Duan Guiqin, Chen Jingqi, Zhang Wenjing, Yu Buyi, Jin Yanqin, Wang Yazhe, Yao Meiling
Center of Children Psychology and Behavior, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing, China.
Child Abuse Negl. 2015 Oct;48:140-7. doi: 10.1016/j.chiabu.2015.03.018. Epub 2015 May 7.
The aim of this study was to investigate the frequency of child physical maltreatment (CPM) in children with autism aged 2-5 years in Henan province (China), and to explore the risk factors for severe CPM in these children. This cross-sectional study was performed at the Psychology Clinic of the Third Affiliated Hospital of Zhengzhou University between September 2012 and September 2013 with 180 parents of children with autism. Children and parents had no history of any cognitive therapy. The childhood autism rating scale (CARS) was used to evaluate the severity of autism in children. Data on parental CPM during the past 3 months were collected from parental self-reporting. Logistic regression was used to investigate the risk factors of severe CPM. CPM was self-reported by 88% of the parents of children with autism. One hundred and fifty four of these cases were in the minor CPM group (86%) and 64 in the severe CPM group (36%). Most cases of severe CPM were unlikely to have caused injury. Univariate analyses showed that child's age (p=.018), age started to speak (p=.043) and CARS score (p=.048) were associated with severe CPM. Child's age (p=.011) and CARS score (p=.041) were independently associated with severe CPM. The risk of severe CPM increased with age and CARS score. Our findings showed that CPM is widespread in families of children with autism in Central China and more knowledge should be provided to parents of children with autism, particularly in cases of severe autism (those with high CARS scores).
本研究旨在调查中国河南省2至5岁自闭症儿童遭受儿童身体虐待（CPM）的频率，并探讨这些儿童遭受严重CPM的风险因素。这项横断面研究于2012年9月至2013年9月在郑州大学第三附属医院心理门诊对180名自闭症儿童的家长进行。儿童和家长均无任何认知治疗史。采用儿童自闭症评定量表（CARS）评估儿童自闭症的严重程度。通过家长自我报告收集过去3个月内家长对儿童实施CPM的数据。采用逻辑回归分析探讨严重CPM的风险因素。88%的自闭症儿童家长自我报告存在CPM。其中154例属于轻度CPM组（86%），64例属于重度CPM组（36%）。大多数重度CPM案例不太可能造成伤害。单因素分析显示，儿童年龄（p = 0.018）、开始说话的年龄（p = 0.043）和CARS评分（p = 0.048）与重度CPM有关。儿童年龄（p = 0.011）和CARS评分（p = 0.041）与重度CPM独立相关。重度CPM的风险随年龄和CARS评分的增加而增加。我们的研究结果表明，CPM在中国中部自闭症儿童家庭中普遍存在，应向自闭症儿童家长提供更多知识，尤其是针对重度自闭症（CARS评分高的儿童）的情况。
