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COVID-19 大流行对自闭症儿童及其父母影响的定性研究

A qualitative examination of the impact of the COVID-19 pandemic on children and adolescents with autism and their parents.

机构信息

Southwest Autism Research and Resource Center, 300 N 18th Street, Phoenix, AZ 85006, United States.

College of Health Solutions, Arizona State University.

出版信息

Res Dev Disabil. 2022 Jun;125:104232. doi: 10.1016/j.ridd.2022.104232. Epub 2022 Apr 14.

Abstract

BACKGROUND

The unprecedented challenges introduced by the Coronavirus disease 2019 (COVID-19) pandemic may be amplified for children with autism spectrum disorder (ASD) and their families.

AIMS

The current study aimed to describe the experiences of children with ASD and their families during the pandemic and to identify the needs of this community during emergency situations.

METHODS AND PROCEDURES

Participants were 122 parents of 122 children and adolescents (aged 3-18 years; one parent per family participated) with ASD living in Arizona, USA who participated in the first time point (July/August 2020) of a larger longitudinal survey study. A qualitative approach based in grounded theory methodology was used to analyze six open-ended survey questions.

OUTCOMES AND RESULTS

The resulting conceptual model included a core category, Longing for Stability, and four main categories: Public Health Measures Yielding New Challenges and Unexpected Gains, Experiencing Abrupt Changes across Developmental Domains, Changing Family Dynamics, and Protective Factors.

CONCLUSIONS

Findings add to limited research examining whether, and how, emergency events uniquely impact the ASD community, identifying potential methods by which services can be proactively adapted to best support the needs of children with ASD.

摘要

背景

2019 年冠状病毒病(COVID-19)大流行带来了前所未有的挑战,这可能会使自闭症谱系障碍(ASD)儿童及其家庭所面临的挑战更加严重。

目的

本研究旨在描述 ASD 儿童及其家庭在大流行期间的经历,并确定该群体在紧急情况下的需求。

方法和程序

参与者为美国亚利桑那州的 122 名 ASD 儿童和青少年(年龄 3-18 岁;每个家庭有一名家长参加)的父母,他们参加了一项更大的纵向调查研究的第一个时间点(2020 年 7 月/8 月)。采用扎根理论方法的定性方法对六个开放式调查问题进行了分析。

结果和结论

由此产生的概念模型包括一个核心类别,即渴望稳定,以及四个主要类别:公共卫生措施带来新的挑战和意外收获、在发展领域经历突然变化、家庭动态变化和保护因素。

结论

研究结果补充了有限的研究,这些研究检查了紧急事件是否以及如何对 ASD 群体产生独特的影响,确定了服务可以主动适应以最好地满足 ASD 儿童需求的潜在方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c222/9008209/dd5966794c0b/gr1_lrg.jpg

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