青少年孤独症谱系障碍样行为与心理韧性的关系  

Relationship between autism spectrum disorder-like behaviors and resilience in adolescents

作　　者：曾龙平 王慧[1] 汤欣舟 苏醒 赵荔阳 吉兆正 宫小云 尹婷妮 刘勤一 孙秉玺 李雪[1] 刘靖[1] ZENG Longping;WANG Hui;TANG Xinzhou;SU Xing;ZHAO Liyang;JI Zhaozheng;GONG Xiaoyun;YIN Tingni;LIU Qinyi;SUN Bingxi;LI Xue;LIU Jing(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital)Beijing 100083,China)

机构地区：[1]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083

出　　处：《中国心理卫生杂志》2025年第1期26-31,共6页Chinese Mental Health Journal

基　　金：国家重点研发计划资助(2017 YFC1309900);国家自然科学基金(8157050920);北京市自然科学基金(7164314);北京市医教融合项目“北京市中小学生心理健康现状调查”。

摘　　要：目的:探讨青少年孤独症谱系障碍样行为(ASD样行为)和心理韧性之间的关系。方法:选取7 063名初中生,使用孤独症谱系障碍筛查量表(ASSQ)以及青少年心理韧性量表(RSCA)评估青少年的ASD样行为与心理韧性。以ASSQ总分P5、P95为界分组,比较两组RSCA得分;对全样本ASSQ得分和RSCA得分进行相关分析及多重线性回归分析。结果:ASSQ高分组的RSCA得分低于ASSQ低分组;全样本的ASSQ分与RSCA分呈负相关(均P<0.01);ASSQ的社交互动得分与RSCA五因子分呈负关联(β=-0.23、-0.27、-0.11、-0.23、-0.37,均P<0.05)。结论:青少年的孤独症谱系障碍样行为与心理韧性存在负向关联,社交互动症状越重,心理韧性越差。Objective:To discern the association between autism-like behaviors and resilience within the adolescent demographic.Methods:A total of 7063 middle school students were selected to assess ASD-like behaviors and resilience in adolescents using the Autism Spectrum Screening Questionnaire(ASSQ)as well as the Resilience Scale for Chinese Adolescent(RSCA).Subgroups bounded by P5 and P95 of the total ASSQ score,a comparative analysis of the resilience scores between these groups was executed.A correlation evaluation and linear regression analysis was carried out between ASSQ and RSCA scores from all participants.Results:The RSCA scores within the high ASSQ scoring group,were inferior to those in the low scoring group.ASSQ scores were negatively correlated with RSCA scores for the full sample(Ps<0.01);Social interaction scores on the ASSQ were negatively correlated with the five-factor RSCA scores(β=-0.23,-0.27,-0.11,-0.23,-0.37,P_(s)<0.05).Conclusion:There was a negative association between autism spectrum disorder-like behaviors and resilience in adolescents,with more severe social interaction symptoms being associated with poorer resilience.

关 键 词：孤独症谱系障碍 心理韧性 青少年 相关 

分 类 号：R749.94[医药卫生—神经病学与精神病学]