Department of Psychiatry, University of Nebraska, Omaha, NE, USA.
Department of Psychiatry, University of California, Langley Porter Psychiatric Institute, 401 Parnassus Ave, Box 0984, San Francisco, CA, 94143-0984, USA.
J Autism Dev Disord. 2018 Jan;48(1):225-238. doi: 10.1007/s10803-017-3285-z.
While a growing number of studies indicate associations between experiences of bullying and autism spectrum disorder (ASD), it is not clear what roles comorbid behavioral problems may play. We investigated the experiences of children with ASD as victims and/or perpetrators of bullying. Children with ASD epidemiologically ascertained participated in a cross-sectional study. Although children with ASD showed significantly increased risk for bullying involvement compared to community children, after controlling for comorbid psychopathology and other demographic factors, increased risks for being perpetrators or victim-perpetrators disappeared while risk for being bullied/teased continued to be significantly elevated. This finding will help guide medical, educational and community personnel to effectively identify children with ASD at risk for school bullying and develop interventions.
虽然越来越多的研究表明欺凌经历与自闭症谱系障碍（ASD）之间存在关联，但尚不清楚共患行为问题可能扮演什么角色。我们调查了自闭症儿童作为欺凌行为的受害者和/或加害者的经历。通过流行病学方法确定的自闭症儿童参与了一项横断面研究。尽管与社区儿童相比，自闭症儿童参与欺凌行为的风险显著增加，但在控制了共患精神病理学和其他人口统计学因素后，作为加害者或加害者-受害者的风险增加消失了，而被欺凌/被戏弄的风险继续显著升高。这一发现将有助于指导医疗、教育和社区人员有效识别有遭受学校欺凌风险的自闭症儿童，并制定干预措施。
