Correlation between parental emotional symptoms and preschool children's autistic behavior problems
WANG Xiaoyan1, YIN Gangzhu1, GUO Feng1, SUN Yu1, WAN Yuhui2, SHAO Ziyu1
1. Hefei Women and Children Medical Care Center, Hefei, Anhui 230001, China; 2. School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China
Abstract：Objective To analyze the association between parental emotional symptoms and preschoolers' autistic behavior problems, and to provide a basis for prevention and control of autistic behavior problems in children. Methods A stratified cluster sampling method was used to select 3,575 children from 12 kindergartens in Hefei City from October 2021 to January 2022. Their parents were asked to fill in the21-ItemDepression, Anxiety and Stress Scale respectively, and their mothers were asked to complete the questionnaire about family general situation and Clancy Autism Behavior Scale. A multivariate logistic regression model was established to analyze the correlation between parental emotional symptoms and preschool children's autistic behavior problems. We explored whether there was an association between parental emotional symptoms and autism behavior problems in the preschoolers. Results The detection rate of autistic behavior problems in the preschool children was 6.13%, and the detection rate was higher in boys than in girls (7.57% vs. 4.53%, χ2=14.366, P<0.001). Logistic regression analysis demonstrated that compared with the reference of fathers and mothers without anxiety, fathers with anxiety and mothers without anxiety (OR=1.817, 95%CI:1.053-3.135), fathers without anxiety and mothers with anxiety (OR=4.834, 95%CI:3.519-6.641) and fathers and mothers with anxiety (OR=6.740, 95%CI:3.902-11.640) were associated with increased risks of suffering from autism behavior problems in the preschool children (all P<0.05). Logistic regression analysis revealed that compared with the reference of fathers and mothers without depression, fathers without depression and mothers with depression (OR=5.148, 95%CI:3.690-7.181) and fathers andmothers with depression (OR=9.070, 95%CI:4.413-18.641) were related to increased risks of suffering from autism behavior problems in the preschool children (both P<0.001). Logistic regression analysis displayed that compared with thereference offathers and mothers without stress, fathers without stress and mothers with stress (OR=4.644, 95%CI:3.131-6.886) and fathers and mothers with stress (OR=8.450, 95%CI:2.827-25.262) were correlated with increased risks of suffering from autism behavior problems in the preschool children (both P<0.001). Conclusion Parents with negative emotional symptoms are associated with increased risks of autism behavior problems in the preschool children, and special attention should be paid to preschoolers with mothers or both parents having negative emotional symptoms.
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2024, Vol. 31 
