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比利时 COVID-19 封锁限制对自闭症个体社交沟通行为及其父母生活质量的影响。

Impact of Belgian COVID-19 lockdown restrictions on autistic individuals' socio-communicative behaviors and their parents' quality of life.

机构信息

Service Métrologie et Sciences du Langage, Université de Mons, Mons, Belgium.

ACTE at LaDisco and ULB Neuroscience Institute, Université libre de Bruxelles, Brussels, Belgium.

出版信息

PLoS One. 2022 Aug 31;17(8):e0273932. doi: 10.1371/journal.pone.0273932. eCollection 2022.

Abstract

BACKGROUND

In the spring of 2020, Belgian authorities enforced a full lockdown period to contain the spread of the SARS-CoV-2 virus. This lockdown drastically disrupted the daily life of autistic individuals' and that of their families. In the midst of these extraordinary circumstances, we assessed the impact of social restrictions on autistic individuals' behavior and their parents' or caregivers' quality of life; we also sought to identify individual characteristics that may influence such changes.

METHODS

We designed an online survey targeting caregivers living with an autistic child or adult. The questionnaire included 125 five-point Likert questions which targeted changes in families' quality of life and in autistic individuals' behavior, as well as factors likely to influence the extent and direction of these changes.

RESULTS

We collected data from 209 French-speaking Belgian respondents. Respondents reported that the lockdown brought about a higher frequency of nonfunctional socio-communicative behaviors, as well as a decrease in families' quality of life. Parents who had less access to respite care experienced a steeper decrease in their quality of life. Autistic individuals with comorbidities, and whose parents had less access to respite care and implemented fewer rules at home during lockdown were more likely to display nonfunctional socio-communicative behaviors.

CONCLUSION

COVID-19 lockdown restrictions had a negative impact on both autistic individuals and their parents.

摘要

背景

2020 年春季,比利时当局实施了全面封锁措施,以遏制 SARS-CoV-2 病毒的传播。这一封锁措施极大地扰乱了自闭症患者及其家人的日常生活。在这些特殊情况下,我们评估了社会限制对自闭症患者行为及其父母或照顾者生活质量的影响;我们还试图确定可能影响这些变化的个体特征。

方法

我们设计了一项针对照顾自闭症儿童或成人的照顾者的在线调查。该问卷包括 125 个五分制利克特问题,针对家庭生活质量和自闭症患者行为的变化,以及可能影响这些变化程度和方向的因素。

结果

我们从 209 名讲法语的比利时受访者那里收集了数据。受访者报告说,封锁导致非功能性社交沟通行为的频率增加,家庭生活质量下降。较少获得喘息护理的父母生活质量下降幅度更大。患有合并症的自闭症患者,以及其父母在封锁期间较少获得喘息护理和较少执行家庭规则的自闭症患者,更有可能表现出非功能性社交沟通行为。

结论

COVID-19 封锁限制对自闭症患者及其父母都产生了负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3313/9433112/d2e73b0ec267/pone.0273932.g001.jpg

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