运用心理教育量表(第3版)评估孤独症谱系障碍儿童心理行为特征

doi:10.3969/j.issn.1006-9771.2023.09.006

Abstract

Abstract:

Objective To explore psychological and behavioral characteristics of children with autism spectrum disorder (ASD) using Psycho-educational Profile (Third Edition) (PEP3).

Methods From October, 2021 to October, 2022, 192 children with ASD without intervention in the Binzhou Medical University Hospital were selected as observation group, and 96 healthy children who visited at the same time were selected as control group. They were assessed with PEP3.

Results The development of receptive language significantly delayed behind expressive language (t = 5.383, P < 0.001) in the observation group. The cognitive, expressive language, receptive language, fine motor, gross motor, imitation and personal self-care correlated with age (r = 0.540 to 0.795, P < 0.001). The Cronbach's α of PEP3 for the observation group was 0.810 to 0.947. The original score of each subtest of PEP3 was less in the observation group than in the control group (|t| > 4.267, P < 0.001).

Conclusion The development of receptive language retards behind the expressive language in children with ASD. Cognitive and motor functions develop with age, while the correlation between maladaptive behavior and age is weak. PEP3 is reliable in internal consistency, and valid in discrimination.

Key words: autism spectrum disorder, Psychoeducational Profile-Third Edition, development, internal consistency, validity

CLC Number:

R749.93

GENG Limeng, LIU Congcong, LI Ling, LÜ Panpan, WANG Xin, LIU Fang. Psychological and behavioral characteristics of children with autism spectrum disorder using Psycho-educational Profile (Third Edition)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1035-1039.

Figures/Tables 5

References 37

[1]	JOON P, KUMAR A, PARLE M. What is autism?[J]. Pharmacol Rep, 2021, 73(5): 1255-1264. doi: 10.1007/s43440-021-00244-0 pmid: 33694100
[2]	HIROTA T, KING B H. Autism spectrum disorder: a review[J]. JAMA, 2023, 329(2): 157-168. doi: 10.1001/jama.2022.23661 pmid: 36625807
[3]	KODAK T, BERGMANN S. Autism spectrum disorder: characteristics, associated behaviors, and early intervention[J]. Pediatr Clin North Am, 2020, 67(3): 525-535. doi: 10.1016/j.pcl.2020.02.007
[4]	KISSEL L T, WERLING D M. Neural transcriptomic analysis of sex differences in autism spectrum disorder: current insights and future directions[J]. Biol Psychiatry, 2022, 91(1): 53-60. doi: 10.1016/j.biopsych.2020.11.023
[5]	RUIGROK A N V, LAI M C. Sex/gender differences in neurology and psychiatry: autism[J]. Handb Clin Neurol, 2020, 175: 283-297. doi: 10.1016/B978-0-444-64123-6.00020-5 pmid: 33008532
[6]	Maenner M J, Shaw K A, Bakian A V, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years: Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018[J]. MMWR Surveill Summ, 2021, 70(11): 1-16.
[7]	ZHOU H, XU X, YAN W, et al. Prevalence of autism spectrum disorder in China: a nationwide multi-center population-based study among children aged 6 to 12 years[J]. Neurosci Bull, 2020, 36(9): 961-971. doi: 10.1007/s12264-020-00530-6 pmid: 32607739
[8]	ZEIDAN J, FOMBONNE E, SCORAH J, et al. Global prevalence of autism: a systematic review update[J]. Autism Res, 2022, 15(5): 778-790. doi: 10.1002/aur.2696 pmid: 35238171
[9]	WANG F, LU L, WANG S B, et al. The prevalence of autism spectrum disorders in China: a comprehensive meta-analysis[J]. Int J Biol Sci, 2018, 14(7): 717-725. doi: 10.7150/ijbs.24063 pmid: 29910682
[10]	LORD G K, SKUSE D, MANDY W. Innovations of the ICD-11 in the field of autism spectrum disorder: a psychological approach[J]. Clin Psychol Eur, 2022, 4(Special Issue): e10005.
[11]	SILVIA S, PHILIPPE P, RACHA Z, et al. Identifying language and cognitive profiles in children with ASD via a cluster analysis exploration: implications for the new ICD-11[J]. Autism Res, 2020, 13(7): 1155-1167. doi: 10.1002/aur.2268 pmid: 31985169
[12]	American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM- V)[M]. WashingtonD. C.: AmericanPsychiatric Assocation, 2013: 50-51.
[13]	邹小兵, 邓红珠. 美国精神疾病诊断分类手册第5版"孤独症谱系障碍诊断标准"解读[J]. 中国实用儿科杂志, 2013, 28(8): 561-563.
	ZOU X B, DENG H Z. Expounding on the diagnosis criteria of autistic spectrum disorders of diagnostic and statistical manual disorders-fifth edition, DSM-V[J]. Chin J Pract Pediatr, 2013, 28(8): 561-563.
[14]	YU L, ZHU X, SHEK D T L, et al. Validation of the simplified Chinese Psychoeducational Profile Third Edition in mainland China[J]. J Autism Dev Disord, 2019, 49(4): 1599-1612. doi: 10.1007/s10803-018-3827-z pmid: 30542942
[15]	GYAWALI S, PATRA B N. Autism spectrum disorder: trends in research exploring etiopathogenesis[J]. Psychiatry Clin Neurosci, 2019, 73(8): 466-475. doi: 10.1111/pcn.v73.8
[16]	MUKHERJEE S B. Identification, evaluation, and management of children with autism spectrum disorder: American Academy of Pediatrics 2020 Clinical Guidelines[J]. Indian Pediatr, 2020, 57(10): 959-962. doi: 10.1007/s13312-020-2003-7
[17]	LORD C, ELSABBAGH M, BAIRD G, et al. Autism spectrum disorder[J]. Lancet, 2018, 392(10146): 508-520. doi: S0140-6736(18)31129-2 pmid: 30078460
[18]	SHARMA S R, GONDA X, TARAZI F I. Autism spectrum disorder: classification, diagnosis and therapy[J]. Pharmacol Ther, 2018, 190: 91-104. doi: 10.1016/j.pharmthera.2018.05.007
[19]	ANTSHEL K M, RUSSO N. Autism spectrum disorders and ADHD: overlapping phenomenology, diagnostic issues, and treatment considerations[J]. Curr Psychiatry Rep, 2019, 21(5): 34. doi: 10.1007/s11920-019-1020-5
[20]	FRYE R E. A personalized multidisciplinary approach to evaluating and treating autism spectrum disorder[J]. J Pers Med, 2022, 12(3): 464. doi: 10.3390/jpm12030464
[21]	孙慧珍, 王国祥, 邱卓英, 等. 应用ICF-CY研究孤独症儿童的功能状态与体育活动和运动康复[J]. 中国康复理论与实践, 2017, 23(10): 1123-1129. doi: 10.3969/j.issn.1006-9771.2017.10.002
	SUN H Z, WANG G X, QIU Z Y, et al. Application of ICF-CY in analysis of functioning and disability, and physical activity and sport rehabilitation for children with autism spectrum disorder[J]. Chin J Rehabil Theory Pract, 2017, 23(10): 1123-1129.
[22]	RUGGERI A, DANCEL A, JOHNSON R. The effect of motor and physical activity intervention on motor outcomes of children with autism spectrum disorder: a systematic review[J]. Autism, 2020, 24(3): 544-568. doi: 10.1177/1362361319885215 pmid: 31782658
[23]	徐秀, 邹小兵, 柯晓燕, 等. 孤独症谱系障碍婴幼儿家庭实施早期干预专家共识[J]. 中国循证儿科杂志, 2021, 16(5): 327-332.
	XU X, ZOU X B, KE X Y, et al. Expert consensus on early intervention in families with autism spectrum disorders[J]. Chin J Evid Based Pediatr, 2021, 16(5): 327-332.
[24]	DE GIACOMO A, CRAIG F, CRISTELLA A, et al. Can PEP-3 provide a cognitive profile in children with ASD? A comparison between the developmental ages of PEP-3 and IQ of Leiter-R[J]. J Appl Res Intellect Disabil, 2016, 29(6): 566-573. doi: 10.1111/jar.2016.29.issue-6
[25]	FU C P, CHEN K L, TSENG M H, et al. Reliability and validity of the Psychoeducational Profile-third edition Caregiver Report in children with autism spectrum disorders[J]. Res Autism Spectr Disord, 2012, 6(1): 115-122. doi: 10.1016/j.rasd.2011.03.011
[26]	周翔, 陈强, 陈红, 等. 300例孤独症儿童语言能力评估结果分析[J]. 中国康复理论与实践, 2013, 19(4): 384-386.
	ZHOU X, CHEN Q, CHEN H, et al. Analysis of language skill in autistic children: 300 cases report[J]. Chin J Rehabil Theory Pract, 2013, 19(4): 384-386.
[27]	SANDBANK M, BOTTEMA-BEUTEL K, CROWLEY S, et al. Intervention effects on language in children with autism: a project AIM meta-analysis[J]. J Speech Lang Hear Res, 2020, 63(5): 1537-1560. doi: 10.1044/2020_JSLHR-19-00167
[28]	VOGINDROUKAS I, STANKOVA M, CHELAS E N, et al. Language and speech characteristics in autism[J]. Neuropsychiatr Dis Treat, 2022, 18: 2367-2377. doi: 10.2147/NDT.S331987
[29]	岳姣姣, 刘巧云, 刘敏, 等. 孤独症儿童空间方位语言的理解与表达行为特征研究:以"到"字句为例[J]. 中国康复理论与实践, 2023, 29(1): 1-5. doi: 10.3969/j.issn.1006-9771.2023.01.001
	YUE J J, LIU Q Y, LIU M, et al. Spatial language understanding and expression in children with autism: a study of "(go/come) to" sentence in Chinese[J]. Chin J Rehabil Theory Pract, 2023, 29(1): 1-5.
[30]	王建敏, 李侠, 农铮, 等. 监护人重视的首个儿童孤独症异常特征及与就诊时间关系分析[J]. 中华流行病学杂志, 2015, 36(10): 1077-1080.
	WANG J M, LI X, NONG Z, et al. Association between guardian's first notice of autism symptom of children and time to seer medical care[J]. Chin J Epidemiol, 2015, 36(10): 1077-1080.
[31]	HAGE S V R, SAWASAKI L Y, HYTER Y. Social communication and pragmatic skills of children with autism spectrum disorder and developmental language disorder[J]. Codas, 2021, 34(2): e20210075.
[32]	BOTTEMA-BEUTEL K, KIM S Y, CROWLEY S. A systematic review and meta-regression analysis of social functioning correlates in autism and typical development[J]. Autism Res, 2018, 12(2): 152-175. doi: 10.1002/aur.2019.12.issue-2
[33]	ZWAIGENBAUM L, BRYSON S, ROGERS T, et al. Behavioral manifestations of autism in the first year of life[J]. Int J Dev Neurosci, 2005, 23(2/3): 143-152. doi: 10.1016/j.ijdevneu.2004.05.001
[34]	KISSEL L T, WERLING D M. Neural transcriptomic analysis of sex differences in autism spectrum disorder: current insights and future directions[J]. Biol Psychiatry, 2022, 91(1): 53-60. doi: 10.1016/j.biopsych.2020.11.023
[35]	BHANDARI R, PALIWAL J K, KUHAD A. Neuropsychopathology of autism spectrum disorder: complex interplay of genetic, epigenetic, and environmental factors[J]. Adv Neurobiol, 2020, 24: 97-141. doi: 10.1007/978-3-030-30402-7_4 pmid: 32006358
[36]	GREEN R M, TRAVERS A M, HOWE Y, et al. Women and autism spectrum disorder: diagnosis and implications for treatment of adolescents and adults[J]. Curr Psychiatry Rep, 2019, 21(4): 22. doi: 10.1007/s11920-019-1006-3
[37]	DOUGHERTY J D, MARRUS N, MALONEY S E, et al. Can the "female protective effect" liability threshold model explain sex differences in autism spectrum disorder?[J]. Neuron, 2022, 110(20): 3243-3262. doi: 10.1016/j.neuron.2022.06.020 pmid: 35868305

组别	n	性别(男/女)/n	年龄/月
对照组	96	77/19	42.71±16.02
观察组	192	156/36	42.49±15.41
χ²/t值		0.045	-0.107
P值		0.832	0.915

发展项目	n	发育商
认知	192	62.22±21.29
语言表达	192	57.45±22.05
语言理解	192	46.30±18.33
小肌肉	192	72.27±19.40
大肌肉	192	69.47±24.70
模仿	192	49.38±16.85

项目	n	性别		年龄
项目	n	F值	P值	r值	P值
认知	192	5.894	0.016	0.786	< 0.001
语言表达	192	8.675	0.004	0.795	< 0.001
语言理解	192	0.282	0.596	0.685	< 0.001
小肌肉	192	3.883	0.050	0.723	< 0.001
大肌肉	192	0.794	0.374	0.540	< 0.001
模仿	192	0.709	0.401	0.577	< 0.001
情感表达	192	0.404	0.526	0.337	< 0.001
社交互动	192	0.354	0.552	0.368	< 0.001
非语言行为特征	192	8.675	0.004	0.281	< 0.001
语言行为特征	192	0.829	0.364	0.389	< 0.001
问题行为	192	7.388	0.007	0.276	< 0.001
个人自理	192	2.167	0.143	0.697	< 0.001
适应性行为	192	0.019	0.890	0.263	< 0.001

项目	Cronbach α
认知	0.947
语言表达	0.932
语言理解	0.941
小肌肉	0.906
大肌肉	0.881
模仿	0.864
情感表达	0.866
社交互动	0.875
非语言行为特征	0.833
语言行为特征	0.814
问题行为	0.822
个人自理	0.810
适应性行为	0.853

项目	对照组 (n = 96)	观察组 (n = 192)	t值	P值
认知	51.94±10.84	33.16±17.08	-9.824	< 0.001
语言表达	34.94±11.01	19.84±11.63	-10.565	< 0.001
语言理解	35.63±11.24	16.88±14.20	-11.287	< 0.001
小肌肉	34.06±3.80	28.91±7.68	-6.203	< 0.001
大肌肉	28.31±1.41	26.31±4.48	-4.267	< 0.001
模仿	18.06±1.53	12.97±4.70	-10.343	< 0.001
情感表达	21.75±1.83	17.44±3.19	-12.270	< 0.001
社交互动	21.06±2.50	14.06±4.28	-14.796	< 0.001
非语言行为特征	29.56±0.94	25.94±4.20	-8.358	< 0.001
语言行为特征	19.69±0.92	11.03±4.85	-17.315	< 0.001

Psychological and behavioral characteristics of children with autism spectrum disorder using Psycho-educational Profile (Third Edition)

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 5

References 37

Related Articles 15

Metrics

Comments

Recommended 0

[1]	SONG Yiling, REN Yuanchun, ZHU Feilong, KUANG Dongqing, CAO Qingjiu, LIN Yang, WANG Fang. Characteristics and relationship between the development of gross motor skills and executive function in children with attention deficit hyperactivity disorder [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 1-9.
[2]	SHAO Weiting, LEI Jianghua. Effect of response interruption and redirection as a behavioral intervention on vocal stereotypy in children with autism spectrum disorder: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 10-20.
[3]	WEI Xiaowei, YANG Jian, WEI Chunyan. Psychological and behavioral benefits of adapted yoga exercise for children with autism spectrum disorder in special education schools: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1021-1028.
[4]	WANG Shaopu, YANG Yaru, QIU Zhuoying, YANG Jian, YAO Meilin, SUN Hongwei, ZOU Min. Mental health services for children with intellectual and developmental disabilities: a WHO-FICs-based study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 993-1003.
[5]	WEI Xiaowei, YANG Jian, WEI Chunyan, HE Qiling. Adapted physical education programs for psychomotor development in school settings for children with intellectual and developmental disabilities: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 910-918.
[6]	YI Qifeng, HUANG Zhuoer, YANG Guoli, XIE Lihua, XIE Shengfeng, WU Xiaoxia, YAN Jin. Development, and reliability and validity testing of a knowledge needs questionnaire of respiratory rehabilitation training for in-service healthcare workers [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 985-992.
[7]	WANG Guangcheng, DUAN Mingxue, GUO Tongtong, XING Yang, DONG Zhiwei, ZHANG Linlin, GUO Peiwu, JING Qi, ZHENG Wengui. Factors related to career development and transformation of rehabilitation therapists [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 565-569.
[8]	ZHANG Wanxia, YANG Chenlu, QIAN Yue, WANG Ying, LIANG Aimin. Characteristics of neuropsychological development in infants with different types of morphological cranial malformation [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 570-575.
[9]	ZHU Kaixuan, WANG Yuxiang, WANG Xianna, ZHANG Yan, WANG Yunlei, ZHANG Haojie, BAI Chen, LI Xingzhu, ZHANG Tong. Sleep disturbance and association with social behavior in preschool children with autism spectrum disorder [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 608-614.
[10]	GUO Shuai, ZHAO Yihao, LIU Shangjun, ZHENG Xiaoying. Evidence-based research on disability studies in China using VOSviewer [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 302-311.
[11]	QIU Xiao, LING Junqi, CONG Yangyang, BAI Yulong. Feasibility, reliability and validity of a 3D scanning volume measurement for distal upper limb volume [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 364-367.
[12]	XIAO Xiaofei, LIU Yushu, YANG Yaru, QIU Zhuoying. Application of WHO rehabilitation competency framework in development of rehabilitation science education system and curriculum [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(11): 1261-1267.
[13]	HU Jiaquan, ZHU Liling, JIANG Zhimei. Early screening tools for autism spectrum disorder in the past two decades: a visualized analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(11): 1304-1315.
[14]	WANG Yuchang, WU Yue, FU Kuijie, WANG Zhenghui, WANG Yazhou, GUO Xuejun, PANG Wei. Development of a nature posture treatment suspension therapy based on ICF-CY [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(11): 1316-1326.
[15]	WANG Xinting, YANG Jian. Structured physical activity programs for children with autism spectrum disorders and their health benefits: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(10): 1117-1124.