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自闭症谱系障碍的治疗选择:父母疾病认知的作用。

Treatment choices in autism spectrum disorder: the role of parental illness perceptions.

机构信息

Univ Paris Descartes, Faculty of Psychology, Graduate School 261, 71 Avenue Edouard Vaillant, 92774 Boulogne-Billancourt Cedex, France.

出版信息

Res Dev Disabil. 2010 May-Jun;31(3):817-28. doi: 10.1016/j.ridd.2010.02.007. Epub 2010 Mar 17.

Abstract

A cross-sectional design was employed. Parents of a child with Autism Spectrum Disorder (ASD) were asked to complete a modified version of the Revised Illness-Perception Questionnaire (IPQ-RA) and answer questions about information-seeking activities and treatments used. Internal consistency, construct validity, and factor structure were assessed. Multivariate logistic regressions were performed. Eighty-nine parents having a child with ASD took part in the study. Five subscales of the IPQ-R were replicated. Causes were split into personal, external and hereditary factors. The most highly rated main cause was a genetic cause. Perception of seriousness of the disease was associated with the use of educative methods and unpredictable course of disorder associated with drug use. A higher sense of personal control was associated with reduced use of nutritional or pharmaceutical treatments. Attendance to training programs was associated with higher hereditary beliefs and lower perception of cyclical timeline. The IPQ-RA captures components of representations of autism and provides a reliable mean for exploring illness concept in parents of a child with ASD. Some illness dimensions may prevent parents from having the opportunity to modify their concept of autism. Such measure may be useful for assessing the modification of potentially malleable beliefs with psychoeducational interventions.

摘要

采用了横断面设计。要求自闭症谱系障碍(ASD)儿童的父母完成修订后的疾病感知问卷(IPQ-RA)的修改版本,并回答有关信息搜索活动和使用的治疗方法的问题。评估了内部一致性、结构有效性和因子结构。进行了多变量逻辑回归。89 名有 ASD 儿童的父母参与了这项研究。复制了 IPQ-R 的五个分量表。病因分为个人、外部和遗传因素。评价最高的主要病因是遗传原因。对疾病严重程度的感知与使用教育方法以及与药物使用相关的不可预测的疾病过程有关。更高的个人控制感与减少营养或药物治疗的使用有关。参加培训计划与更高的遗传信仰和更低的循环时间线感知有关。IPQ-RA 捕捉到了自闭症表现的代表性成分,并为探索 ASD 儿童父母的疾病观念提供了一种可靠的手段。一些疾病维度可能会阻止父母有机会改变他们对自闭症的观念。这种测量方法可能有助于评估通过心理教育干预改变潜在可改变的信念。

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