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注意缺陷多动障碍伴孤独症特征患儿行为和家庭环境研究 |
Behavior problems and family environment of ADHD children with autism traits |
投稿时间:2022-11-09 |
DOI:10.3969/j.issn.1000-0399.2023.05.005 |
中文关键词: 注意缺陷多动障碍 孤独症特征 社交行为 家庭环境 |
英文关键词: Attention deficit/hyperactive disorder Autistic traits Social behavior Family environment |
基金项目:安徽省卫生健康委科研项目(编号:AHWJ2021b101) |
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中文摘要: |
目的 探讨注意缺陷多动障碍(ADHD)伴孤独症特征(ATs)患儿社交行为和家庭环境特点。方法 收集 2019 年 3 月至 2021 年 12 月安徽省儿童医院儿童保健科就诊的 106 例 ADHD 患儿临床资料,根据社交反应量表(SRS)评分分为 ADHD-ATs 组(SRS评分 ≥ 60 分)和对照组(SRS 评分<60 分),各 53 例。比较两组 SRS、中文版 ADHD 评定量表-父母版(SNAP-IV)、家庭环境量表中文版(FES-CV)评估结果。结果 ADHD-ATs 组 SRS 总分、社交知觉、认知、沟通、动机和孤独症行为方式评分高于对照组(P<0.05)。ADHD-ATs 组 SNAP-IV 总分、注意缺陷、对立违抗评分高于对照组(P<0.05)。ADHD-ATs 组 FES-CV 亲密度和独立性评分低于对照组(P<0.05)。结论 ADHD-ATs 患儿较一般 ADHD 患儿存在显著的社交困难,并且注意缺陷和对立违抗症状更突出,家庭环境中的亲密度和独立性较低。 |
英文摘要: |
Objective To explore the social behaviors and family environment characteristics of children with attention deficit/hyperactive disorder (ADHD) with autistic traits (ATs). Methods The clinical data of 106 children with ADHD in Anhui Provincial Children's Hospital from March 2019 to December 2021 were collected.According to Social Response Scale (SRS) score, they were divided into ADHD-ATs group (SRS score ≥ 60 points) and control group (SRS score < 60 points), with 53 cases in each group.The assessment results of SRS, SNAP-IV scale and Family Environment Scale Chinese version (FES-CV) were compared between the two groups. Results The total score of SRS, social perception score, cognition score, communication, motivation and autistic behavior pattern in the ADHD-ATs group were higher than those in the control group (P<0.05). The total score of SNAP-IV, attention deficit and oppositional defiance in the ADHD-ATs group were higher than those in the control group (P<0.05). The scores of intimacy and independence of FES-CV in the ADHD-ATs group were lower than those in the control group (P<0.05). Conclusions Children with ADHD-ATs have more obvious social difficulties, attention deficit,oppositional defiance symptoms, and less intimacy and independence in the family environment. |
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