摘要
目的探讨孤独症谱系障碍(ASD)儿童长期屏幕使用现状及其与核心症状的相关性,以期帮助儿童建立正确的屏幕使用习惯。方法选取深圳市龙岗区妇幼保健院2022年3—11月确诊的2~5岁136例ASD儿童。采用自制屏幕使用问卷对ASD的屏幕使用情况进行调查。另通过儿童孤独症评定量表(CARS)、孤独症儿童行为量表(ABC)、社交沟通量表(SCQ)、0~6岁儿童神经心理发育量表分别评估ASD儿童核心症状及认知方面的情况。结果62.2%(74/119)ASD儿童看电视/智能手机或平板;79.8%(95/119)ASD的儿童2岁以前开始接触屏幕;46.2%(55/119)ASD儿童最初接触屏幕时间>2h/d。组间对比结果显示,屏幕暴露组(屏幕时间>2h/d)和非屏幕暴露组(屏幕时间<2h/d)儿童CARS、交往(ABC)、SCQ总分、社交互动(SCQ)得分差异具有统计学意义(t=2.231、2.475、2.131、2.076,P<0.05)。高危风险组(<2岁屏幕使用时间>2h/d)和非高危风险组儿童CARS总分、ABC总分、运动(ABC)、自我照顾能力(ABC)、社交互动(SCQ)得分差异具有统计学意义(t=3.021、2.621、2.828、2.847、2.050,P<0.05)。线性回归分析显示,屏幕暴露与CARS、交往(ABC)、SCQ总分、社交互动(SCQ)呈正相关(b=1.41、3.05、2.53、1.56,P<0.05)。高危风险与CARS、ABC总分、社交互动(SCQ)呈正相关(b=1.53、6.17、1.27,P<0.05)。结论新型冠状病毒感染常态化期间,学龄前ASD儿童存在屏幕使用时间较长的情况。早期长时间屏幕使用可能与ASD核心症状有关。
Objective To investigate the status quo of long-term screen use in children with autism spectrum disorder(ASD)and its correlation with core symptoms,in order to help children establish correct screen use habits.Methods A total of 136 ASD children aged 2 to 5 diagnosed from March 2022 to November 2022 were selected into this study from Longgang District Maternal and Child Health Hospital of Shenzhen City.Status of screen time in ASD children was investigated by a self-made questionnaire.The core symptoms and cognitive status of ASD children were evaluated by the Children′s Autism Rating Scale(CARS),Autistic Children′s Behavior Scale(ABC),Social Communication Scale(SCQ),and Neuropsychological Development Scale for children aged 0-6 years.Results Totally 62.2%(74/119)of ASD children watched TV/smartphone or tablet,79.8%(95/119)of ASD children began to use screens before the age of 2,46.2%(55/119)of ASD children had screen exposure>2h/d initially.There were significant differences in CARS score,interaction dimension score of ABC,SCQ total score and social interaction dimension score of SCQ between the screen exposure group(screen time>2h/d)and the non-screen exposure group(screen time<2h/d)(t=2.231,2.475,2.131,2.076,P<0.05).There were statistically significant differences in the scores of CARS,ABC total score,exercise dimension score of ABC,self-care ability dimension score of ABC and social interaction dimension score of SCQ of children in high-risk group(screen use time>2h/d in children<2 years old)and non-high-risk group(t=3.021,2.621,2.828,2.847,2.050,P<0.05).Linear regression analysis showed that screen exposure was positively correlated with CARS,interaction score of ABC,SCQ total score,and social interaction score of SCQ(b=1.41,3.05,2.53,1.56,P<0.05).High risk was positively correlated with CARS,ABC score and social interaction score of SCQ(b=1.53,6.17,1.27,P<0.05).Conclusions During the normalization of COVID-19,preschoolers with ASD have longer screen time.Early prolonged screen time may be associated with core symptoms of ASD.
作者
杨帆
李庆红
李翌鸣
杨顺波
李威
吕智海
YANG Fan;LI Qinghong;LI Yiming;YANG Shunbo;LI Wei;LYU Zhihai(Department of Children's Rehabilitation,Longgang District Maternity&Child Healthcare Hospital Shenzhen City(Longgang Maternity and Child Institute of Shantou University Medical College),Shenzhen,Guangdong 518172,China)
出处
《中国儿童保健杂志》
CAS
CSCD
北大核心
2024年第10期1080-1084,1110,共6页
Chinese Journal of Child Health Care
基金
深圳市龙岗区医疗卫生科技计划项目(LGWJ2023-76)
深圳市龙岗区医疗卫生科技计划项目(LGWJ2023-75)
深圳市龙岗区科技创新专项资金医疗卫生技术攻关项目(LGKCYLWS2023006)
龙岗区医疗卫生科技计划项目[LGWJ 2021-(55)]
龙岗区医学重点学科建设单位专项经费(2023)
作者简介
杨帆(1997-),女,康复治疗师,硕士学位,主要研究方向为儿童康复;通信作者:吕智海,E-mail:13613602038@163.com
