孤独症儿童功能发展与病理行为的相关性  

Correlation of Developmental Function and Pathological Behavior of Children with Autism

作　　者：熊妮娜[1] 赵鹏[1] 李媛媛[1] 孙秀萍[1] 邵翠霞[1] 陈耀红[1] 杨丽[1] 

机构地区：[1]北京市残疾人康复服务指导中心,北京市100070

出　　处：《中国康复理论与实践》2017年第4期455-459,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：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。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 fimction 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.

关 键 词：孤独症 儿童 功能发展 病理行为 相关性 

分 类 号：R749.94[医药卫生—神经病学与精神病学]