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非特定病因的智力残疾成年人和唐氏综合征患者的社会适应技能和精神病理学。

Social adaptive skills and psychopathology in adults with intellectual disabilities of non-specific origin and those with Down syndrome.

机构信息

Child Clinical Neuropsychology Unit, Department of Psychology, University of Geneva, Switzerland.

Child Clinical Neuropsychology Unit, Department of Psychology, University of Geneva, Switzerland; Department of Special Education, University of Fribourg, Switzerland.

出版信息

Res Dev Disabil. 2019 Apr;87:31-42. doi: 10.1016/j.ridd.2019.01.010. Epub 2019 Feb 5.

Abstract

The present study aimed to assess the psychometric proprieties of a new social adaptive skills questionnaire and examine the impact of maladaptive behaviour on social functioning in adults with ID of non-specific aetiology and those with Down syndrome. The results of an exploratory factor analysis led to the exclusion of 20 items out of 48 and yielded a four-factor structure. The Confirmatory Factor Analysis conducted on 28 remaining items confirmed a four-factor structure explaining 43% of the total variance. The results computed on the global sample (n = 567) showed a "very good" internal consistency for the global score (.89) for all four factors with a very good fit (.97). Thus, this new assessment tool presented a good conceptual validity for assessing social-adaptive skills in adults with ID. The results also showed that participants with DS (no = 92) exhibited a higher global score of social adaptive skills on three subscales (sociability, social relating and respect for social rules) compared to adults with ID of non-specific aetiology (no = 328), and presented a lower level of psychopathology problems. Although aetiology was significantly related to these group differences even after controlling for level of ID and chronological age, the general level of psychopathology fully mediated these relations. In conclusion, the regression coefficient analyses showed that the general level of psychopathology fully mediated the relationship between aetiology and social adaptive skills. A combined assessment of these dimensions should provide information about their predictive value for social functioning in ID adults and target specific remediation goals.

摘要

本研究旨在评估一种新的社会适应技能问卷的心理测量特性,并探讨适应不良行为对非特定病因 ID 成人和唐氏综合征患者社会功能的影响。探索性因素分析的结果导致 48 个项目中的 20 个被排除在外,并产生了一个四因素结构。对 28 个剩余项目进行的验证性因素分析证实了一个四因素结构,解释了总方差的 43%。在全球样本(n=567)上计算的结果显示,所有四个因素的全球得分(.89)具有“非常好”的内部一致性,拟合度非常好(.97)。因此,这种新的评估工具在评估 ID 成人的社会适应技能方面具有良好的概念效度。结果还表明,与非特定病因 ID 成人(n=328)相比,唐氏综合征患者(n=92)在社交能力、社会关系和尊重社会规则三个子量表上表现出更高的社会适应技能全球得分,且表现出较低的精神病理问题水平。尽管即使在控制了 ID 水平和实际年龄后,病因与这些组间差异显著相关,但一般的精神病理水平完全中介了这些关系。总之,回归系数分析表明,一般的精神病理水平完全中介了病因与社会适应技能之间的关系。对这些维度的综合评估应提供有关其对 ID 成人社会功能的预测价值的信息,并确定特定的矫正目标。

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