Hartley S L, Sikora D M, McCoy R
Child Development and Rehabilitation Center at Oregon Health and Science University, Portland, Oregon 97207, USA.
J Intellect Disabil Res. 2008 Oct;52(10):819-29. doi: 10.1111/j.1365-2788.2008.01065.x. Epub 2008 Apr 27.
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.
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.
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.
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.
自闭症谱系障碍（AD）儿童比发育正常的同龄人以及因其他病因导致智力残疾的同龄人表现出更多共病的适应不良行为。本研究调查了幼儿期具有临床意义的适应不良行为的患病率，并确定了患有AD的幼儿的高危亚组。
169名年龄在1.5至5.8岁的患有AD的儿童的家长，根据儿童行为检查表（CBCL）对孩子的适应不良行为进行评分。
三分之一患有AD的幼儿的CBCL总问题得分处于具有临床意义的范围内。具有临床意义的得分在退缩、注意力和攻击性行为CBCL综合征量表中占比最高。具有临床意义的适应不良行为存在高度共病情况。确定了几个适应不良行为的个体特征风险因素。
研究结果强调，在针对患有AD的幼儿的综合干预计划中，需要纳入旨在增加社交参与度、持续注意力和减少攻击性行为的行为管理策略。
