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巴西自闭症谱系障碍儿童兄弟姐妹的母婴互动病例对照研究。

Case-contrast study about parent-infant interaction in a Brazilian sample of siblings of children with autism spectrum disorders.

机构信息

University of São Paulo/Institut of Psychology (IPUSP) and Mackenzie Presbiterian University.

IPUSP.

出版信息

Infant Ment Health J. 2019 Mar;40(2):289-301. doi: 10.1002/imhj.21772. Epub 2019 Mar 8.

Abstract

Siblings of children with autism spectrum disorders (ASD) present greater susceptibility to developmental problems, in comparison with siblings of typically developing children. The greater prevalence of mental health disorders among parents of children with ASD increases younger siblings' vulnerability to emotional problems. The aim of this study is to compare the interaction between carers and babies aged 2 to 26 months (M = 11.7, SD = 6.9) who are siblings of children with ASD (ASD dyads) with the interaction of dyads of siblings of typically developing children (TD dyads). The protocol of Clinical Indicators of Risk for Child Development and the Coding Interactive Behaviour measures were used to evaluate interaction. ASD dyads presented higher scores of constriction in their interaction, P = .024, with babies presenting higher scores of withdrawal behavior, P = .003, and carers presenting higher scores of depressive mood, P = .008, when compared to TD dyads. The ASD dyads have interactive impairments more frequently than do the TD dyads.

摘要

自闭症谱系障碍(ASD)儿童的兄弟姐妹与正常发育儿童的兄弟姐妹相比,表现出更大的发展问题易感性。ASD 儿童的父母中精神健康障碍的更高患病率增加了年幼兄弟姐妹出现情绪问题的脆弱性。本研究旨在比较自闭症儿童(ASD 对子)的照顾者和 2 至 26 个月大(M = 11.7,SD = 6.9)婴儿之间的互动与正常发育儿童(TD 对子)的兄弟姐妹之间的互动。临床儿童发育风险指标和编码互动行为措施的方案用于评估互动。与 TD 对子相比,ASD 对子的互动中表现出更高的收缩分数,P =.024,婴儿表现出更高的退缩行为分数,P =.003,照顾者表现出更高的抑郁情绪分数,P =.008。与 TD 对子相比,ASD 对子更频繁地出现互动障碍。

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