自闭症谱系障碍儿童运动能力对照顾者体验的影响:一项初步研究

S. Scharoun, R. Markoulakis, P. Fletcher, P. Bryden
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引用次数: 4

摘要

背景:自闭症谱系障碍(ASD)儿童的父母,尤其是母亲,经历着独特的照顾需求。虽然福利确实存在,但照顾者经常报告说,由于儿童缺乏社会互动和自我照顾能力,这是一种负担。在这些活动中使用的运动技能的发展在ASD儿童中经常被延迟;然而,运动技能和照顾者的经历之间可能存在的联系尚不清楚。这项初步研究探讨了照顾者对自闭症儿童的功能描述与他们孩子的运动能力的关系。方法:5名患有ASD的儿童(2男3女,年龄6 ~ 8岁)参与了以下任务来评估横向偏好和表现:WatHand Cabinet Test,包括一系列手工任务;大、小槽钉板试验,此时将钉置入键形孔中;视力任务,比如用一只眼睛透过管子看东西;和足性任务,比如踢球。这些孩子的5位已婚女性主要照顾者(年龄35 - 46岁)参与了一对一的半结构化访谈,内容涉及她们对孩子的功能的看法,以及她们经历的成本和收益。结果:总的来说,表现出较弱侧化的孩子的父母描述他们孩子的运动能力的方式表明他们在社会互动和年龄相适应的自我照顾方面有更大的困难。结论:干预计划的意义在于,服务提供者应该认识到ASD儿童所经历的运动困难,并计划促进功能获得的干预措施。
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The influence of motor abilities in children with autism spectrum disorder on caregiver experiences: A pilot study
Background: Parents of children with Autism Spectrum Disorders (ASD), particularly mothers, experience a unique caregiving demand. Although benefits do exist, caregivers often report a burden due to children’s lack of social interaction and ability to self-care. Development of motor skills employed in these activities is often delayed in children with ASD; however, possible links between motor skills and the experiences of their caregivers is not clearly understood. This pilot study explored caregivers’ descriptions of the functioning of children with ASD in relation to their children’s motor abilities. Methods: Five children (two male, three female, ages 6‐8) with ASD participated in the following tasks to assess lateral preference and performance: the WatHand Cabinet Test, involving a series of unimanual tasks; the Large and Small Grooved Pegboards test, which time the placement of pegs into key-shaped holes; Eyedness Tasks, such as looking through a tube with one eye; and Footedness Tasks, such as kicking a ball. The five married female primary caregivers (ages 35‐46) of these children participated in one-on-one, semistructured interviews regarding their view of their children’s functioning, and costs and benefits of their experiences. Results: Overall, parents of children who displayed weaker lateralization described their children’s motor abilities in ways that were indicative of greater difficulties with social interaction and age-appropriate selfcare. Conclusions: Implications exist for intervention planning, where service providers should be cognizant of the motor difficulties experienced by children with ASD, and plan interventions that promote functional gains.
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