A New Multidimensional Inventory for Easily Evaluating the Severity of the Behavioral Disorder in Children with Autism-A Possible Correlation between Severity of Autism and Positive/Negative Affect of Their Mother

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  • Bekku Naoko
    Mental Health Nursing, Comprehensive Community Health Nursing, Graduate School of Nursing, Osaka Prefecture University
  • Yoshimura Hiroyuki
    Health Sciences Laboratory, Faculty of Nursing and Health Sciences, Graduate School of Medicine, Ehime University

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Other Title
  • 自閉症児の行動異常を容易に評価できる尺度の開発―行動異常の程度と母親の健康度および疲労度との関連性
  • ジヘイショウジ ノ コウドウ イジョウ オ ヨウイ ニ ヒョウカデキル シャクド ノ カイハツ コウドウ イジョウ ノ テイド ト ハハオヤ ノ ケンコウド オヨビ ヒロウド トノ カンレンセイ
  • ──行動異常の程度と母親の健康度および疲労度との関連性

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Abstract

The majority of mothers with a child with autism are conflicted as to whether their care actually alleviates their child's behavioral disorder. Although knowledge of the effectiveness of daily care in relation to her child will encourage activism by the mother, an appropriate evaluation method also plays an important role in the treatment of such developmental disorders. In this study, we propose a new multidimensional inventory for determining the severity of the behavioral disorder, one that does not require any specific skill. Our inventory covers the social, emotional, cognitive, stereotypical, abnormal sensory, and autism-specific behavioral dimensions (ten questions each). The mother scores the severity of each item using a five-point scale. The subjects were 162 mothers who had a child with autism. We determined the dimensional structure statistically using confirmatory factor analysis. The hypothesized six-factor model appeared to fit the data in all samples tested (RMSEA=0.066) and had good internal consistency, with an average Cronbach's alpha coefficient of 0.930. We determined a possible correlation between the severity of the behavioral disorder in the autistic child and the positive or negative affect of their mother, using the SUBI. A canonical correlation analysis revealed that there exist a significant correlation between the severity of behavioral disorder and the mental health (positive/negative affect) of mothers with an autistic child. These findings suggest that our questionnaire offers a useful tool for evaluating the efficacy of education/training at home or in school. Following up on these findings, we hope to establish a support system for children with autism and their mothers.

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