Analysis of the correlation between emotional and behavior problems in preschool children with autism and maternal emotional problems
- GAO Zi-lin, LIU Jing, HUANG Xin-fang, QIU Li, SU Jing, ZENG Kun-shan
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Objective To analyze the status of emotional and behavior problems and their relationship with maternal emotional problems in preschool children with autism spectrum disorder(ASD),in order to comprehensively intervene autistic children and their families. Methods A total of 71 ASD children aged 5 to 6 years in Quanzhou Children's and Women's Hospital were enrolled in this study from January to August 2018,and 71 normal preschool children matched with sex,age and maternal education were selected as controls.All participants were assessed by the Achenbach Child Behavior Checklist(CBCL) for children aged 4 to 16 years old.And all mothers completed the Self Rating Anxiety Scale(SAS) and Self Rating Depression Scale(SDS). Results 1) The total score of CBCL and scores of factors including social problems,hyperactivity,violation of discipline,with drawal and aggression in boys with ASD were significantly higher than those in normal controls(Z=-6.880,-9.417,-5.745,-5.109,-8.869,-3.510,P＜0.001),while the score of physical complaint was lower than that of normal control group (Z=-2.767,P=0.006).The total score of CBCL and scores of factors of hyperactivity,cruelty,social with drawal,splitting compulsion and aggression in girls with ASD were significantly higher than those in normal control group(Z=-3.726,-3.356,-2.292,-4.339,-2.226,-2.476,P＜0.05).2) The total scores of SAS and SDS in mothers of ASD group were significantly higher than those in mothers of normal control group(t=-6.848,-3.126,-6.385,-2.183,P<0.05).3) There were positive correlations among total scores of SAS and SDS in mothers of ASD boys,total score of CBCL of ASD boys,scores of hyperactivity,discipline violation,aggression,physical complaints,depression and obsessive compulsion factors(P＜0.05).There were positive correlations between SAS and SDS scores in mothers of ASD girls and score of aggression factor in ASD girls(P＜0.05). Conclusions Preschool children with ASD have more emotional and behavioral problems,and their mothers suffer from more depression and anxiety.What's more,there is correlation between emotional and behavioral problems of preschool children with ASD and their mother's emotional problems.So it is supposed to give more concern and intervention to preschool ASD children and their mothers.