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COVID-19 封锁期间自闭症谱系障碍儿童及其家庭生活质量的风险和保护因素。一项义大利研究。

Risk and protective factors of quality of life for children with autism spectrum disorder and their families during the COVID-19 lockdown. An Italian study.

机构信息

University "G. d'Annunzio" Chieti-Pescara, Department of Neuroscience Imaging and Clinical Sciences, Via dei Vestini 33, 66100, Chieti, CH, Italy.

Department of Neuroscience, IRCCS Children's Hospital Bambino Gesù, Piazza Sant' Onofrio, 4 00165, Rome, RM, Italy.

出版信息

Res Dev Disabil. 2022 Jan;120:104130. doi: 10.1016/j.ridd.2021.104130. Epub 2021 Nov 19.

Abstract

BACKGROUND

The lockdown due to the COVID-19 pandemic has been a difficult period for children with Autism Spectrum Disorder (ASD), and their families.

AIMS

The aim of this study was to investigate the predictors of the quality of life (QoL) of children with ASD and their parents throughout the first lockdown, providing a snapshot of the impact of the pandemic on these families life.

METHOD AND PROCEDURES

A cohort of 243 parents of children with ASD (2-15 years old) completed an original online survey regarding the modification of ASD cores symptoms during lockdown, the type of interventions they had done before and during lockdown and the activities performed by the child. Respondents filled the PedsQL for themselves and their children.

OUTCOME AND RESULTS

The data obtained show a worsening of specific ASD core symptoms during lockdown and their role in predicting parents and children's QoL. Furthermore, protective factors for a better children's QoL as the Telehealth intervention, and some activities done at home during the lockdown as physical activity and play with parents are identified.

CONCLUSIONS

This study identifies the QoL's risk and protective factors for children with ASD and their families. Furthermore, reveals the fundamental role of the parents as children's QoL protective factor, suggesting a higher collaboration between families and health care providers, whilst potentially improving families and children's QoL.

摘要

背景

由于 COVID-19 大流行而实施的封锁,对患有自闭症谱系障碍(ASD)的儿童及其家庭来说是一个困难时期。

目的

本研究旨在调查 ASD 儿童及其父母在整个第一次封锁期间生活质量(QoL)的预测因素,为大流行对这些家庭生活的影响提供一个快照。

方法和程序

一个由 243 名 ASD 儿童(2-15 岁)的父母组成的队列完成了一项关于封锁期间 ASD 核心症状改变、封锁前和封锁期间进行的干预类型以及儿童进行的活动的原始在线调查。受访者为自己和孩子填写了 PedsQL。

结果

获得的数据显示,封锁期间 ASD 特定核心症状恶化,它们是预测父母和孩子 QoL 的因素。此外,确定了一些保护因素可以提高儿童的 QoL,如远程医疗干预以及封锁期间在家中进行的一些活动,如体育活动和与父母一起玩耍。

结论

本研究确定了 ASD 儿童及其家庭的 QoL 风险和保护因素。此外,揭示了父母作为儿童 QoL 保护因素的基本作用,这表明家庭与医疗保健提供者之间需要更高的合作,同时有可能提高家庭和儿童的 QoL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56bc/8602998/f6ef7611420f/gr1_lrg.jpg

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