Volume 43 Issue 8
Aug.  2022
Turn off MathJax
Article Contents
GUO Feng, WANG Xiaoyan, YIN Gangzhu, SUN Yu. Relationships between maternal adverse childhood experiences and autistic behaviors in preschool children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1143-1147. doi: 10.16835/j.cnki.1000-9817.2022.08.006
Citation: GUO Feng, WANG Xiaoyan, YIN Gangzhu, SUN Yu. Relationships between maternal adverse childhood experiences and autistic behaviors in preschool children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1143-1147. doi: 10.16835/j.cnki.1000-9817.2022.08.006

Relationships between maternal adverse childhood experiences and autistic behaviors in preschool children

doi: 10.16835/j.cnki.1000-9817.2022.08.006
  • Received Date: 2022-05-07
  • Rev Recd Date: 2022-06-22
  • Available Online: 2022-08-24
  • Publish Date: 2022-08-25
  •   Objective  To explore the prevalence of maternal adverse childhood experiences (ACEs) and the association with autistic behavior of preschool children, to provide a basis for the effective prevention of autism occurrence in preschool children.  Methods  Through stratified cluster sampling, 3 655 preschool children in Hefei City were selected and surveyed regarding general information. Maternal ACEs and childhood autistic behaviors were assessed using the Adverse Childhood Experiences International Questionnaire and the Clancy Autism Behaviour Scale, respectively. Multiple Logistic regression model was used to analyze the correlation between maternal ACEs and child autistic behaviors.  Results  The prevalence of autistic behavior was 6.10%, with significantly higher in boys (7.22%) than girls(4.86%)(χ2=8.85, P < 0.01). After adjustment for the confounding factors, the detection rate of autistic behaviors was higher in children of mother with ACEs than those of mother without(OR=2.77, 95%CI=1.92-3.99, P < 0.05). Maternal ACEs were associated with an increased risk of autistic behaviors both in preschool boys and girls (boys: OR=2.90, 95%CI=1.81-4.64; girls: OR=2.56, 95%CI=1.43-4.61, all P < 0.05).  Conclusion  Maternal ACEs are associated with increased risk of autistic behaviors among preschool children. More attention should be paid to the intergenerational effects of maternal ACEs to reduce risk of autism among preschool children.
  • loading
  • [1]
    HUA R, WEI M, ZHANG C. The complex genetics in autism spectrum disorders[J]. Sci China Life Sci, 2015, 58(10): 933-945. doi: 10.1007/s11427-015-4893-5
    [2]
    刘贤, 林穗方, 陈文雄, 等. 中国儿童孤独症谱系障碍患病率Meta分析[J]. 中国儿童保健杂志, 2018, 26(4): 402-406, 429. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201804017.htm

    LIU X, LIN S F, CHEN W X, et al. Prevalence of autism spectrum disorders among children in China: a systematic review and Meta-analysis[J]. Chin J Child Health Care, 2018, 26(4): 402-406, 429. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201804017.htm
    [3]
    郝金奇, 付慧渊, 杨文瀚, 等. 内蒙古中东部蒙古族儿童孤独症流行现状及影响因素分析[J]. 中国学校卫生, 2021, 42(7): 1024-1028. doi: 10.16835/j.cnki.1000-9817.2021.07.015

    HAO J Q, FU H Y, YANG W H, et al. Analysis of epidemic status and influencing factors of Mongolian children with autism in central and eastern Inner Mongolia[J]. Chin J Sch Health, 2021, 42(7): 1024-1028. doi: 10.16835/j.cnki.1000-9817.2021.07.015
    [4]
    KATIE A P, DAWN M H, ANGIE S G, et al. Adverse childhood experiences and the presence of cancer risk factors in adulthood: a scoping review of the literature from 2005 to 2015[J]. J Pediatr Nurs, 2019, 44: 81-96. doi: 10.1016/j.pedn.2018.10.009
    [5]
    FRANZ D J, GRIFFIN A M, SALDANA L, et al. A longitudinal examination of service utilization and trauma symptoms among young women with prior foster care and juvenile justice system involvement[J]. Child Welfare, 2019, 97(5/6): 199-215.
    [6]
    BELLIS M A, HARDCASTLE K, FORD K, et al. Does continuous trusted adult support in childhood impart life-course resilience against adverse childhood experiences-a retrospective study on adult health-harming behaviours and mental well-being[J]. BMC Psychiatry, 2017, 17(1): 110. doi: 10.1186/s12888-017-1260-z
    [7]
    CONDON E M, HOLLAND M L, SLADE A, et al. Maternal adverse childhood experiences, family strengths, and chronic stress in children[J]. Nurs Res, 2019, 68(3): 189-199. doi: 10.1097/NNR.0000000000000349
    [8]
    LETOURNEAU N, DEWEY D, KAPLAN B J, et al. Intergenerational transmission of adverse childhood experiences via maternal depression and anxiety and moderation by child sex[J]. J Dev Orig Health Dis, 2019, 10(1): 88-99. doi: 10.1017/S2040174418000648
    [9]
    WHO. Adverse Childhood Experiences International Questionnaire(ACE-IQ)[EB/OL]. (2019-06-13)[2022-05-05]. http://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/en/.
    [10]
    SUN X, ALLISON C, AUYEUNG B, et al. Comparison between a mandarin Chinese version of the childhood autism spectrum test and the Clancy Autism Behaviour Scale in mainland China[J]. Res Dev Disabil, 2014, 35(7): 1599-1608. doi: 10.1016/j.ridd.2014.02.005
    [11]
    庄晓伟, 陈玉明. 儿童孤独症早期筛查工具概述[J]. 中国全科医学, 2016, 19(S1): 350-353. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX2016S1138.htm

    ZHUANG X W, CHEN Y M. Screening tool for children with autism[J]. Chin Gen Pract, 2016, 19(S1): 350-353. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX2016S1138.htm
    [12]
    吴剑波, 尹晓娜, 吴传安, 等. 儿童婴幼儿期视屏接触时间与孤独症样行为的关联[J]. 中国学校卫生, 2020, 41(1): 21-24. doi: 10.16835/j.cnki.1000-9817.2020.01.006

    WU J B, YIN X N, WU C A, et al. Association between screen time and autistic behavior in infants and toddlers[J]. Chin J Sch Health, 2020, 41(1): 21-24. doi: 10.16835/j.cnki.1000-9817.2020.01.006
    [13]
    陈欣, 刘海霞, 玄坤, 等. 农村学龄前儿童留守状况、视屏时间与自闭症行为的关系[J]. 中华行为医学与脑科学杂志, 2021, 30(6): 546-553. doi: 10.3760/cma.j.cn371468-20201209-00055

    CHEN X, LIU H X, XUAN K, et al. The relationship between left-behind status, screen time and behavior of autism in preschool children of rural area[J]. Chin J Behav Med Brain Sci, 2021, 30(6): 546-553. doi: 10.3760/cma.j.cn371468-20201209-00055
    [14]
    刘宏彦, 梁颖, 冷俊宏, 等. 婴幼儿孤独症筛查量表(CHAT-23)探索性因子分析及应用[J]. 中国公共卫生, 2020, 36(3): 419-423. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202003038.htm

    LIU H Y, LIANG Y, LENG J H, et al. Analysis on the Checklist for Autism in Toddler: common factor and application in autism screening among small children[J]. Chin J Public Health, 2020, 36(3): 419-423. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202003038.htm
    [15]
    LOOMES R, HULL L, MANDY W P L. What is the male-to-female ratio in autism spectrum disorder?A systematic review and Meta-analysis[J]. J Am Acad Child Adolesc Psychiatry, 2017, 56(6): 466-474. doi: 10.1016/j.jaac.2017.03.013
    [16]
    MONTES G. Having older siblings is associated with lower rates of depression, ADD/ADHD, anxiety and behavior problems among children with ASD[J]. Matern Child Health J, 2018, 22(5): 642-647. doi: 10.1007/s10995-018-2459-4
    [17]
    ANGELIDOU A, ASADI S, ALYSANDRATOS K D, et al. Perinatal stress, brain inflammation and risk of autism-review and proposal[J]. BMC Pediatr, 2012, 12: 89. doi: 10.1186/1471-2431-12-89
    [18]
    IDRING S, MAGNUSSON C, LUNDBERG M, et al. Parental age and the risk of autism spectrum disorders: findings from a Swedish population-based cohort[J]. Int J Epidemiol, 2014, 43(1): 107-115. doi: 10.1093/ije/dyt262
    [19]
    AL-MAMARI W, IDRIS A B, AL-ZADJALI A A, et al. Parental age and the risk of autism spectrum disorder in Oman: a case-control study[J]. Sultan Qaboos Univ Med J, 2021, 21(3): 465-471. doi: 10.18295/squmj.4.2021.024
    [20]
    CHEN J Y, STRODL E, HUANG L H, et al. Early Electronic screen exposure and autistic-like behaviors among preschoolers: the mediating role of caregiver-child interaction, sleep duration and outdoor activities[J]. Children(Basel), 2020, 7(11): 200.
    [21]
    VEATCH O J, SUTCLIFFE J S, WARREN Z E, et al. Shorter sleep duration is associated with social impairment and comorbidities in ASD[J]. Autism Res, 2017, 10(7): 1221-1238. doi: 10.1002/aur.1765
    [22]
    ZAREI K, XU G, ZIMMERMAN B, et al. Adverse childhood experiences predict common neurodevelopmental and behavioral health conditions among U.S. children[J]. Children(Basel), 2021, 8(9): 761.
    [23]
    ROTH M, NEUNER F, ELBERT T. Transgenerational consequences of PTSD: risk factors for the mental health of children whose mothers have been exposed to the Rwandan genocide[J]. Int J Ment Health Syst, 2014, 8(1): 12. doi: 10.1186/1752-4458-8-12
    [24]
    PARRA A. Negative experiences in childhood, parental style, and resilience among people reporting paranormal experiences[J]. J Nerv Ment Dis, 2019, 207(4): 264-270. doi: 10.1097/NMD.0000000000000955
    [25]
    LANGE B C L, CALLINAN L S, SMITH M V. Adverse childhood experiences and their relation to parenting stress and parenting practices[J]. Commun Ment Health J, 2019, 55(4): 651-662. doi: 10.1007/s10597-018-0331-z
    [26]
    HAMPTON S, ALLISON C, AYDIN E, et al. Autistic mothers' perinatal well-being and parenting styles[J]. Autism, 2022. DOI: 10.1177/13623613211065544.
    [27]
    GREENLEE J L, PIRO-GAMBETTI B, PUTNEY J, et al. Marital satisfaction, parenting styles, and child outcomes in families of autistic children[J]. Fam Process, 2022, 61(2): 941-961. doi: 10.1111/famp.12708
    [28]
    WANG X, YIN G, GUO F, et al. Associations of maternal adverse childhood experiences with behavioral problems in preschool children[J]. J Interpers Viol, 2021. DOI: 10.1177/08862605211050093.
    [29]
    汪小燕, 殷刚柱, 邵子瑜, 等. 母亲童年期不良经历与学龄前儿童睡眠质量的关联[J]. 中华疾病控制杂志, 2021, 25(5): 594-599. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202105018.htm

    WANG X Y, YIN G Z, SHAO Z Y, et al. The role of maternal adverse childhood experiences on the sleep quality of preschool children[J]. Chin J Dis Control Prev, 2021, 25(5): 594-599. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202105018.htm
    [30]
    马居飞, 匡桂芳, 曲烨, 等. 孤独症谱系障碍儿童父母性格特征和家庭环境的病例对照研究[J]. 中国学校卫生, 2015, 36(6): 861-863. http://www.cjsh.org.cn/article/id/zgxxws201506018

    MA J F, KUANG G F, QU Y, et al. Case-control study of parents' personality in children with autism spectrum disorder and family environment characteristics[J]. Chin J Sch Health, 2015, 36(6): 861-863. http://www.cjsh.org.cn/article/id/zgxxws201506018
    [31]
    XIAO J, GAO Y, YU Y, et al. Associations of parental birth characteristics with autism spectrum disorder (ASD) risk in their offspring: a population-based multigenerational cohort study in Denmark[J]. Int J Epidemiol, 2021, 50(2): 485-495. doi: 10.1093/ije/dyaa246
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (509) PDF downloads(45) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return