自闭症青少年的情绪和同伴问题:青春期、学校适应和欺凌的作用

IF 3.1
JCPP advances Pub Date : 2025-01-25 DOI:10.1002/jcv2.12305
Erin O. Dawe-Lane, Rob Saunders, Eirini Flouri, William P. L. Mandy
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引用次数: 0

摘要

青少年自闭症患者的情绪和同伴问题倾向于增加。然而,内源性因素(如青春期成熟)和外源性因素(如学校适应、欺凌)在多大程度上影响了自闭症青少年的情感和同伴问题轨迹尚不清楚。方法使用来自千禧年队列研究(MCS)的数据,我们拟合了潜在增长曲线,以模拟青春期情绪和同伴问题的初始水平和增长。我们使用广义结构方程模型分别对男性(n = 780)和女性(n = 172)的自闭症和非自闭症青少年的情绪和同伴问题的初始水平和发展进行了研究,研究对象包括青春期成熟、学校适应、欺凌和自闭症诊断时间(无、早[<;8年]或晚[≥8年])。结果在女性中,诊断时间与(a)学校适应和(b)欺凌之间存在显著的相互作用。在诊断为自闭症较晚的女性中,较低的学校适应能力和较强的欺凌行为与青春期情绪问题的严重增长有关。此外,在早期诊断的女性中,较低的学校适应与较高的同伴问题初始水平相关。在男性中,较晚的青春期成熟与青春期情绪和同伴问题的增长有关,与自闭症诊断无关。在早期诊断为自闭症的男性中,更严重的欺凌行为与青春期情绪问题的严重增长有关。结论学校适应和欺凌与自闭症青少年情绪和同伴问题的增加有关,但其相对作用因自闭症诊断时间和性别而异。总的来说,本研究支持早期识别和干预青少年自闭症患者在青春期经历学校适应不良和欺凌的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Emotion and peer problems in autistic adolescents: The role of puberty, school adjustment and bullying

Emotion and peer problems in autistic adolescents: The role of puberty, school adjustment and bullying

Emotion and peer problems in autistic adolescents: The role of puberty, school adjustment and bullying

Emotion and peer problems in autistic adolescents: The role of puberty, school adjustment and bullying

Background

Emotion and peer problems tend to increase in autistic young people during adolescence. However, the extent to which endogenous (e.g., pubertal maturation) and exogenous (e.g., school adjustment, bullying) factors contribute to trajectories of emotion and peer problems in autistic young people is unclear.

Methods

Using data from the Millennium Cohort Study (MCS), we fitted latent growth curves to model initial levels and growth in emotion and peer problems during adolescence. We used generalised structural equation models to investigate whether pubertal maturation, school adjustment, bullying, and timing of autism diagnosis (none, early [<8 years] or late [≥8 years]) predict initial levels and growth of emotion and peer problems in autistic and non-autistic young people, separately for males (n = 780) and females (n = 172).

Results

In females, there were significant interactions between timing of diagnosis and (a) school adjustment and (b) bullying. In females with a late diagnosis of autism, lower school adjustment and greater bullying were associated with greater growth of emotion problems during adolescence. Furthermore, in females with an early diagnosis, lower school adjustment was associated with greater initial levels of peer problems. In males, later pubertal maturation was associated with greater growth of emotion and peer problems during adolescence, irrespective of autism diagnosis. In males with an early diagnosis of autism, greater bullying was associated with greater growth of emotion problems during adolescence.

Conclusion

School adjustment and bullying were associated with increasing emotion and peer problems in autistic adolescents, but their relative contribution varied according to timing of autism diagnosis and sex. Overall, this study supports the need for early identification and intervention for young autistic people experiencing poor school adjustment and bullying during adolescence.

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