University of North Carolina at Chapel Hill, Carolina Institute for Developmental Disabilities, Chapel Hill, NC 27599, USA.
Am J Intellect Dev Disabil. 2012 May;117(3):225-32. doi: 10.1352/1944-7558-117.3.225.
Patterns of caregiver responses to client adaptive behavior were compared between adults with intellectual disabilities with and without self-injurious behavior. Participants with moderate to profound intellectual disability and self-injury (n=89) and age/IQ matched control participants (n=20) were selected from a large sample of adults living in a regional residential center. Approximately 45 minutes of direct observation data were collected for each participant during unstructured leisure time. Data were sequentially analyzed and Yule's Q scores derived and compared among groups. Results indicated that caregivers were more responsive to prosocial initiations and adaptive engagement among individuals with severe self-injurious behavior than to those with mild or no self-injurious behavior and that these responses were more likely to be in the form of a demand.
比较了有和没有自伤行为的智障成年人对客户适应行为的照顾者反应模式。从中度至重度智障和自伤（n=89）以及年龄/智商匹配的对照组参与者（n=20）中选择了居住在地区住宿中心的大量成年人样本。在无组织的休闲时间中，为每位参与者收集了大约 45 分钟的直接观察数据。数据依次进行了分析，并在组间比较了 Yule 的 Q 分数。结果表明，与轻度或没有自伤行为的个体相比，照顾者对严重自伤行为个体的亲社会行为和适应性参与更有反应，并且这些反应更可能是要求的形式。
