Duncan Amie, Liddle Melissa, Adams Ryan
Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Int J Dev Disabil. 2021 Oct 4;69(4):593-601. doi: 10.1080/20473869.2021.1980350. eCollection 2023.
For individuals with autism spectrum disorder (ASD) daily living skills (DLS) fall below chronological age and have been linked to factors such as language. Given the impact of DLS on daily life, it is critical to gain a comprehensive understanding of DLS profiles in children to guide effective treatment. Using a large dataset from the Autism Speaks Autism Treatment Network, the current study sought to (1) examine whether there are subgroups of children with ASD defined by both their Vineland-II DLS scores and language abilities and (2) explore the relationship between internalizing and externalizing symptoms on subgroups using the Child Behavior Checklist. A five-cluster solution was found, but one group was subsequently dropped. Four clusters were examined: - ( = 143); ( = 170); - ( = 189); and - ( = 203). The group had significantly higher internalizing and externalizing symptoms as compared to the other groups. The results highlight the importance of targeting DLS in school-age children with ASD, especially for those with comorbid internalizing and externalizing symptom to ensure that the gap between age and functional DLS does not continue to widen.
对于患有自闭症谱系障碍（ASD）的个体，其日常生活技能（DLS）低于实际年龄，且与语言等因素有关。鉴于日常生活技能对日常生活的影响，全面了解儿童的日常生活技能概况对于指导有效治疗至关重要。本研究利用来自自闭症之声自闭症治疗网络的大型数据集，旨在（1）检查是否存在由韦氏儿童智力量表第二版（Vineland-II）日常生活技能得分和语言能力定义的自闭症谱系障碍儿童亚组，以及（2）使用儿童行为检查表探讨亚组内化和外化症状之间的关系。研究发现了一个五聚类解决方案，但随后剔除了一组。对四个聚类进行了检查： - （n = 143）； （n = 170）； - （n = 189）；以及 - （n = 203）。与其他组相比， 组的内化和外化症状明显更高。结果强调了针对自闭症谱系障碍学龄儿童的日常生活技能进行干预的重要性，特别是对于那些同时存在内化和外化症状的儿童，以确保年龄与功能性日常生活技能之间的差距不会继续扩大。
