Bishop-Fitzpatrick Lauren, Hong Jinkuk, Smith Leann E, Makuch Renee A, Greenberg Jan S, Mailick Marsha R
Waisman Center, University of Wisconsin-Madison, 1500 Highland Ave., Madison, WI, 53705, USA.
J Autism Dev Disord. 2016 Aug;46(8):2707-2719. doi: 10.1007/s10803-016-2816-3.
This study aims to extend the definition of quality of life (QoL) for adults with autism spectrum disorder (ASD, n = 180, ages 23-60) by: (1) characterizing the heterogeneity of normative outcomes (employment, independent living, social engagement) and objective QoL (physical health, neighborhood quality, family contact, mental health issues); and (2) identifying predictors of positive normative outcomes and good objective QoL. Findings of an exploratory latent class analysis identified three groups of adults with ASD-Greater Dependence, Good Physical and Mental Health, and Greater Independence. Findings indicate that better daily living skills, better executive function, and more maternal warmth are associated with assignment to better outcome groups. Findings have implications for interventions designed to enhance achievement of normative outcomes and objective QoL.
本研究旨在通过以下方式扩展自闭症谱系障碍(ASD,n = 180,年龄23 - 60岁)成人的生活质量(QoL)定义:(1)描述规范性结果(就业、独立生活、社会参与)和客观生活质量(身体健康、邻里质量、家庭联系、心理健康问题)的异质性;(2)确定积极规范性结果和良好客观生活质量的预测因素。探索性潜在类别分析的结果确定了三组患有ASD的成年人——更高依赖性、良好身心健康和更高独立性。研究结果表明,更好的日常生活技能、更好的执行功能以及更多的母亲温暖与被分配到更好的结果组相关。研究结果对旨在提高规范性结果和客观生活质量实现程度的干预措施具有启示意义。