Multi-informant ratings of psychiatric symptom severity in children with autism spectrum disorders: the importance of environmental context.

Multi-informant ratings of psychiatric symptom severity in children with autism spectrum disorders: the importance of environmental context.
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DOI:
10.1007/s10803-009-0694-7
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发表时间:
2009-06
影响因子:
3.9
通讯作者:
Constantino, John N.
Constantino, John N.
中科院分区:
心理学3区
文献类型:
--
作者:
Kanne, Stephen M.;Abbacchi, Anna M.;Constantino, John N.

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本研究调查了自闭症谱系障碍(ASD; n = 177)和他们的兄弟姐妹(n = 148)的共同发生的精神综合症,由父母和老师独立报告。在ASD中,父母报告了大量的共病,包括情感(26%)、焦虑(25%)、注意力(25%)、行为(16%)、对立(15%)和躯体问题(6%)。教师报告的患病率要低得多。ASD儿童的自闭症严重程度评分与一般精神病理表现出中度相关性,但在不同的信息提供者之间没有相关性,而兄弟姐妹之间的相关性在不同的信息提供者之间和内部都很显著。结果支持环境背景在自闭症儿童精神症状表达中的作用,提示信息差异可能更多地通过特定的环境改变为这些儿童提供关键线索。
The present study examines co-occurring psychiatric syndromes in a well-characterized sample of youths with autism spectrum disorders (ASD; n = 177) and their siblings (n = 148), reported independently by parents and teachers. In ASD, parents reported substantial comorbidity with affective (26%), anxiety (25%), attentional (25%), conduct (16%), oppositional (15%), and somatic problems (6%). Teachers reported a much lower prevalence. Autistic severity scores for children with ASD exhibited moderate correlations with general psychopathology within- but not across-informants, whereas sibling correlations were significant both within- and across-informants. Results support the role of environmental context in psychiatric symptom expression in children affected by autism and suggest that informant discrepancies may more provide critical cues for these children via specific environmental modifications.
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影响因子: 5.2
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发表时间: 2004-08-01
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