使用儿童行为量表1½ - 5对自闭症谱系障碍学龄前儿童的情绪和行为问题进行评估。

Emotional and Behavioral Problems of Pre-school Children with Autistic Spectrum Disorder Assessed by the Child Behavior Checklist 1½-5.

作者信息

Kahfi Muhamad, Febriyana Nining, Hartini Sri, Takada Satoshi

机构信息

Department of Child Health, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo Hospital, Indonesia.

Department of Psychiatric, Faculty of Medicine, Univerisitas Airlangga/Dr. Soetomo Hospital, Indonesia.

出版信息

Kobe J Med Sci. 2019 Jan 22;64(5):E170-E173.

PMID:30988263

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6668586/

Abstract

BACKGROUND

Children with Autism Spectrum Disorder (ASD) experience a significant disruption in the ability to communicate and interact socially. Early detection is important; the earlier the child is identified with ASD, the faster the intervention can begin. The Child Behavior Checklist (CBCL) is a screening tool capable of identifying various emotional and behavioral disorders. Research data on the use of the CBCL as a screening tool for ASD are still limited in Indonesia. The present study aimed to evaluate the CBCL's ability to detect emotional and behavioral problems in pre-school children with ASD.

METHODS

A cross sectional study was conducted in Surabaya, Indonesia. Children aged 1½-5 years old diagnosed with ASD, and typically developing (TD) children were enrolled using total sampling. The CBCL/1½-5 questionnaire for parents, consisting of 99 items, was used in this research to evaluate emotional and behavioral problems. Data were analyzed with the Independent-Sample T-test to compare the CBCL/1½-5 scale between ASD and TD children, while the proportion of gender was evaluated by a chi-square test with a 95% confidence interval.

RESULTS

Fifty children were included in this research, 25 with ASD and 25 TD. Seventy six percent (38) were male and 24% (12) were female. Six of the seven scales were significantly higher in ASD children than TD in the CBCL/1½-5. Children with ASD had higher internalization (p < 0.0001), externalization (p = 0.001), and total problem scores (p < 0.0001) when compared to TD children.

CONCLUSION

The CBCL/1½-5 can significantly detect the emotional and behavioral problems in pre-school children with ASD.

摘要

背景

自闭症谱系障碍（ASD）儿童在沟通和社交互动能力方面存在严重障碍。早期发现很重要；儿童被确诊为ASD的时间越早，干预就能越早开始。儿童行为检查表（CBCL）是一种能够识别各种情绪和行为障碍的筛查工具。在印度尼西亚，关于将CBCL用作ASD筛查工具的研究数据仍然有限。本研究旨在评估CBCL检测ASD学龄前儿童情绪和行为问题的能力。

方法

在印度尼西亚泗水进行了一项横断面研究。采用整群抽样法纳入了年龄在1.5至5岁之间被诊断为ASD的儿童以及发育正常（TD）的儿童。本研究使用了由99个项目组成的针对家长的CBCL/1½ - 5问卷来评估情绪和行为问题。使用独立样本t检验分析数据，以比较ASD儿童和TD儿童之间的CBCL/1½ - 5量表，同时通过卡方检验评估性别比例，并给出95%置信区间。

结果

本研究共纳入50名儿童，其中25名患有ASD，25名发育正常。76%（38名）为男性，24%（12名）为女性。在CBCL/1½ - 5中，ASD儿童在七个量表中的六个量表上得分显著高于TD儿童。与TD儿童相比，ASD儿童的内化问题得分（p < 0.0001）、外化问题得分（p = 0.001）和总问题得分（p < 0.0001）更高。