Gray Kylie M, Keating Caroline M, Taffe John R, Brereton Avril V, Einfeld Stewart L, Reardon Tessa C, Tonge Bruce J
Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences, Monash University, Clayton, VIC, Australia,
J Autism Dev Disord. 2014 Dec;44(12):3006-15. doi: 10.1007/s10803-014-2159-x.
Longitudinal research has demonstrated that social outcomes for adults with autism are restricted, particularly in terms of employment and living arrangements. However, understanding of individual and environmental factors that influence these outcomes is far from complete. This longitudinal study followed a community sample of children and adolescents with autism into adulthood. Social outcomes in relation to community inclusion and living skills were examined, including the predictive role of a range of individual factors and the environment (socio-economic disadvantage). Overall, the degree of community inclusion and living skills was restricted for the majority, and while childhood IQ was an important determinant of these outcomes, it was not the sole predictor. The implications of these findings in relation to interventions are discussed.
纵向研究表明,患有自闭症的成年人的社会成果受到限制,尤其是在就业和生活安排方面。然而,对于影响这些成果的个人和环境因素的理解还远远不够全面。这项纵向研究跟踪了一组患有自闭症的儿童和青少年直至成年。研究考察了与社区融入和生活技能相关的社会成果,包括一系列个人因素和环境因素(社会经济劣势)的预测作用。总体而言,大多数人的社区融入程度和生活技能受到限制,虽然儿童期智商是这些成果的一个重要决定因素,但并非唯一的预测指标。文中讨论了这些研究结果对于干预措施的意义。