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自闭症谱系障碍中气质差异与诊断、严重程度及伴随精神症状的关系

Relationship of Temperament Differences with Diagnosis, Severity and Accompanying Psychiatric Symptoms in Autism Spectrum Disorder.

作者信息

Yildiz Beyza Birsen, Mutlu Caner, Ocakoğlu Fevzi Tuna, Doğan Emine Bilgen, Yalçin Özhan, Dut Raziye, Karaçetin Gül

机构信息

Child and Adolescent Psychiatry Clinic, Bakırköy Psychiatric Hospital, Istanbul, Turkey.

Department of Child and Adolescent Psychiatry, Ankara University School of Medicine, Ankara, Turkey.

出版信息

Noro Psikiyatr Ars. 2021 Apr 22;59(1):26-32. doi: 10.29399/npa.27830. eCollection 2022.

DOI:10.29399/npa.27830
PMID:35317508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8895812/
Abstract

INTRODUCTION

Temperament differences were shown in children with autism spectrum disorder (ASD); however, associations of temperament with ASD severity and accompanying psychiatric symptoms have yet to be studied.

METHODS

We evaluated 58 ASD-diagnosed children's temperaments through disorder severity and psychiatric symptoms and compared them with 58 typically developed children. We utilized the Children's Behavior Questionnaire-Short Form, The Strengths and Difficulties Questionnaire (SDQ). The Childhood Autism Rating Scale (CARS) was used to evaluate psychiatric symptoms and ASD severity levels of children.

RESULTS

Negative affect, effortful control, and perceptual sensitivity were found lower in ASD-diagnosed children and decreased with ASD severity. Effortful control was also found negatively correlated with scores of behavioral problems, hyperactivity, and total difficulties. Besides, anger/frustration was found predictive for conduct and peer problems, and total difficulty scores.

CONCLUSION

Further studies are needed to verify and expand these pioneer findings.

摘要

引言

自闭症谱系障碍(ASD)儿童存在气质差异;然而,气质与ASD严重程度及伴随的精神症状之间的关联尚未得到研究。

方法

我们通过疾病严重程度和精神症状评估了58名被诊断为ASD的儿童的气质,并将他们与58名发育正常的儿童进行比较。我们使用了儿童行为问卷简表、长处与困难问卷(SDQ)。儿童自闭症评定量表(CARS)用于评估儿童的精神症状和ASD严重程度水平。

结果

在被诊断为ASD的儿童中,消极情绪、努力控制和感知敏感性较低,且随ASD严重程度降低。还发现努力控制与行为问题、多动和总困难得分呈负相关。此外,愤怒/挫折被发现可预测品行和同伴问题以及总困难得分。

结论

需要进一步研究来验证和扩展这些初步发现。

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Temperamental markers in toddlers with autism spectrum disorder.患有自闭症谱系障碍幼儿的气质指标。
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