孤独症儿童在象征性游戏中的典型行为分析

doi:10.3969/j.issn.1006-9771.2023.01.002

Abstract

Abstract:

Objective To explore the typical behavior characteristics of children with autism in symbolic play and the value of Symbolic Play Test (SPT) in the early identification of autism.

Methods From November, 2021 to September, 2022, a total of 260 children with language problems were collected from Department of Children's Health Care of Binzhou Medical University Hospital. A total of 193 children with autism were as observation group and 67 normal children were as control group. All children played symbolic games. The typical behavioral characteristics of children with autism in SPT were explored, and a reliability and validity analysis based on the results of SPT was conducted. They were assessed with the adaptive and personal social scores of Gesell Development Scale, and the correlation of the scores of Gesell Development Scale and the score of SPT was analyzed.

Results The Cronbach's α coefficient of SPT of children with autism was 0.835 to 0.935, and the total score of SPT, the scores of surrogate object, fictional attribute and fictional object were positively correlated with each other (r> 0.607, P< 0.001). The SPT scores decreased in the observation group (t> 9.615, P< 0.001), and SPT score positively correlated with adaptability and personal-social development quotient (r> 0.609, P< 0.001).

Conclusion Typical behavior of children with autism can be reflected in symbolic play, and SPT can provide clues for early identification of autism.

Key words: autism, symbolic play, typical behavior

CLC Number:

R749.93

LÜ Panpan, XU Chongfeng, GAO Wenting, LIU Congcong, GENG Limeng, LIU Fang. Typical behavior analysis of children with autism in symbolic play[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 6-11.

Figures/Tables 6

References 35

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组别	n	性别(男/女)/n	年龄/月
对照组	67	46/21	29.85±7.56
观察组	193	138/55	31.63±7.41
χ²/F值		0.171	1.389
P值		0.680	0.240

组别	n	以物代物	虚构属性	虚构客体	总分
对照组	67	3.87±1.41	5.24±2.08	3.01±1.63	13.30±4.78
观察组	193	2.13±0.73	2.74±1.38	0.83±0.87	5.71±2.63
t值		13.754	9.615	11.014	17.434
P值		< 0.001	< 0.001	< 0.001	< 0.001

行为	Cronbach α
以物代物	0.928
虚构属性	0.854
虚构客体	0.835
总体行为	0.935

指标	r值	P值
以物代物vs.总体行为	0.820	< 0.001
虚构属性vs.总体行为	0.922	< 0.001
虚构客体vs.总体行为	0.851	< 0.001
以物代物vs.虚构属性	0.649	< 0.001
以物代物vs.虚构客体	0.607	< 0.001
虚构属性vs.虚构客体	0.653	< 0.001

组别	n	SPT月龄/月	GDS
组别	n	SPT月龄/月	适应性发育商	适应性月龄/月	个人社交发育商	个人社交月龄/月
对照组	67	23.50±6.04	82.57±10.96	24.40±6.41	86.40±10.98	25.50±6.38
观察组	193	10.49±7.44	48.75±9.47	16.06±4.01	42.20±10.64	14.24±4.07
t值		-12.901	-14.156	-12.289	-19.062	-16.655
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

Typical behavior analysis of children with autism in symbolic play

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GDS	r值	P值
适应性发育商	0.609	< 0.001
个人社交发育商	0.672	< 0.001

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