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孤独症儿童功能发展与病理行为的相关性

     

摘要

Objective To investigate the correlation between developmental function and pathological behavior in children with autism. Methods A total of 154 children with autism were tested with Revised Chinese Version Psycho-Educational Profile (C-PEP) during 2011 to 2014. Results The scores of fine movement, hand-eye coordination, and oral language of developmental function were lower in the girls than in the boys (t>2.120, P<0.05). Among the children with autism aged 2-7 years, the developmental function was better in the older group than in the younger group (P<0.05);however, it was not better in the children aged 8-10 years and>10 years than in those aged 6-7 years. There was no difference in the scores of pathological behavior between the girls and the boys (P>0.05). Some pathological behaviors were milder in the older group than in the younger group (P<0.05). The scores of"P"(pass) in developmental function were positively correlated with the scores of"A"(absence) in pathological behavior (P<0.01), and negatively correlated with the scores of"S"(severe) in pathological behavior (P<0.01). The scores of"F"(fail) in developmental function were negatively correlated with the scores of"A"(absence) in patho-logical behavior (P<0.01), and positively correlated with the scores of"S"(severe) in pathological behavior (P<0.01). Conclusion Develop-mental function of children with autism is highly correlated with pathological behavior, and the rehabilitation and education of children with autism aged above 7 years should be concerned.%目的 分析孤独症儿童功能发展与病理行为的相关性.方法 2011年至2014年,采用心理教育评定量表中文修订版(C-PEP)对本中心154例孤独症儿童进行测试.结果 孤独症女童的功能发展中,精细动作、手眼协调、口语认知的得分低于男童(t>2.120,P<0.05);2~7岁孤独症儿童中,较高年龄组功能发展好于较低年龄组(P<0.05),但8~10岁组、10岁以上组功能发展得分并未高于6~7岁组.男童与女童的各项病理评分均无显著性差异(P>0.05);较高年龄组患儿的部分病理行为轻于较低年龄组(P<0.05).功能发展中"P"(通过)的得分与病理行为中"A"(没有)的得分呈明显正相关(P<0.01),与病理行为中"S"(严重)的得分呈明显负相关(P<0.01);功能发展中"F"(不通过)的得分与病理行为中"A"(没有)的得分呈明显负相关(P<0.01),与病理行为中"S"(严重)的得分呈明显正相关(P<0.01).结论 孤独症儿童的功能发展与病理行为密切相关,应关注7岁以上孤独症儿童的康复和教育问题.

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