Malhi Prahbhjot, Singhi Pratibha
Department of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India,
Indian J Pediatr. 2015 Aug;82(8):677-81. doi: 10.1007/s12098-015-1692-8. Epub 2015 Feb 13.
To investigate the relationship between intellectual functioning, symptom severity, and adaptive behavior functioning of children with autism spectrum disorders (ASD).
Retrospective case records (1999 to 2013) of 523 children [Mean age 4.79y (SD 2.37)] maintained by the Pediatric Psychology Unit at the Department of Pediatrics of a tertiary care teaching hospital in North India were examined. The adaptive behavior functioning was measured by the Indian adaptation of the Vineland Social Maturity Scale. Symptom severity was assessed using the Childhood Autism Rating Scale (CARS).
The mean Social Quotient (SQ) of the sample was 62.40 (SD = 20.41). Nearly two-third (63.3%) of the ASD had SQs less than 70 and only 15% of the ASD children had SQs above 85. Adaptive behavior scores in the lower functioning ASD children were significantly higher than their Intelligence Quotient (IQ) scores while for the high functioning ASD group, the SQs were significantly lower than their IQs. Multiple regression analysis revealed that IQ, age of the child, CARS score, and education of the mother accounted for 62.5% of the variance in the SQ of children with ASD (F = 198.01, P 0.000).
Adaptive behavior measures must constitute a crucial component of not only diagnostic assessment of ASD children but also as an important goal of treatment.
探讨自闭症谱系障碍（ASD）儿童的智力功能、症状严重程度和适应性行为功能之间的关系。
对印度北部一家三级护理教学医院儿科的儿科心理学科室保存的523名儿童（平均年龄4.79岁，标准差2.37）的回顾性病例记录（1999年至2013年）进行检查。适应性行为功能通过韦氏儿童智力量表的印度改编版进行测量。使用儿童自闭症评定量表（CARS）评估症状严重程度。
样本的平均社会商数（SQ）为62.40（标准差 = 20.41）。近三分之二（63.3%）的ASD儿童SQ低于70，只有15%的ASD儿童SQ高于85。低功能ASD儿童的适应性行为得分显著高于其智商得分，而高功能ASD组的SQ显著低于其智商。多元回归分析显示，智商、儿童年龄、CARS得分和母亲的教育程度占ASD儿童SQ变异的62.5%（F = 198.01，P < 0.000）。
适应性行为测量不仅必须构成ASD儿童诊断评估的关键组成部分，而且还应作为治疗的重要目标。
