Adaptive Behavior and Autism Spectrum Disorders: Differential Analysis of Demands and Needs With Neurotypical People

Manoel Baña Castro, Luisa Losada Puente
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Abstract

The presence of adaptive behaviors in people with Autism Spectrum Disorder are usually frequent. Generally, they are confused with the same disorders but, in reality, they occur as dysfunctional communications as a result of a lack of understanding in the environments and daily realities of these people, which explains many of their demands and needs. In recent years, there has been a growing interest in the conceptualization and evaluation of adaptive behavior, as well as attention to behavioral disorders, increasingly evident in educational and experiential environments. This new situation greatly affects children with Autism Spectrum Disorders (ASD), so the educational community (and society in general) must offer responses to these needs and demands of both children ASD as well as those of their peers instead of creating warning signs and relating these difficulties to characteristics determined by the disorder itself. There are many families and education professionals who manifest their lack of training and knowledge about the needs and demands of these people, which greatly hinders their full inclusion in their education and life, generating frame works of co-existence that are difficult to accept for some and other people. Methods: A quasi-experimental study, with a retrospective cross-sectional design, is carried out by analyzing 209 subjects from Galicia (n=111 subjects with ASD and n=98 neurotypicals) to whom the ICAP Adaptive Behavior assessment test was applied between 2016 and 2021. Results: The skills of the participating subjects, evaluated through the ICAP, indicate risk factors in the regression analysis insofar as it affects the four dimensions evaluated between the two samples of people with ASD and without ASD. The identified risk factors are related to young age (OR=2.27, 95% CI=1.30-3.96) and being male (OR=2.67, 95% CI=1.41-4.68) relating them to the development of motor skills (OR=2.34, 95% CI=1.07-5.11), social and communication skills (OR=14.70, 95% CI=5.73-37.7), personal life skills (OR=3.93, 95% CI=1.73-8.92) and community living skills (OR=9.87, 95% CI=3.99-24.42). Conclusions: It is evident that disorders affect the development of adaptive behavior, it is not a matter of observing this relationship today, but it is about determining the needs and demands for support, being rigorous and making the right decisions for its development in the best way Possible. In this study, the impact on the development of communication and social skills of this disorder
适应行为和自闭症谱系障碍:与神经正常的人的需求和需要的差异分析
适应行为在自闭症谱系障碍患者中经常出现。一般来说,他们与同样的障碍相混淆,但在现实中,由于对这些人的环境和日常现实缺乏了解,他们表现为沟通障碍,这解释了他们的许多要求和需要。近年来,人们对适应性行为的概念化和评估越来越感兴趣,对行为障碍的关注也越来越多,这在教育和体验环境中越来越明显。这种新情况极大地影响了自闭症谱系障碍(ASD)儿童,因此教育界(以及整个社会)必须对ASD儿童及其同龄人的这些需求和要求做出反应,而不是制造警告信号,并将这些困难与自闭症本身决定的特征联系起来。有许多家庭和教育专业人员表现出缺乏对这些人的需要和要求的培训和知识,这极大地阻碍了他们充分融入他们的教育和生活,产生了一些人和其他人难以接受的共存框架。方法:采用准实验研究方法,采用回顾性横断面设计,对2016 - 2021年加利西亚地区209名接受ICAP适应行为评估测试的受试者(n=111名ASD患者和n=98名神经型患者)进行分析。结果:通过ICAP评估的参与受试者的技能在回归分析中表明了危险因素,因为它影响了自闭症患者和非自闭症患者两个样本之间评估的四个维度。确定的危险因素与年轻(OR=2.27, 95% CI=1.30-3.96)和男性(OR=2.67, 95% CI=1.41-4.68)有关,与运动技能(OR=2.34, 95% CI=1.07-5.11)、社交和沟通技能(OR=14.70, 95% CI=5.73-37.7)、个人生活技能(OR=3.93, 95% CI=1.73-8.92)和社区生活技能(OR=9.87, 95% CI=3.99-24.42)的发展有关。结论:很明显,障碍会影响适应性行为的发展,这不是今天观察这种关系的问题,而是关于确定支持的需求和要求,严格并以最好的方式做出正确的决定。在本研究中,这种障碍对沟通和社交技能发展的影响
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