在COVID-19 Omicron变异感染期间的行为变化在中国的自闭症谱系障碍儿童身上
Fang Ye1, Xiaonan Hou1, Jie Chen1
1Department of Pediatrics, China-Japan Friendship Hospital, Beijing, People's Republic of China.
Psychology research and behavior management
|November 26, 2024
概括
COVID-19 Omicron 变种对患有自闭症谱系障碍 (ASD) 的儿童产生了负面影响,恶化了核心特征和具有挑战性的行为. 感染和活动减少等因素导致了自闭症儿童的这些行为变化.
科学领域:
- 儿科心理学 儿科心理学
- 神经发育障碍 神经发育障碍
- 传染病流行病学 传染病流行病学
背景情况:
- 自闭症谱系障碍 (ASD) 是一种复杂的神经发育状况,其特点是社会沟通缺陷和受限制的重复行为.
- COVID-19 流行病及其变体给全球人口带来了独特的挑战,包括像ASD 儿童这样的脆弱群体.
- 了解病毒变种 (如Omicron) 对ASD行为表现的具体影响,对于有针对性的干预至关重要.
研究的目的:
- 在中国的COVID-19 Omicron浪潮期间,调查自闭症谱系障碍 (ASD) 核心特征和儿童挑战性行为中的行为变化.
- 为了确定与这些行为在特定时期的恶化相关的因素.
主要方法:
- 在线调查对515名自闭症儿童的照顾者进行了调查.
- 该调查收集了有关社会人口统计,COVID-19临床特征,ASD核心特征,具有挑战性的行为和日常生活变化的数据.
- 进行了统计分析,以确定与行为变化相关的因素.
主要成果:
- 在患有自闭症的儿童中,很大一部分经历了Omicron波后核心特征 (22.9%) 和具有挑战性的行为 (37.1%) 的恶化.
- 经常报告的恶化行为包括睡眠障碍,饮食问题和注意力不集中的症状.
- 与ASD核心特征恶化的相关因素包括Omicron感染,户外活动减少以及护理人员健康相关生活质量 (HRQoL) 降低.
- 挑战性行为恶化与Omicron感染,更少的康复和更低的护理人员HRQoL有关.
结论:
- COVID-19 Omicron 变种显著影响了ASD 儿童的行为.
- 核心ASD特征和挑战性行为中的行为变化是不同的,受到COVID-19感染和其他环境和护理人员相关因素的影响.
- 这些发现凸显了在公共卫生危机期间为患有自闭症儿童提供持续支持和定制策略的需要.
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