Kring Sheilah R, Greenberg Jan S, Seltzer Marsha Mailick
Waisman Center and School of Social Work, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Soc Work Ment Health. 2010 Jan;8(1):54-71. doi: 10.1080/15332980902932441.
Recent research on individuals with autism spectrum disorders (ASD) highlights that they may be at increased risk for health problems when compared to the general population, and that these differences appear to increase with age. Relatively little research has examined the psychosocial impact of poorer health in this population, even though the clinical literature suggests that health problems put individuals with ASD at risk for elevated behavioral problems and their mothers at risk for elevated caregiving burden. This study examined the associations of physical health and behavior problems, as well as the associations of these factors with maternal burden, using longitudinal data. Results indicated that prior ratings of physical health problems predicted subsequent levels of behavior problems. Further, behavior problems partially mediated the effect of health problems on maternal burden. Implications for policies and interventions that focus on health promotion in conjunction with treatment of behavior problems are discussed, along with directions for future research.
近期针对自闭症谱系障碍（ASD）个体的研究强调，与普通人群相比，他们可能面临更高的健康问题风险，而且这些差异似乎会随着年龄增长而增大。尽管临床文献表明，健康问题会使患有ASD的个体出现更多行为问题的风险增加，也会使其母亲面临更高的照顾负担风险，但相对较少的研究考察了健康状况较差对该人群的心理社会影响。本研究利用纵向数据，考察了身体健康与行为问题之间的关联，以及这些因素与母亲负担之间的关联。结果表明，先前对身体健康问题的评级可预测随后的行为问题水平。此外，行为问题部分介导了健康问题对母亲负担的影响。本文讨论了聚焦于健康促进并结合行为问题治疗的政策和干预措施的意义，以及未来研究的方向。
