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自闭症特质对儿童和青少年社会和学校适应的影响:年龄和性别调节作用。

Effects of autistic traits on social and school adjustment in children and adolescents: the moderating roles of age and gender.

机构信息

Department of Psychiatry, National Taiwan University Hospital, No 7 Chung-Shan South Road, Taipei, Taiwan.

出版信息

Res Dev Disabil. 2013 Jan;34(1):254-65. doi: 10.1016/j.ridd.2012.08.001. Epub 2012 Sep 7.

Abstract

This study examined the associations between children's and adolescents' autistic-like social deficits and school and social adjustment as well as the moderating roles of age and gender in these associations. The sample consisted of 1321 students (48.7% boys) in Grade 1 to Grade 8 from northern Taiwan. Children's and adolescents' autistic-like social deficits were assessed using the Social Responsiveness Scale (SRS), and their school and social adjustment (i.e., academic performance, negative attitudes toward schoolwork/teachers/classmates, behavioral problems at schools, negative peer relationships, and problems with peers) were assessed using the Social Adjustment Inventory for Children and Adolescents (SAICA). Both measures were completed by the mothers of the participants. Results from the linear mixed models demonstrated that autistic-like social deficits were associated with poor academic performance, negative attitudes toward schoolwork, teachers, and classmates, behavioral problems at schools, negative peer relationships, and problematic peer interactions. Moreover, gender and/or age moderated the associations between autistic-like social deficits and school and social adjustment problems. For example, autistic-like social deficits were more strongly related to negative school attitude, school social problems, and negative peer relationships in boys than in girls. Further, autistic-like social deficits were more strongly related to problems with peers in older girls than in older boys or younger children (regardless of gender). In conclusion, the present study suggests that autistic-like social deficits may place children and adolescents at increased risk for social and school maladjustment and that the extent of maladjustment may vary with the child's age and gender and the domains of adjustment under discussion.

摘要

本研究考察了儿童和青少年自闭症样社交缺陷与学校和社会适应之间的关系,以及年龄和性别在这些关系中的调节作用。样本包括来自台湾北部一至八年级的 1321 名学生(48.7%为男生)。使用社会反应量表(SRS)评估儿童和青少年的自闭症样社交缺陷,使用儿童和青少年社会适应量表(SAICA)评估他们的学校和社会适应情况(即学业成绩、对学业/教师/同学的负面态度、学校行为问题、负面同伴关系和与同伴的问题)。这两个测量工具都是由参与者的母亲完成的。线性混合模型的结果表明,自闭症样社交缺陷与学业成绩不佳、对学业、教师和同学的负面态度、学校行为问题、负面同伴关系和与同伴的问题互动有关。此外,性别和/或年龄调节了自闭症样社交缺陷与学校和社会适应问题之间的关系。例如,自闭症样社交缺陷与男孩比女孩更强烈地与负面的学校态度、学校社交问题和负面的同伴关系有关。此外,自闭症样社交缺陷与年长女孩与年长男孩或年幼儿童(无论性别如何)之间的同伴问题更相关。总之,本研究表明,自闭症样社交缺陷可能使儿童和青少年面临更高的社交和学校适应不良风险,而且适应不良的程度可能因孩子的年龄和性别以及讨论中的适应领域而异。

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