Green Shulamite A, Carter Alice S
University of California, Los Angeles, Los Angeles, CA, USA.
J Autism Dev Disord. 2014 Feb;44(2):256-63. doi: 10.1007/s10803-011-1275-0.
Self-sufficiency is central to child and family well-being. This report focuses on predictors of adaptive daily living skills (DLS) development in young children with ASD and whether DLS gains predict decreases in parenting stress. Participants were 162 toddlers with ASD and their parents, assessed at 3 annual timepoints. Hierarchical Linear Models showed that age, DQ, and autism symptom severity uniquely predicted initial DLS and DLS growth. Child problem behaviors predicted initial DLS only. DLS was associated with change in parenting stress above and beyond DQ, autism symptom severity, and problem behaviors. Children with lower IQ and more severe symptoms showed slower DLS gains. Given its relation to parenting stress, DLS are an important intervention target in young children with ASD.
自给自足对儿童和家庭的幸福至关重要。本报告重点关注自闭症谱系障碍（ASD）幼儿适应性日常生活技能（DLS）发展的预测因素，以及DLS的提高是否能预测育儿压力的降低。研究参与者为162名患有ASD的幼儿及其父母，在3个年度时间点进行评估。分层线性模型显示，年龄、发育商（DQ）和自闭症症状严重程度分别独立预测了初始DLS和DLS的增长。儿童问题行为仅预测了初始DLS。除了DQ、自闭症症状严重程度和问题行为外，DLS与育儿压力的变化有关。智商较低且症状较严重的儿童DLS增长较慢。鉴于其与育儿压力的关系，DLS是ASD幼儿的一个重要干预目标。
