Department of Developmental and Behavioral Pediatrics, Children's Medical Center, The First Hospital of Jilin University, Changchun, 130021, China.
School of Nursing, Jilin University, Changchun, 130021, China.
BMC Pediatr. 2024 May 16;24(1):340. doi: 10.1186/s12887-024-04814-y.
To investigate the relationship between multi-dimensional aspects of screen exposure and autistic symptoms, as well as neuropsychological development in children with ASD.
We compared the ScreenQ and Griffiths Development Scales-Chinese Language Edition (GDS-C) of 636 ASD children (40.79 ± 11.45 months) and 43 typically developing (TD) children (42.44 ± 9.61 months). Then, we analyzed the correlations between ScreenQ and Childhood Autism Rating Scale (CARS), and GDS-C. We further used linear regression model to analyze the risk factors associated with high CARS total scores and low development quotients (DQs) in children with ASD.
The CARS of children with ASD was positively correlated with the ScreenQ total scores and "access, frequency, co-viewing" items of ScreenQ. The personal social skills DQ was negatively correlated with the "access, frequency, content, co-viewing and total scores" of ScreenQ. The hearing-speech DQ was negatively correlated with the "frequency, content, co-viewing and total scores" of ScreenQ. The eye-hand coordination DQ was negatively correlated with the "frequency and total scores" of ScreenQ. The performance DQ was negatively correlated with the "frequency" item of ScreenQ.
ScreenQ can be used in the study of screen exposure in children with ASD. The higher the ScreenQ scores, the more severe the autistic symptoms tend to be, and the more delayed the development of children with ASD in the domains of personal-social, hearing-speech and eye-hand coordination. In addition, "frequency" has the greatest impact on the domains of personal social skills, hearing-speech, eye-hand coordination and performance of children with ASD.
探讨 ASD 儿童屏幕暴露的多维方面与自闭症症状以及神经心理发育的关系。
我们比较了 636 名 ASD 儿童（40.79±11.45 个月）和 43 名典型发育（TD）儿童（42.44±9.61 个月）的 ScreenQ 和 Griffiths 发展量表-中文版（GDS-C）。然后，我们分析了 ScreenQ 与儿童自闭症评定量表（CARS）和 GDS-C 之间的相关性。我们进一步使用线性回归模型分析了 ASD 儿童高 CARS 总分和低发育商（DQ）相关的风险因素。
ASD 儿童的 CARS 与 ScreenQ 总分以及 ScreenQ 的“访问、频率、共同观看”项目呈正相关。个人社会技能 DQ 与 ScreenQ 的“访问、频率、内容、共同观看和总分”呈负相关。听力言语 DQ 与 ScreenQ 的“频率、内容、共同观看和总分”呈负相关。手眼协调 DQ 与 ScreenQ 的“频率和总分”呈负相关。表现 DQ 与 ScreenQ 的“频率”项目呈负相关。
ScreenQ 可用于 ASD 儿童屏幕暴露的研究。ScreenQ 得分越高，自闭症症状越严重，ASD 儿童在个人社会、听力言语和手眼协调等领域的发育越滞后。此外，“频率”对个人社会技能、听力言语、手眼协调和表现领域的 ASD 儿童影响最大。
