父母教育水平对中国东部地区孤独症谱系障碍学龄儿童智力及社会适应行为的影响

李文豪; 宋超; 胡莉菲; 吴玲玲; 竺智伟

doi:10.1631/jzus.B2300354

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父母教育水平对中国东部地区孤独症谱系障碍学龄儿童智力及社会适应行为的影响

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Research Article | Updated：2024-02-29

父母教育水平对中国东部地区孤独症谱系障碍学龄儿童智力及社会适应行为的影响
Influence of parental education on the intelligence quotient profiles and socially adaptive behavior of school-age children with autism spectrum disorder in eastern China
浙江大学学报（英文版）（B辑：生物医学和生物技术） 2024年页码：1-11
Affiliations：

Department of Developmental and Behavioral Pediatrics, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Centre for Child Health, Hangzhou 310053, China
Funds：
DOI：10.1631/jzus.B2300354
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李文豪,宋超,胡莉菲等.父母教育水平对中国东部地区孤独症谱系障碍学龄儿童智力及社会适应行为的影响[J].浙江大学学报（英文版）（B辑：生物医学和生物技术）,

Wenhao LI, Chao SONG, Lifei HU, et al. Influence of parental education on the intelligence quotient profiles and socially adaptive behavior of school-age children with autism spectrum disorder in eastern China[J/OL]. Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology), 2024,1-11.
李文豪,宋超,胡莉菲等.父母教育水平对中国东部地区孤独症谱系障碍学龄儿童智力及社会适应行为的影响[J].浙江大学学报（英文版）（B辑：生物医学和生物技术）, DOI：10.1631/jzus.B2300354.

Wenhao LI, Chao SONG, Lifei HU, et al. Influence of parental education on the intelligence quotient profiles and socially adaptive behavior of school-age children with autism spectrum disorder in eastern China[J/OL]. Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology), 2024,1-11. DOI： 10.1631/jzus.B2300354.

摘要

智力水平和适应行为是孤独症谱系障碍（ASD）儿童进入主流学校的影响因素。本研究旨在探讨ASD儿童父母受教育程度与ASD儿童智力水平及适应行为之间的关系。研究对象为2017年1月至2021年6月就诊的257例学龄期ASD儿童。ASD儿童的父母完成了一份标准的人口学信息统计表，包括诊断时的年龄、性别、学校等级和父母的教育背景。所有入组儿童采用韦氏儿童智力量表第四版（WISC-IV）中文版进行智力评估。适应行为得分调查采用儿童适应行为评估第二版（ABAS-II）中文版，由家长完成。学龄期ASD儿童平均智力为76.88±22.62，男性高于女性，且与年龄呈正相关。适应行为评分平均为82.47±15.86，其不随年龄增长而增加，就读于主流学校的ASD儿童具有更好的适应行为。母亲受教育程度与ASD儿童的智商和适应行为显著相关，而父亲受教育程度与之不相关。因此，对家长进行更好的培训和支持有助于ASD儿童进入主流学校，同时适应性训练则是患儿父母更为迫切需要掌握的技能。

Abstract

Intelligence quotient (IQ) and adaptive behavior are the influencing factors of autism spectrum disorder (ASD) in children entering mainstream schools. This study explored the association between parental education level, IQ, and adaptive behavior in ASD groups. A total of 257 school-age ASD children were enrolled in our study from January 2017 to June 2021. Their parents completed a standard demographic form, including age at autism diagnosis, gender, school placement, and parents’ educational background. The Chinese version of the Wechsler Intelligence Scale for Children, Fourth Edition (WISC-IV) was completed by a certified assessor for each enrolled child. Parents were interviewed on adaptive behavior using the Chinese version of the Adaptive Behavior Assessment System, Second Edition (ABAS-II). The average IQ of school-age ASD children was 76.88 (standard deviation (SD)=22.62) and boys had higher IQ levels than girls. The IQ was positively correlated with age. The General Adaptive Composite (GAC) score was 82.47 (SD=15.86) and adaptive behavior did not increase with age. ASD children who attended mainstream schools had better adaptive behavior profiles than other children. The mother’s education level showed a significant correlation with the IQ and adaptive behavior of autistic children, while the father’s education level did not. Consequently, better training and support for parents may help autistic children enter mainstream schools, with adaptive training being the most urgently required skill for parents.

关键词

孤独症谱系障碍（ASD）学龄儿童智力（IQ）适应行为父母教育程度

Keywords

Autism spectrum disorder (ASD)School-age childrenIntelligence quotient (IQ)Adaptive behaviorParental education

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