What factors are related to a negative outcome of self-injurious behaviour during childhood in pervasive developmental disorders?

被引:22
作者
Baghdadli, A. [1 ]
Picot, M. C. [2 ]
Pry, R. [1 ]
Michelon, C. [1 ]
Burzstejn, C. [3 ]
Lazartigues, A. [4 ]
Aussilloux, C. [1 ]
机构
[1] Child & Adolescent Psychiat Dept, Montpellier, France
[2] Dept Stat, Montpellier, France
[3] Child & Adolescent Psychiat Dept, Strasbourg, France
[4] Child & Adolescent Psychiat Dept, Brest, France
关键词
children; longitudinal study; outcome; pervasive developmental disorders; risk factors; self-injurious behaviour;
D O I
10.1111/j.1468-3148.2007.00389.x
中图分类号
G44 [教育心理学];
学科分类号
0402 ; 040202 ;
摘要
Aim To explore the factors related to the outcome of self-injurious behaviour (SIB) in children with pervasive developmental disorders (PDD). Method Children with PDD were assessed on individual and environmental variables at time 1 and 3 years later. A questionnaire about the presence or absence of SIB was also administered at both times in order to examine the early course of SIB. Results Our findings suggest an association between a negative outcome and several aspects of the children's behaviour. Children with a negative outcome differed from the others in having greater speech impairment, more cognitive and adaptive deficits, and more severe signs of autism. When these variables were entered into a multivariate model for predicting the outcome of SIB, only speech deficits (ORa 3.5, CI 95% 1.13-13.4) and autism severity (ORa 1.1, CI 95% 1.03-1.18) were significant risk factors. Discussion The importance of these findings for improving our understanding of SIB is discussed.
引用
收藏
页码:142 / 149
页数:8
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