Seymour Fox School of Education, Hebrew University of Jerusalem, Mt. Scopus, 9190501, Jerusalem, Israel.
Yale Child Study Center, Yale University, New Haven, CT, USA.
J Autism Dev Disord. 2019 Sep;49(9):3602-3610. doi: 10.1007/s10803-019-04078-x.
Family accommodation occurs frequently among families of children with OCD and anxiety disorders, with higher levels of accommodation repeatedly associated with greater symptom severity, lower functioning, and poorer treatment outcomes for children. This is the first examination of family accommodation of restricted and repetitive behaviors (RRBs) in children with autism spectrum disorder (ASD). Parents of children with ASD (N = 86) completed questionnaires assessing their children's RRBs and parental accommodation of these symptoms. Most participants (80%) reported engaging in accommodation at least once a month and family accommodation was significantly positively correlated with RRB severity. These results suggest accommodation of RRBs follows a pattern similar to that reported in obsessive compulsive and anxiety disorders, and highlight avenues for potential parent-based interventions.
在患有强迫症和焦虑症的儿童的家庭中，经常会出现家庭适应现象，较高水平的家庭适应与儿童症状严重程度更高、功能水平更低以及治疗效果更差有关。这是首次对自闭症谱系障碍（ASD）儿童的受限和重复行为（RRB）的家庭适应进行研究。ASD 儿童的家长（N=86）完成了评估他们孩子 RRB 和父母对这些症状的适应的问卷。大多数参与者（80%）报告至少每月进行一次适应，家庭适应与 RRB 严重程度呈显著正相关。这些结果表明 RRB 的适应遵循与强迫症和焦虑症报告相似的模式，并强调了基于父母的潜在干预途径。
