对他人和自我的身体攻击:在自闭症,注意力缺陷/多动障碍和基于人口的儿童样本中存在相关性
Raman Baweja1, Daniel A Waschbusch1, Susan D Mayes1
1Penn State College of Medicine.
JAACAP open
|November 18, 2024
概括
在自闭症和ADHD结合的儿童中,身体攻击是常见的. 自伤行为 (SIB) 与自闭症密切相关,易怒性预测了这两种攻击类型.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童精神病学 儿童精神病学
- 行为科学 行为科学
背景情况:
- 身体攻击和自我伤害行为 (SIB) 是儿童面临的重大挑战.
- 了解它们与自闭症和ADHD等神经发育障碍的关联对于有效干预至关重要.
研究的目的:
- 调查患有自闭症,多动症和典型发展对照的儿童的大型样本中的身体攻击和SIB的患病率和预测因素.
- 检查并发症症状和人口因素在这些行为中的作用.
主要方法:
- 一项涉及2,456名自闭症,多动症综合症或多动症无注意症儿童 (年龄为2-17岁) 的研究,以及基于人口的样本 (n=665).
- 母亲使用儿科行为尺度对身体攻击和SIB进行了评分,并测量了对立行为,易怒,行为问题,过度活跃,冲动,自闭症,注意力不集中,焦虑和抑郁.
主要成果:
- 在自闭症 (28%) 和ADHD组合 (20%) 组中,身体攻击性很普遍,但在ADHD无注意和对照组中很少见.
- 自伤行为 (SIB) 主要与自闭症 (16%).
- 易怒,行为问题和年轻的年龄预测了身体攻击性;易怒也预测了自闭症和ADHD组合组中的SIB. 智商,性别,种族和父母职业等人口统计数据并不是显著的预测因素.
结论:
- 在自闭症和ADHD组合中,身体攻击是常见的,而SIB与自闭症密切相关.
- 易怒,是对抗性挑性障碍的一个组成部分,显著预测了身体攻击和SIB.
- 针对易怒性的干预措施可能有助于减少这些人群中的侵略性.
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