%置信区间（CI） 1.42-3.29）和更频繁（OR = 1.67, 95% CI 1.13-2.48）破坏性行为的风险更高。尽管ASD儿童正在接受不同类型的支持，在相对较低比例的病例中也需要专家（19.1%）或紧急（1.5%）干预，但仍出现了一些需求，包括接受更多的医疗保健支持（47.4%），特别是家庭支持（29.9%），以及解决潜在破坏性隔离的干预措施（16.8%）。COVID-19的爆发无疑给自闭症患者带来了更多的困难。
The 2019 coronavirus disease (COVID-19) outbreak could result in higher levels of psychological distress, especially among people suffering from pre-existing mental health conditions. Young individuals with autism spectrum disorders (ASD) are particularly at risk due to their vulnerability to unpredictable and complex changes. This study aimed to investigate the impact of the COVID-19 pandemic on ASD individuals, whether any pre-pandemic sociodemographic or clinical characteristics would predict a negative outcome, and to narratively characterize their needs. Parents and guardians of ASD individuals filled out an online survey consisting of 40 questions investigating socio-demographic and clinical characteristics of their children, impact of the COVID-19 outbreak on their wellbeing and needs to deal with the emergency. Data were available on 527 survey participants. The COVID-19 emergency resulted in a challenging period for 93.9% of families, increased difficulties in managing daily activities, especially free time (78.1%) and structured activities (75.7%), and, respectively, 35.5% and 41.5% of children presenting with more intense and more frequent behavior problems. Behavior problems predating the COVID-19 outbreak predicted a higher risk of more intense (odds ratio (OR) = 2.16, 95% confidence interval (CI) 1.42-3.29) and more frequent (OR = 1.67, 95% CI 1.13-2.48) disruptive behavior. Even though ASD children were receiving different types of support, also requiring specialist (19.1%) or emergency (1.5%) interventions in a relatively low proportion of cases, a number of needs emerged, including receiving more healthcare support (47.4%), especially in-home support (29.9%), as well as interventions to tackle a potentially disruptive quarantine (16.8%). The COVID-19 outbreak has undoubtedly resulted in increased difficulties among ASD individuals.