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超越自闭症诊断:儿童的功能独立性和家长的未满足需求。

Beyond an autism diagnosis: children's functional independence and parents' unmet needs.

机构信息

Department of Community Health and Epidemiology, Queen's University, 191 Portsmouth Avenue, Kingston, Ontario, Canada.

出版信息

J Autism Dev Disord. 2011 Oct;41(10):1291-302. doi: 10.1007/s10803-010-1148-y.

Abstract

High demand has resulted in gaps in autism service provision. Our objective was to explore the association between children's functioning and parents' perceived unmet needs. We conducted a cross-sectional study of 97 families of school-aged children with an autism spectrum disorder. Log binomial regression was used to examine the relative risk for unmet need. Families of children with high functional independence had lower unmet need than families of children with moderate functional independence (RR = 0.81, 95% CI = 0.67-0.99). Those who experienced greater impact of the child's disability had greater unmet need (RR = 1.22, 95% CI = 1.03-1.45). The child's functioning and its impact on the family provide insight into unmet need which may inform service planning.

摘要

高需求导致自闭症服务提供存在差距。我们的目的是探讨儿童功能与父母感知到的未满足需求之间的关系。我们对 97 个患有自闭症谱系障碍的学龄儿童家庭进行了横断面研究。使用对数二项式回归来检验未满足需求的相对风险。具有高功能独立性的儿童的家庭比具有中等功能独立性的儿童的家庭未满足的需求更低(RR=0.81,95%CI=0.67-0.99)。那些经历孩子残疾影响更大的家庭,未满足的需求更大(RR=1.22,95%CI=1.03-1.45)。儿童的功能及其对家庭的影响为未满足的需求提供了深入了解,这可能为服务规划提供信息。

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