中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (10): 1123-1125.DOI: 10.11852/zgetbjzz2018-26-10-21

• 临床研究与分析 • 上一篇    下一篇

3~7岁孤独症谱系障碍儿童的气质特点研究

邢艺沛1, 邓文林2, 汪芳1, 刘兴华1, 陈凯云1, 邹小兵1   

  1. 1 中山大学附属第三医院儿童发育行为中心,广东 广州 510630;
    2 中山大学附属第六儿童医院儿科,广东 广州 510655
  • 收稿日期:2018-05-12 发布日期:2018-10-10 出版日期:2018-10-10
  • 通讯作者: 邹小兵,E-mail:zouxb@vip.tom.com
  • 作者简介:邢艺沛(1986-),女,河南人,住院医师,临床医学硕士,研究方向为儿童发育行为。
  • 基金资助:
    广东省省级产业技术研究与开发专项资金项目(20160914)

Study on the temperament characteristics of 3 to 7-year-old children with autism spectrum disorder

XING Yi-pei1, DENG Wen-lin2, WANG Fang1, LIU Xing-hua1, CHEN Kai-yun1, ZOU Xiao-bing1   

  1. 1 Child Developmental & Behavioral Center,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong 510630,China;
    2 Department of Pediatrics, the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong 510655,China
  • Received:2018-05-12 Online:2018-10-10 Published:2018-10-10
  • Contact: ZOU Xiao-bing,E-mail:zouxb@vip.tom.com

摘要: 目的 研究3~7岁孤独症谱系障碍(ASD)儿童的气质特点,为其识别、干预提供依据。方法 选择2012年10月—2013年3月在中山大学附属第三医院儿童发育行为中心确诊的3~7岁的130例ASD儿童,与我国正常同龄儿童气质常模进行对比,对ASD儿童的气质特点进行研究。 结果 3~7岁ASD儿童气质以I-E型为主,但所占比例较正常学龄前儿童明显下降。其气质维度明显异于正常同龄儿童(P<0.05);3~7岁ASD儿童的气质类型的性别之间差异明显,男童的反应阈维度得分高(P<0.05),其余气质维度得分无明显性别差异,且反应强度与月龄呈负相关(r=-0.19,P<0.05);3~7岁ASD儿童的适应性、反应强度、心境得分与出生体重负相关(r=-0.26、-0.32、-0.31,P均<0.01)。结论 3~7岁ASD儿童气质维度明显异于正常同龄儿童,对其进行研究可更好地发现以及干预ASD。

关键词: 孤独症谱系障碍, 气质, 3~7岁儿童

Abstract: Objective To study the temperament characteristics of 3 to 7-year-old children with autism spectrum disorder(ASD),in order to provide references for detection and intervention. Method A total of 130 ASD children diagnosed in the Third Affiliated Hospital of Sun Yat-sen University from October 2012 to March 2013 were selected as participants. And the temperament characteristics of ASD children were compared with the normal. Results The temperament of 3 to 7-year-old children with ASD was mainly I-E type, whose proportion in ASD children was significantly lower than that in normal children(P<0.05). Also, the temperament dimensions of 3 to 7-year-old children with ASD significantly differed from normal preschool children(P<0.05). The response threshold score of 3 to 7-year-old boys with ASD was higher(P<0.05). Moreover, the score of response intensity was negatively correlated with month of age(r=-0.19, P<0.05), and the scores of adaptability, response intensity and mood of ASD children were negatively related to birth weight(r=-0.26, -0.32, -0.31, all P<0.01). Conclusions The temperament dimensions of 3 to 7-year-old children with ASD significantly differ from those of normal preschool children, so study on temperament characteristics will facilitate early recognition and intervention of ASD.

Key words: autism spectrum disorder, temperament, 3 to 7-year-old children

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