Pourbagheri Nahid, Mirzakhani Navid, Akbarzadehbaghban Alireza
Physiotherapy Research Centre, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Child Neurol. 2018 Spring;12(2):73-82.
Children's emotional-behavioral problems will have a huge impact on their future. Such problems are more seen in the siblings of children with special needs. The present study aimed to compare emotional-behavioral problems in the healthy siblings of autistic children with the healthy siblings of children with Down syndrome in order to identify such children in Iran.
MATERIALS & METHODS: This descriptive study was carried out in Tehran, Iran in 2016 on 174 healthy children aged between 3 and 9 yr old among whom 58 cases had autistic siblings, 58 cases had siblings with Down syndrome, and 58 cases had typically development siblings. The participants were selected using convenience sampling technique. All volunteer parents filled in SDQ Questionnaire The study results were calculated using independent sample -test, two-way ANOVA, and post hoc by SPSS.
The mean overall score of Strengths and Difficulties Questionnaire was reported as 17.98±6.19 in the autism group, 11.01±6.56 in the Down syndrome group and 4.43±4.34 in the healthy group. There was a significant difference among autism, Down syndrome, and healthy groups. In the group of siblings with Down syndrome, the problems were significantly more in the age range of 3 to 7 yr old (<0.05). However, no significant difference was observed in the scores of males and females (>0.05).
Siblings with autism or Down syndrome can have especial psychological effects on healthy children in families in the way that such effect will be more with autistic children. Therefore, formulating beneficial strategies for their parents is used to prevent emotional behavioral problems.
儿童的情绪行为问题会对其未来产生巨大影响。这类问题在有特殊需求儿童的兄弟姐妹中更为常见。本研究旨在比较自闭症儿童的健康兄弟姐妹与唐氏综合征儿童的健康兄弟姐妹的情绪行为问题，以便在伊朗识别出这类儿童。
2016年在伊朗德黑兰对174名3至9岁的健康儿童进行了这项描述性研究，其中58例有自闭症兄弟姐妹，58例有唐氏综合征兄弟姐妹，58例有发育正常的兄弟姐妹。采用便利抽样技术选取参与者。所有志愿家长填写了SDQ问卷。研究结果使用独立样本t检验、双向方差分析，并通过SPSS进行事后检验。
自闭症组优势与困难问卷的平均总分报告为17.98±6.19，唐氏综合征组为11.01±6.56，健康组为4.43±4.34。自闭症组、唐氏综合征组和健康组之间存在显著差异。在唐氏综合征兄弟姐妹组中，3至7岁年龄段的问题显著更多（<0.05）。然而，男性和女性的得分没有显著差异（>0.05）。
自闭症或唐氏综合征的兄弟姐妹会对家庭中的健康儿童产生特殊的心理影响，其中自闭症儿童的影响更大。因此，为他们的父母制定有益的策略以预防情绪行为问题。
