METHODS: We compared the ScreenQ and Griffiths Development Scales-Chinese Language Edition (GDS-C) of 636 ASD children (40.79 ± 11.45 months) and 43 typically developing (TD) children (42.44 ± 9.61 months). Then, we analyzed the correlations between ScreenQ and Childhood Autism Rating Scale (CARS), and GDS-C. We further used linear regression model to analyze the risk factors associated with high CARS total scores and low development quotients (DQs) in children with ASD.
RESULTS: The CARS of children with ASD was positively correlated with the ScreenQ total scores and \"access, frequency, co-viewing\" items of ScreenQ. The personal social skills DQ was negatively correlated with the \"access, frequency, content, co-viewing and total scores\" of ScreenQ. The hearing-speech DQ was negatively correlated with the \"frequency, content, co-viewing and total scores\" of ScreenQ. The eye-hand coordination DQ was negatively correlated with the \"frequency and total scores\" of ScreenQ. The performance DQ was negatively correlated with the \"frequency\" item of ScreenQ.
CONCLUSIONS: ScreenQ can be used in the study of screen exposure in children with ASD. The higher the ScreenQ scores, the more severe the autistic symptoms tend to be, and the more delayed the development of children with ASD in the domains of personal-social, hearing-speech and eye-hand coordination. In addition, \"frequency\" has the greatest impact on the domains of personal social skills, hearing-speech, eye-hand coordination and performance of children with ASD.
方法:我们比较了636名ASD儿童(40.79±11.45个月)和43名典型发展(TD)儿童(42.44±9.61个月)的ScreenQ和Griffiths发展量表-中文版(GDS-C)。然后,我们分析了ScreenQ和儿童自闭症评定量表(CARS)之间的相关性,和GDS-C我们进一步使用线性回归模型分析ASD儿童CARS总分高和发育商(DQs)低的危险因素。
结果:ASD儿童的CARS与ScreenQ总分和“访问”呈正相关,频率,共同观看ScreenQ的项目。个人社交技能DQ与“访问”呈负相关,频率,内容,ScreenQ的共同观看和总分。听力语音DQ与频率呈负相关,内容,ScreenQ的共同观看和总分。眼手协调DQ与ScreenQ的“频率和总分”呈负相关。性能DQ与ScreenQ的“频率”项呈负相关。
结论:ScreenQ可用于ASD儿童的屏幕暴露研究。ScreenQ得分越高,自闭症症状越严重,自闭症儿童在个人社会领域的发展越延迟,听觉-言语和眼手协调。此外,“频率”对个人社交技能领域的影响最大,听力演讲,ASD儿童的眼手协调和表现。