Health-Related Quality of Life in Children with Autism Spectrum Disorders: Results from the Autism Treatment Network

被引:174
|
作者
Kuhlthau, Karen [1 ,2 ]
Orlich, Felice [3 ,4 ]
Hall, Trevor A. [5 ,6 ]
Sikora, Darryn [6 ]
Kovacs, Erica A. [7 ]
Delahaye, Jennifer [1 ]
Clemons, Traci E. [8 ]
机构
[1] Massachusetts Gen Hosp, Ctr Child & Adolescent Hlth Policy, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02114 USA
[3] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[4] Seattle Childrens Hosp, Autism Program, Seattle, WA USA
[5] Warm Springs Autism Diagnost & Treatment Ctr, Portland, OR USA
[6] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
[7] Columbia Univ, Med Ctr, Columbia Dev Neuropsychiat Program, Div Child & Adolescent Psychiat, New York, NY USA
[8] EMMES Corp, Potomac, MD USA
关键词
Autism; Quality of life; Behavior; Adaptive behavior; HIGH-FUNCTIONING CHILDREN; PSYCHOMETRIC PROPERTIES; SLEEP PROBLEMS; ADOLESCENTS; PEDSQL(TM)-4.0; RELIABILITY; LONELINESS; PERCEPTION; FRIENDSHIP; EMOTIONS;
D O I
10.1007/s10803-009-0921-2
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
We examined data collected as a part of the Autism Treatment Network, a group of 15 autism centers across the United States and Canada. Mean Health-Related Quality of Life (HRQoL) scores of the 286 children assessed were significantly lower than those of healthy populations (according to published norms). When compared to normative data from children with chronic conditions, children with ASD demonstrated worse HRQoL for total, psychosocial, emotional and social functioning, but did not demonstrate differing scores for physical and school functioning. HRQoL was not consistently related to ASD diagnosis or intellectual ability. However, it was consistently related to internalizing and externalizing problems as well as repetitive behaviors, social responsiveness, and adaptive behaviors. Associations among HRQoL and behavioral characteristics suggest that treatments aimed at improvements in these behaviors may improve HRQoL.
引用
收藏
页码:721 / 729
页数:9
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