摘要
目的分析父母情绪症状与学龄前儿童自闭症行为问题的关联,为儿童自闭症行为问题防控提供依据。方法于2021年10月—2022年1月分层整群抽取合肥市12所幼儿园3575名儿童,由父母分别填写情绪自评量表,由母亲填写家庭一般情况和儿童自闭症行为问卷,建立多因素logistic回归模型分析父母情绪症状与学龄前儿童自闭症行为的关联。探讨父母情绪症状与学龄前儿童自闭症行为问题之间是否存在关联。结果学龄前儿童自闭症行为异常检出率为6.13%,男童自闭症行为(7.57%)检出率高于女童(4.53%)(χ^(2)=14.366,P<0.001)。以父亲无焦虑母亲无焦虑为参照进行回归分析发现,父亲有焦虑母亲无焦虑(OR=1.817,95%CI:1.053~3.135)、父亲无焦虑母亲有焦虑(OR=4.834,95%CI:3.519~6.641)、父亲有焦虑母亲有焦虑(OR=6.740,95%CI:3.902~11.640)均与学龄前儿童自闭症行为风险的增加相关(P<0.05);以父亲无抑郁母亲无抑郁为参照进行回归分析发现,父亲无抑郁母亲有抑郁(OR=5.148,95%CI:3.690~7.181)、父亲有抑郁母亲有抑郁(OR=9.070,95%CI:4.413~18.641)均与学龄前儿童自闭症行为风险的增加相关(P<0.001);以父亲无压力母亲无压力为参照进行回归分析发现,父亲无压力母亲有压力(OR=4.644,95%CI:3.131~6.886)、父亲有压力母亲有压力(OR=8.450,95%CI:2.827~25.262)均与学龄前儿童自闭症行为风险的增加相关(P<0.001)。结论父母有负性情绪症状与学龄前儿童自闭症行为问题风险的增加相关,尤其应关注母亲的负性情绪症状以及父母都有负性情绪症状的儿童。
Objective To analyze the association between parental emotional symptoms and preschoolers’autistic behavior problems,and to provide a basis for prevention and control of autistic behavior problems in children.Methods A stratified cluster sampling method was used to select 3,575 children from 12 kindergartens in Hefei City from October 2021 to January 2022.Their parents were asked to fill in the 21-Item Depression,Anxiety and Stress Scale respectively,and their mothers were asked to complete the questionnaire about family general situation and Clancy Autism Behavior Scale.A multivariate logistic regression model was established to analyze the correlation between parental emotional symptoms and preschool children’s autistic behavior problems.We explored whether there was an association between parental emotional symptoms and autism behavior problems in the preschoolers.Results The detection rate of autistic behavior problems in the preschool children was 6.13%,and the detection rate was higher in boys than in girls(7.57%vs.4.53%,χ^(2)=14.366,P<0.001).Logistic regression analysis demonstrated that compared with the reference of fathers and mothers without anxiety,fathers with anxiety and mothers without anxiety(OR=1.817,95%CI:1.053-3.135),fathers without anxiety and mothers with anxiety(OR=4.834,95%CI:3.519-6.641)and fathers and mothers with anxiety(OR=6.740,95%CI:3.902-11.640)were associated with increased risks of suffering from autism behavior problems in the preschool children(all P<0.05).Logistic regression analysis revealed that compared with the reference of fathers and mothers without depression,fathers without depression and mothers with depression(OR=5.148,95%CI:3.690-7.181)and fathers and mothers with depression(OR=9.070,95%CI:4.413-18.641)were related to increased risks of suffering from autism behavior problems in the preschool children(both P<0.001).Logistic regression analysis displayed that compared with the reference of fathers and mothers without stress,fathers without stress and mothers with stress(OR=4.644,95%CI:3.131-6.886)and fathers and mothers with stress(OR=8.450,95%CI:2.827-25.262)were correlated with increased risks of suffering from autism behavior problems in the preschool children(both P<0.001).Conclusion Parents with negative emotional symptoms are associated with increased risks of autism behavior problems in the preschool children,and special attention should be paid to preschoolers with mothers or both parents having negative emotional symptoms.
作者
汪小燕
殷刚柱
郭锋
孙瑜
万宇辉
邵子瑜
WANG Xiaoyan;YIN Gangzhu;GUO Feng;SUN Yu;WAN Yuhui;SHAO Ziyu(Hefei Women and Children Medical Care Center,Hefei,Anhui 230001,China;School of Public Health,Anhui Medical University,Hefei,Anhui 230032,China)
出处
《实用预防医学》
CAS
2024年第4期402-406,共5页
Practical Preventive Medicine
基金
国家自然科学基金(82273652)
出生人口健康教育部重点实验室联合安徽省妇幼保健协会母婴营养与健康研究项目(JK202214)
中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目(2021FY007)。
关键词
父母
负性情绪症状
儿童
自闭症
行为问题
parents
negative emotional symptom
children
autism
behavioral problem
作者简介
汪小燕(1983-),女,安徽桐城人,本科,主管医师,研究方向:儿童身心健康;通信作者:邵子瑜,E-mail:shaoziyu88@163.com。
