自闭症谱系障碍儿童和发育性语言障碍儿童的健康相关生活质量

IF 2.5 Q1 EDUCATION, SPECIAL Autism and Developmental Language Impairments Pub Date : 2019-01-01 DOI:10.1177/2396941519851225
Catherine Coales, N. Heaney, J. Ricketts, J. Dockrell, G. Lindsay, Olympia Palikara, T. Charman
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Methods Participants comprised 114 7-to-13-year-old children with developmental language disorders (n = 63) and children with autism spectrum disorder (n = 51) attending mainstream school. Self-reported health-related quality of life was measured using the KIDSCREEN-52. We also collected standardised measures of receptive language, autism spectrum disorder symptoms, nonverbal IQ and emotional and behavioural problems. Results Children with developmental language disorders reported health-related quality of life commensurate with normative ranges, except for 2 of the 10 dimensions; the Moods and Emotions domain and the Social acceptance/bullying domain, which were below norms. Children with autism spectrum disorder reported significantly lower health-related quality of life compared to norms and the developmental language disorders group. 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引用次数: 12

摘要

背景和目的研究神经发育人群(包括发育性语言障碍儿童和自闭症谱系障碍儿童)健康相关生活质量的文献很少。这两组人与健康相关的生活质量仍然知之甚少。此外,研究通常依赖于护理人员和教师的报告,而不是使用自我报告措施。本研究的目的是比较发育性语言障碍儿童和自闭症谱系障碍儿童自我报告的健康相关生活质量水平和概况。方法参与者包括114名7至13岁的发育性语言障碍儿童(n = 63)和患有自闭症谱系障碍的儿童(n = 51)就读于主流学校。使用KIDSCREEN-52测量自我报告的健康相关生活质量。我们还收集了接受性语言、自闭症谱系障碍症状、非语言智商以及情绪和行为问题的标准化测量。结果除10个维度中的2个维度外,患有发育性语言障碍的儿童报告的健康相关生活质量符合标准范围;情绪和情绪领域以及社会接受/欺凌领域,这些领域低于规范。患有自闭症谱系障碍的儿童报告称,与正常人和发育性语言障碍组相比,与健康相关的生活质量明显较低。然而,当非语言能力和语言的影响(这两个群体并不匹配)被叠加在一起时,大多数群体差异变得不显著或消失。儿童特征与各组健康相关的生活质量维度几乎没有关联。结论自闭症谱系障碍儿童可能特别容易受到健康相关生活质量较差的影响,相关专业人员需要意识到这一点。患有发育性语言障碍的儿童表现出与健康相关的生活质量更符合平均范围。然而,某些领域值得监测,并可能从干预中受益。当非语言和语言能力被共变异时,许多自我报告的健康相关生活质量的组间差异消失了,尽管这两个协变量都与分数没有系统相关性。其他儿童内部因素,如情绪理解和能力,应在未来的研究中探索。对儿童和环境因素的进一步研究可能阐明神经发育障碍儿童健康相关生活质量的风险或保护因素。
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Health-related quality of life in children with autism spectrum disorders and children with developmental language disorders
Background and aims There is a paucity of literature investigating health-related quality of life in neurodevelopmental populations including children with developmental language disorders and children with autism spectrum disorder. Health-related quality of life in these two groups remains poorly understood. Furthermore, studies have typically relied on reports from caregivers and teachers rather than using self-report measures. The aim of the current study is to compare the levels and profiles of self-reported health-related quality of life of children with developmental language disorders and children with autism spectrum disorder. Methods Participants comprised 114 7-to-13-year-old children with developmental language disorders (n = 63) and children with autism spectrum disorder (n = 51) attending mainstream school. Self-reported health-related quality of life was measured using the KIDSCREEN-52. We also collected standardised measures of receptive language, autism spectrum disorder symptoms, nonverbal IQ and emotional and behavioural problems. Results Children with developmental language disorders reported health-related quality of life commensurate with normative ranges, except for 2 of the 10 dimensions; the Moods and Emotions domain and the Social acceptance/bullying domain, which were below norms. Children with autism spectrum disorder reported significantly lower health-related quality of life compared to norms and the developmental language disorders group. However, when the effects of non-verbal ability and language – on which the groups were not matched – were covaried most group differences fell to non-significance or disappeared. Child characteristics showed few associations with dimensions of health-related quality of life across groups. Conclusions Children with autism spectrum disorder may be particularly vulnerable to poorer health-related quality of life and the relevant professionals need to be aware of this. Children with developmental language disorders exhibit a profile of health-related quality of life more in-line with average ranges. However, certain domains warrant monitoring and may benefit from intervention. Many of the between-group differences in self-reported health-related quality of life disappeared when non-verbal and language ability were covaried, though neither of the covariates was systematically related to scores. Other within-child factors such as emotional understanding and competence should be explored in future studies. Implications Further research into child and contextual factors may elucidate risk or protective factors for health-related quality of life in children with neurodevelopmental disorders.
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来源期刊
Autism and Developmental Language Impairments
Autism and Developmental Language Impairments Psychology-Clinical Psychology
CiteScore
3.20
自引率
0.00%
发文量
20
审稿时长
12 weeks
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