Sabapathy Thusa, Madduri Nirupama, Deavenport-Saman Alexis, Zamora Irina, Schrager Sheree M, Vanderbilt Douglas L
*Division of General Pediatrics, Department of Pediatrics, Children's Hospital Los Angeles, USC Keck School of Medicine, Los Angeles, CA. Dr. Sabapathy is now with the Center for Autism & Neurodevelopmental Disorders, Department of Pediatrics, School of Medicine, University of California Irvine, Irvine, CA. Dr. Madduri is now in private practice in Los Angeles; †Division of General Pediatrics, Department of Pediatrics, USC University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, Los Angeles, CA; ‡Division of Hospital Medicine, Department of Pediatrics, USC, Children's Hospital Los Angeles, Los Angeles, CA.
J Dev Behav Pediatr. 2017 Apr;38(3):181-186. doi: 10.1097/DBP.0000000000000423.
Parents of children with autism spectrum disorders (ASD) often focus on concerns in discussions with health care providers. However, studying child strengths and positive parental attributions is an emerging area of focus and not often highlighted in many studies with children with ASD. The objective of this study was to identify parent-reported strengths in a sample of children with ASD.
This was a qualitative study of parent report of strengths in clinical notes with children between the ages 3 and 8 presenting for a team diagnostic evaluation and meeting the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-Text Revision (TR) or DSM-V diagnostic criteria for ASD. The reported child's strengths were qualitatively analyzed, coded, and clustered into themes.
Ninety-eight charts were reviewed. Five meta-themes of strengths were identified: Personality Characteristics, Social Personality, Cognitive Functioning, Behavioral Characteristics/Coping Mechanisms, and Skills. On average, parents reported more strengths in the Cognitive Functioning and Personality Characteristics meta-themes.
Pediatricians have a unique opportunity to discuss parental positive perceptions of children with ASD and to learn about their strengths.
自闭症谱系障碍（ASD）患儿的家长在与医疗服务提供者讨论时往往关注的是担忧的问题。然而，研究儿童的优势和家长积极的归因是一个新兴的关注领域，在许多针对ASD患儿的研究中并不常被强调。本研究的目的是在一组ASD患儿样本中确定家长报告的优势。
这是一项定性研究，对年龄在3至8岁、前来进行团队诊断评估且符合《精神疾病诊断与统计手册》（DSM）-IV-文本修订版（TR）或DSM-V自闭症谱系障碍诊断标准的患儿的临床记录中家长报告的优势进行研究。对报告的儿童优势进行定性分析、编码并归纳为主题。
共审查了98份病历。确定了五个优势元主题：人格特征、社交人格、认知功能、行为特征/应对机制和技能。平均而言，家长在认知功能和人格特征元主题中报告的优势更多。
儿科医生有独特的机会讨论家长对ASD患儿的积极看法，并了解他们的优势。
