Kao Ying-Chia, Kramer Jessica M, Liljenquist Kendra, Coster Wendy J
Department of Occupational Therapy, Boston University, Boston, MA, USA.
Dev Med Child Neurol. 2015 Jan;57(1):68-74. doi: 10.1111/dmcn.12562. Epub 2014 Oct 14.
This cross-sectional study examined whether impairments or functional skills are associated with the level of responsibility for life tasks for children and adolescents with autism spectrum disorders (ASDs).
Parents of 263 children and adolescents with ASDs (215 males; 48 females; mean age 12y 6mo [SD 4y 6mo], range 3-21y) completed an online survey that included the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test - Autism Spectrum Disorders (PEDI-CAT-ASD) Daily Activities, Social/Cognitive, and Responsibility domains, a demographic questionnaire, and the Social Communication Questionnaire (SCQ) Current. The International Classification of Functioning, Disability and Health Framework guided the selection of model variables. We used hierarchical multiple regression to examine the relationship between impairment and functional skill predictor variables and the outcome variable, Responsibility. Age was entered in step 1 to control for the impact of development. SCQ Current, IQ, and remaining PEDI-CAT-ASD domains were then entered in step 2.
After controlling for age, the model showed that step 2 predictor variables representing both impairments and functional skill improved the model (p<0.001). All variables except the SCQ score were significant predictors of Responsibility. The variance explained by the Daily Activities (2.7%) and Social/Cognitive (4.8%) domain scores was greater than IQ (0.3%).
The functional skills of Daily Activities and Social/Cognitive domains were more strongly associated with the management of life tasks than impairments after controlling for age.
本横断面研究调查了自闭症谱系障碍（ASD）儿童和青少年的损伤或功能技能是否与生活任务的责任水平相关。
263名患有ASD的儿童和青少年（215名男性；48名女性；平均年龄12岁6个月[标准差4岁6个月]，范围3 - 21岁）的父母完成了一项在线调查，该调查包括儿童残疾评估量表 - 计算机自适应测试 - 自闭症谱系障碍（PEDI - CAT - ASD）的日常活动、社交/认知和责任领域、一份人口统计学问卷以及社交沟通问卷（SCQ）当前版。国际功能、残疾和健康分类框架指导了模型变量的选择。我们使用分层多元回归来检验损伤和功能技能预测变量与结果变量“责任”之间的关系。在第1步中纳入年龄以控制发育的影响。然后在第2步中纳入SCQ当前版、智商以及其余的PEDI - CAT - ASD领域。
在控制年龄后，模型显示第2步中代表损伤和功能技能的预测变量改善了模型（p<0.001）。除SCQ分数外的所有变量都是“责任”的显著预测因素。日常活动（2.7%）和社交/认知（4.8%）领域分数所解释的方差大于智商（0.3%）。
在控制年龄后，日常活动和社交/认知领域的功能技能比损伤与生活任务的管理更密切相关。
