家庭养育环境与儿童孤独症特质的关系

doi:10.11852/zgetbjzz2019-1044

中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (1): 82-85.DOI: 10.11852/zgetbjzz2019-1044

家庭养育环境与儿童孤独症特质的关系

钱晟¹, 徐勇¹, 颜博秋², 徐鑫¹, 王英全¹, 李佳钰¹, 贾瑞霞¹, 李静¹

1 苏州大学公共卫生学院,江苏苏州 215123;
2 苏州市立医院儿童保健科,江苏苏州 215000

收稿日期:2019-07-15 发布日期:2020-01-10 出版日期:2020-01-10
通讯作者: 徐勇, E-mail:xuchildhealth@163.com
作者简介:钱晟(1994-),男,江苏人,在读硕士研究生,主要研究方向为儿童心理行为发育

Association between child rearing environment and autistic traits

QIAN Sheng¹, XU Yong¹, YAN Bo-qiu², XU Xin¹, WANG Ying-quan¹, LI Jia-yu¹, JIA Rui-xia¹, LI Jing¹

1 School of Public Health, Medical College of Soochow University, Suzhou, Jiangsu 215123, China;
2 Department of Child Health Care, Suzhou Municipal Hospital, Suzhou, Jiangsu 215000, China

Received:2019-07-15 Online:2020-01-10 Published:2020-01-10
Contact: XU Yong, E-mail:xuchildhealth@163.com

摘要/Abstract

摘要： 目的探讨家庭养育环境与儿童孤独症特质之间的关系,为减少儿童孤独症特质的发生提供理论依据。方法采用随机整群抽样方法,使用中文克氏孤独症筛查量表和家庭养育环境量表,于2019年3-5月选取苏州市郊区8所幼儿园所有在园儿童进行问卷调查,使用Epidata 3.1录入数据并使用SPSS 20.0对数据进行分析。结果无孤独症特质组儿童的家庭养育环境在语言/认知信息、社会适应/自理、忽视/干涉/惩罚、活动多样性/游戏参与、环境气氛6个维度得分均高于有孤独症特质组,差异均有统计学意义(t=-7.608,-6.251,-7.008,-6.008,-5.219,-8.550,P＜0.01)。男性(OR=1.695,95%CI:1.207~2.381)、有分离史(OR=2.153,95%CI:1.225~3.782)、社会适应/自理差(OR=1.049,95%CI:1.002~1.098)、家庭环境气氛差(OR=1.147,95%CI:1.073~1.226)和频繁的忽视/斥责/打骂儿童(OR=1.053,95%CI:1.029~1.079)是儿童孤独症特质的危险因素(P<0.05)。结论男性性别、有分离史、社会适应/自理、频繁忽视/干涉/惩罚、环境气氛差与儿童有孤独症特质有关,应当重视儿童早期有关方面家庭养育环境的改善。

关键词: 孤独症谱系障碍, 儿童, 儿童养育

Abstract: Objective To investigate the relationship between autistic traits and family nurture environment and supply reference for reducing the occurrence of autistic traits among children. Methods Random cluster sampling method was used to select children from 8 kindergartens in Suzhou City.Clancy Autism Behavior Scale (CABS) and Child Home Nurture Environment Scale was used to conduct cross-sectional investigation among the children and their parents.Epidata version 3.1 and IBM SPSS 20.0 were used to analyze data. Results There were significant differences on the scores of language/cognitive information, emotional warmth/ self-expression, social adaptation/self-care, neglect/intervention punishment, activity diversity/game participation and environmental atmosphere between the group with autistic symptom and without symptom(t=-7.608,-6.251,-7.008,-6.008,-5.219,-8.550,P<0.01).Male gender(OR=1.695,95%CI:1.207-2.381), period of separation(OR=2.153,95%CI:1.225-3.782), social adaptation/self-care(OR=1.049,95%CI:1.002-1.098), neglect/intervention punishment(OR=1.147,95%CI:1.073-1.226), environment atmosphere(OR=1.053,95%CI:1.029-1.079) were the risk factors of children autistic traits(P<0.05). Conclusions Male gender,period of separation, social adaptation/self-care, neglect/intervention punishment and environment atmosphere are risk factors of autistic traits.It is necessary to pay more attention to improve family nurture environment in early childhood.

Key words: autism spectrum disorders, children, child rearing

中图分类号:

R749.94

钱晟, 徐勇, 颜博秋, 徐鑫, 王英全, 李佳钰, 贾瑞霞, 李静. 家庭养育环境与儿童孤独症特质的关系[J]. 中国儿童保健杂志, 2020, 28(1): 82-85.

QIAN Sheng, XU Yong, YAN Bo-qiu, XU Xin, WANG Ying-quan, LI Jia-yu, JIA Rui-xia, LI Jing. Association between child rearing environment and autistic traits[J]. journal1, 2020, 28(1): 82-85.

参考文献

[1] American Psychiatric Association.Diagnostic and statistical manual of mental disorders [M].5^th ed.Washington DC:APA,2013:50-59.
[2] Constantino JN, Todd RD.Intergenerational transmission of subthreshold autistic traits in the general population[J].Biol Psychiatry,2005,57(6):655-660.
[3] Saito A,Stickley A, Haraguchi H, et al.Association between autistic traits in preschool children and later emotional/behavioral outcomes[J].J Autism Dev Disord,2017,47(11):3333-3334.
[4] 谢莉.婴儿神经心理发育的影响因素分析[J].中国妇幼保健,2018,33(12):2719-2722.
[5] 潘燕燕.婴儿家庭养育环境与智能发育的相关性研究[J].全科医学临床与教育,2019,17(6):559-561.
[6] Esposito EA, Koss KJ, Donzella B, et al.Early deprivation and autonomic nervous system functioning in post-institutionalized children[J].Dev Psychobiol,2016,58(3):328-340.
[7] 孙艳丽.学龄前儿童孤独症样行为的孕前和孕期危险因素的出生队列研究[D].合肥:安徽医科大学,2016.
[8] 杨少萍,陆艳平,彭安娜,等.武汉市学龄前儿童孤独症筛查及影响因素分析[J].中国妇幼保健,2013,28(10):1613-1616.
[9] 柯晓燕,罗硕军,陶国泰.克氏行为量表的应用研究[J].南昌大学学报:医学版,2002,42(6):136-137.
[10] 何守森,刘一霞,倪晨曦,等.城市3～6岁儿童家庭养育环境量表的编制及其信度效度研究[J].中国儿童保健杂志,2009,17(2):134-136,139.
[11] Greenberg DM, Warrier V, Allison C, et al.Testing the empathizing-systemizing theory of sex differences and the Extreme Male Brain theory of autism in half a million people[J].Proc Natl Acad Sci USA,2018,115(48):12152-12157.
[12] Auyeung B, Taylor K, Hackett G, et al.Foetal testosterone and autistic traits in 18 to 24-month-old children[J].Mol Autism,2010,1(1):11.
[13] Lombardo MV, Ashwin E, Auyeung B, et al.Fetal testosterone influences sexually dimorphic gray matter in the human brain[J].J Neurosci,2012,32(2):674-680.
[14] Warrier V, Toro R, Chakrabarti B,et al.Genome-wide analyses of self-reported empathy:correlations with autism, schizophrenia, and anorexia nervosa[J].Transl Psychiatry,2018,8(1):35.
[15] Bowlby J .The making and breaking of affectional bonds.Ⅱ.Some Principles of psychotherapy.The fiftieth Maudsley Lecture[J].Br J Psychiatry Suppl,1977,130(5):421-431.
[16] 刘利梅,余美侨,王为实.早期母婴分离对学龄前儿童情绪行为的影响研究[J].中国实用医药,2019,14(17):20-22.
[17] Park H, Walton-Moss B.Parenting style, parenting stress, and children′s health-related behaviors[J]. J Dev Behav Pediatr,2012,33(6):495-503.
[18] Lamborn SD, Mounts NS, Steinberg L, et al.Patterns of competence and adjustment among adolescents from authoritative, authoritarian, indulgent, and neglectful families[J].Child Dev,1991,62(5):1049-1065.
[19] Howell KH, Millergraff LE.Protective factors associated with resilient functioning in young adulthood after childhood exposure to violence[J].Child Abuse Negl,2014,38(12):1985-1994.
[20] Prooijen DLV, Hutteman R, Mulder H .Self-control, parenting, and problem behavior in early childhood:a multi-method, multi-informant study[J].Infant Behav Dev,2017,50(28):28.
[21] Bralten J,Van Hulzen KJ, Martens MB, et al.Autism spectrum disorders and autistic traits share genetics and biology[J].Mol Psychiatry,2018,23(5):1205-1212.

家庭养育环境与儿童孤独症特质的关系

Association between child rearing environment and autistic traits

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	向伟. 儿童青少年脂质异常血症早期预防与成人期心血管健康[J]. 中国儿童保健杂志, 2023, 31(7): 697-702.
[2]	吴婷, 李斐. 生命早期不利因素与慢性疾病的发生与预防[J]. 中国儿童保健杂志, 2023, 31(7): 703-706.
[3]	刘浩东, 李成, 赵敏, 席波. 儿童期腹型肥胖及其腹型肥胖前期与高尿酸血症的关联研究[J]. 中国儿童保健杂志, 2023, 31(7): 707-712.
[4]	刘敏, 张倩, 杨亭, 陈洁, 陈立, 代英, 贾飞勇, 武丽杰, 郝燕, 李玲, 张婕, 柯晓燕, 衣明纪, 洪琦, 陈津津, 方拴锋, 王益超, 王琦, 金春华, 李廷玉. 全国多中心学龄前儿童血清叶酸现况调查[J]. 中国儿童保健杂志, 2023, 31(7): 713-717.
[5]	霍言言, 刘钟泠, 马玲, 吴丹, 汪秀莲, 仇晓艳, 窦家莹, 任玉倩, 李亦诚, 洪霞, 陈津津. 真实世界2岁以下儿童不同体型匀称度现况及风险因素[J]. 中国儿童保健杂志, 2023, 31(7): 718-723.
[6]	刘慧娟, 宋志霄, 高南南, 张莉, 孙瑾, 乔秀芸, 柯佳媚, 李燕. 2～6岁儿童词汇和语法发展现状及相关因素分析[J]. 中国儿童保健杂志, 2023, 31(7): 724-730.
[7]	李荣, 李年, 吴丹丹, 黄荣, 陈银花. 盐酸哌甲酯缓释片对注意缺陷多动障碍儿童生长的影响[J]. 中国儿童保健杂志, 2023, 31(7): 731-735.
[8]	张超. 早期介入丹佛模式在不同病情程度孤独症谱系障碍儿童康复中的应用研究[J]. 中国儿童保健杂志, 2023, 31(7): 736-740.
[9]	杨钰儒, 王红, 许树红, 曹艳梅, 孟仙, 葛冬梅. 0～14岁儿童骨骼发育与维生素K的关联研究[J]. 中国儿童保健杂志, 2023, 31(7): 746-750.
[10]	叶芝旭, 余福勋. 肠道微生物与儿童呼吸道病毒感染的研究进展[J]. 中国儿童保健杂志, 2023, 31(7): 766-769.
[11]	曹慧, 严双琴, 关宏岩. 亲子互动对儿童早期发展结局的影响[J]. 中国儿童保健杂志, 2023, 31(7): 770-774.
[12]	张容, 吴襄仪, 朱一民, 朱文丽, 《儿童肥胖预防与控制指南》修订委员会. 就餐地点与儿童肥胖的定性循证研究[J]. 中国儿童保健杂志, 2023, 31(7): 775-780.
[13]	李玮玮, 张丹丹, 刘晓鸣, 陈娇, 夏露. 探讨基于互联网技术的长程管理模式在难治性癫痫患儿中的应用研究[J]. 中国儿童保健杂志, 2023, 31(7): 781-784.
[14]	朱丽君, 李彪章, 周嘉雯, 吴柏欣, 李卫东. 1990—2019年中国5岁以下儿童低体重疾病负担分析[J]. 中国儿童保健杂志, 2023, 31(7): 790-793.
[15]	曹亚船, 豆吉娟, 马亚萍, 任金冬, 陈新颜. 肥胖儿童脂质代谢与左心室肥厚及左心室重构的相关性[J]. 中国儿童保健杂志, 2023, 31(7): 809-812.