Hastings Richard P
School of Psychology, University of Wales, Bangor, Gwynedd, LL57 2DG, Wales, United Kingdom.
J Autism Dev Disord. 2003 Apr;33(2):141-50. doi: 10.1023/a:1022983209004.
There have been few studies of the impact of intensive home-based early applied behavior analysis (ABA) intervention for children with autism on family functioning. In the present study, behavioral adjustment was explored in 78 siblings of children with autism on ABA programs. First, mothers' ratings of sibling adjustment were compared to a normative sample. There were no reported increases in behavioral adjustment problems in the present sample. Second, regression analyses revealed that social support functioned as a moderator of the impact of autism severity on sibling adjustment rather than a mediator or compensatory variable. In particular, siblings in families with a less severely autistic child had fewer adjustment problems when more formal social support was also available to the family. The implications of these data for future research and for practice are discussed.
关于针对自闭症儿童的强化家庭早期应用行为分析（ABA）干预对家庭功能的影响，相关研究较少。在本研究中，我们对78名参与ABA项目的自闭症儿童的兄弟姐妹的行为调整情况进行了探究。首先，将母亲对兄弟姐妹行为调整的评分与一个常模样本进行了比较。本样本中未报告行为调整问题有增加。其次，回归分析表明，社会支持起到了调节自闭症严重程度对兄弟姐妹行为调整影响的作用，而非中介变量或补偿变量。具体而言，当家庭也能获得更多正式社会支持时，自闭症症状较轻的孩子所在家庭中的兄弟姐妹出现的行为调整问题较少。本文讨论了这些数据对未来研究和实践的启示。
