Park Hyun-Woo, Choi Bum-Sung, Song Byung-A, Kim Ji-Hoon
Department of Psychiatry, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Department of Psychiatry, Pusan National University School of Medicine, Yangsan, Korea.
Alpha Psychiatry. 2024 Aug 1;25(4):548-554. doi: 10.5152/alphapsychiatry.2024.241645. eCollection 2024 Aug.
This study investigated the differences in sociality, communication, and autism severity in children with autism spectrum disorder (ASD) according to the presence or absence of siblings, the number of siblings, the order of birth, and the sex of sibling.
We included 71 children with autism spectrum disorder who visited University Hospital as outpatients. We compared the communication and socialization scores using the Korean Version of the Vineland Adaptive Behavior Scale, second edition (K-VABS II); social interaction, communication, and language using the autism diagnostic interview-revised (ADI-R); and the total score of the Korean-Childhood Autism Rating Scale 2 (K-CARS 2) according to the presence or absence of siblings, the number of siblings, the order of birth and the sex of sibling. Data were evaluated with independent -tests and analysis of variance (ANOVA) tests.
The patient's average age was 48.8 ± 13.6 months. There was a significant difference in the total score of K-CARS-2 according to the sex of siblings. The male sibling group was 34.36 ± 6.11 and the female sibling group was 30.29 ± 6.41 points, respectively.
This result indicates that the quality of sibling interactions in families with a child with ASD may play a significant role in reducing ASD severity and improving the quality of sibling interactions, rather than the number of siblings alone affecting the social interactions of children with ASD.
本研究根据自闭症谱系障碍（ASD）儿童有无兄弟姐妹、兄弟姐妹数量、出生顺序以及兄弟姐妹性别，调查其社交性、沟通能力和自闭症严重程度的差异。
我们纳入了71名作为门诊患者就诊于大学医院的自闭症谱系障碍儿童。我们使用第二版韩国版韦氏儿童智力量表（K-VABS II）比较沟通和社交得分；使用修订版自闭症诊断访谈量表（ADI-R）比较社交互动、沟通和语言能力；并根据有无兄弟姐妹、兄弟姐妹数量、出生顺序和兄弟姐妹性别比较韩国儿童自闭症评定量表2（K-CARS 2）的总分。数据采用独立样本t检验和方差分析（ANOVA）进行评估。
患者的平均年龄为48.8±13.6个月。根据兄弟姐妹性别，K-CARS-2总分存在显著差异。男性兄弟姐妹组为34.36±6.11分，女性兄弟姐妹组为30.29±6.41分。
该结果表明，对于患有ASD儿童的家庭，兄弟姐妹互动的质量可能在降低ASD严重程度和改善兄弟姐妹互动质量方面发挥重要作用，而不仅仅是兄弟姐妹的数量影响ASD儿童的社交互动。
