PDF(Pubmed)
Abstract：
OBJECTIVE: Sibling relationships in early childhood can have a positive impact on children\'s social interaction and communication skills. Similarly, autistic children can benefit from interactions with their siblings, who can serve as readily available partners for social interaction. However, there is a lack of research on the effects of siblings based on specific characteristics of the sibling. Therefore, the aim of this study is to compare social interactions and communication skills of autistic children based on sibling status and characteristics.
METHODS: We conducted a retrospective data review involving 895 autistic children and their siblings at Seoul National University Bundang Hospital. Variety of diagnostic assessments or questionnaires were administered. Based on the characteristics of the data, Quade\'s test for nonparametric analysis of covariance was used to compare autism-related symptoms and levels of functioning of the autistic child according to 1) sibling status, 2) birth order, 3) sex, and 4) diagnosis of the sibling. Pearson correlation was used to explore associations between the sibling age gap and different clinical scores.
RESULTS: Having siblings was associated with fewer difficulties in restricted and repetitive behaviors. Based on the comparison of the Autism Diagnostic Interview-Revised scores, autistic children with multiple siblings demonstrated better nonverbal behaviors. Autistic children with autistic siblings experienced greater difficulties in social interactions and communications, such as peer relationships, sharing enjoyment, and engaging in social imitative play.
CONCLUSIONS: The study revealed differences in social interactions and communication skills of autistic children based on sibling status, birth order, affected sibling, age gap, and sex.
METHODS: We conducted a retrospective data review involving 895 autistic children and their siblings at Seoul National University Bundang Hospital. Variety of diagnostic assessments or questionnaires were administered. Based on the characteristics of the data, Quade\'s test for nonparametric analysis of covariance was used to compare autism-related symptoms and levels of functioning of the autistic child according to 1) sibling status, 2) birth order, 3) sex, and 4) diagnosis of the sibling. Pearson correlation was used to explore associations between the sibling age gap and different clinical scores.
RESULTS: Having siblings was associated with fewer difficulties in restricted and repetitive behaviors. Based on the comparison of the Autism Diagnostic Interview-Revised scores, autistic children with multiple siblings demonstrated better nonverbal behaviors. Autistic children with autistic siblings experienced greater difficulties in social interactions and communications, such as peer relationships, sharing enjoyment, and engaging in social imitative play.
CONCLUSIONS: The study revealed differences in social interactions and communication skills of autistic children based on sibling status, birth order, affected sibling, age gap, and sex.
摘要：
目的：儿童早期的兄弟姐妹关系可以对儿童的社交互动和沟通技巧产生积极影响。同样，自闭症儿童可以从与兄弟姐妹的互动中受益，谁可以作为社会交往的现成伙伴。然而,缺乏基于兄弟姐妹特定特征的兄弟姐妹影响的研究。因此,这项研究的目的是根据兄弟姐妹的地位和特征比较自闭症儿童的社会互动和沟通技巧。
方法：我们在首尔国立大学Bundang医院对895名自闭症儿童及其兄弟姐妹进行了回顾性资料回顾。进行了各种诊断评估或问卷调查。根据数据的特点，根据1）兄弟姐妹身份，使用Quade检验对协方差进行非参数分析，以比较自闭症相关症状和自闭症儿童的功能水平，2）出生顺序，3）性别，4)兄弟姐妹的诊断。Pearson相关性用于探索兄弟姐妹年龄差距与不同临床评分之间的关联。
结果：有兄弟姐妹在限制和重复行为方面的困难较少。根据自闭症诊断访谈修订分数的比较，有多个兄弟姐妹的自闭症儿童表现出更好的非语言行为。患有自闭症兄弟姐妹的自闭症儿童在社交互动和沟通方面遇到了更大的困难，比如同伴关系，分享享受,从事社会模仿游戏。
结论：这项研究揭示了自闭症儿童在社交互动和沟通技巧方面的差异，出生顺序,受影响的兄弟姐妹，年龄差距,和性爱。
方法：我们在首尔国立大学Bundang医院对895名自闭症儿童及其兄弟姐妹进行了回顾性资料回顾。进行了各种诊断评估或问卷调查。根据数据的特点，根据1）兄弟姐妹身份，使用Quade检验对协方差进行非参数分析，以比较自闭症相关症状和自闭症儿童的功能水平，2）出生顺序，3）性别，4)兄弟姐妹的诊断。Pearson相关性用于探索兄弟姐妹年龄差距与不同临床评分之间的关联。
结果：有兄弟姐妹在限制和重复行为方面的困难较少。根据自闭症诊断访谈修订分数的比较，有多个兄弟姐妹的自闭症儿童表现出更好的非语言行为。患有自闭症兄弟姐妹的自闭症儿童在社交互动和沟通方面遇到了更大的困难，比如同伴关系，分享享受,从事社会模仿游戏。
结论：这项研究揭示了自闭症儿童在社交互动和沟通技巧方面的差异，出生顺序,受影响的兄弟姐妹，年龄差距,和性爱。
