Risk factors for developmental quotients in ASD children: A cross-sectional study

ObjectiveTo analyze the risk factors for developmental quotients (DQs) of children with autism spectrum disorder (ASD) and to better understand the effects of screen time on neurodevelopment in children with ASD.MethodsWe retrospectively analyzed the data of 382 children with ASD, including demograp...

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Main Authors: Han-Yu Dong, Chun-Yue Miao, Yu Zhang, Ling Shan, Jun-Yan Feng, Fei-Yong Jia, Lin Du
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1126622/full
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author Han-Yu Dong
Chun-Yue Miao
Yu Zhang
Ling Shan
Jun-Yan Feng
Fei-Yong Jia
Lin Du
author_facet Han-Yu Dong
Chun-Yue Miao
Yu Zhang
Ling Shan
Jun-Yan Feng
Fei-Yong Jia
Lin Du
author_sort Han-Yu Dong
collection DOAJ
description ObjectiveTo analyze the risk factors for developmental quotients (DQs) of children with autism spectrum disorder (ASD) and to better understand the effects of screen time on neurodevelopment in children with ASD.MethodsWe retrospectively analyzed the data of 382 children with ASD, including demographic profiles; socioeconomic status; score on the Chinese parent–child interaction scale (CPCIS); screen time questionnaire; ASD symptom rating scales, including the Autism Behavior Checklist (ABC), Childhood Autism Rating Scale (CARS), and Autism Diagnostic Observation Schedule Second Edition (ADOS-2); and DQs using Griffiths Development Scales–Chinese Edition. Univariate analysis was carried out to analyze the factors related to the DQs of children with ASD, and then the linear regression model was used to identify the independent influencing factors of the DQs of children with ASD.ResultsVitamin D (β = 0.180, p = 0.002), age (β = −0.283, p = 0.000) and CARS score (β = −0.347, p = 0.000) are risk factors related to DQ of locomotor in children with ASD. Vitamin D (β = 0.108, p = 0.034), CARS score (β =  −0.503, p = 0.000), ADOS-2 severity score (β =  −0.109, p = 0.045) and CPCIS score (β = 0.198, p = 0.000) are risk factors related to DQ of personal social skill in children with ASD. Vitamin D (β = 0.130, p = 0.018), CARS score (β =  −0.469, p = 0.000), and CPCIS score (β = 0.133, p = 0.022) are risk factors related to DQ of hearing-speech in children with ASD. Vitamin D (β = 0.163, p = 0.003) and CARS score (β =  −0.471, p = 0.000) are risk factors related to DQ of eye-hand coordination in children with ASD. Age (β =  −0.140, p = 0.020), CARS score (β =  −0.342, p = 0.000), ADOS-2 severity score (β = −0.133, p = 0.034) and CPCIS score (β = 0.193, p = 0.002) are risk factors related to DQ of performance in children with ASD. Vitamin D (β = 0.801, p = 0.000) and CPCIS score (β = 0.394, p = 0.019) are risk factors related to DQ of practical reasoning in children with ASD.ConclusionVitamin D status, the severity of autistic symptoms and parent-child interaction are risk factors for developmental quotients in children with ASD. Screen exposure time is negatively associated with DQs in children with ASD but is not an independent risk factor for DQs.
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spelling doaj.art-00271e6e9e984fcd8e5aaa99f004a4172023-03-13T05:37:03ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-03-011410.3389/fpsyg.2023.11266221126622Risk factors for developmental quotients in ASD children: A cross-sectional studyHan-Yu DongChun-Yue MiaoYu ZhangLing ShanJun-Yan FengFei-Yong JiaLin DuObjectiveTo analyze the risk factors for developmental quotients (DQs) of children with autism spectrum disorder (ASD) and to better understand the effects of screen time on neurodevelopment in children with ASD.MethodsWe retrospectively analyzed the data of 382 children with ASD, including demographic profiles; socioeconomic status; score on the Chinese parent–child interaction scale (CPCIS); screen time questionnaire; ASD symptom rating scales, including the Autism Behavior Checklist (ABC), Childhood Autism Rating Scale (CARS), and Autism Diagnostic Observation Schedule Second Edition (ADOS-2); and DQs using Griffiths Development Scales–Chinese Edition. Univariate analysis was carried out to analyze the factors related to the DQs of children with ASD, and then the linear regression model was used to identify the independent influencing factors of the DQs of children with ASD.ResultsVitamin D (β = 0.180, p = 0.002), age (β = −0.283, p = 0.000) and CARS score (β = −0.347, p = 0.000) are risk factors related to DQ of locomotor in children with ASD. Vitamin D (β = 0.108, p = 0.034), CARS score (β =  −0.503, p = 0.000), ADOS-2 severity score (β =  −0.109, p = 0.045) and CPCIS score (β = 0.198, p = 0.000) are risk factors related to DQ of personal social skill in children with ASD. Vitamin D (β = 0.130, p = 0.018), CARS score (β =  −0.469, p = 0.000), and CPCIS score (β = 0.133, p = 0.022) are risk factors related to DQ of hearing-speech in children with ASD. Vitamin D (β = 0.163, p = 0.003) and CARS score (β =  −0.471, p = 0.000) are risk factors related to DQ of eye-hand coordination in children with ASD. Age (β =  −0.140, p = 0.020), CARS score (β =  −0.342, p = 0.000), ADOS-2 severity score (β = −0.133, p = 0.034) and CPCIS score (β = 0.193, p = 0.002) are risk factors related to DQ of performance in children with ASD. Vitamin D (β = 0.801, p = 0.000) and CPCIS score (β = 0.394, p = 0.019) are risk factors related to DQ of practical reasoning in children with ASD.ConclusionVitamin D status, the severity of autistic symptoms and parent-child interaction are risk factors for developmental quotients in children with ASD. Screen exposure time is negatively associated with DQs in children with ASD but is not an independent risk factor for DQs.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1126622/fullenvironmental factorsneurodevelopmental disordersedentary behaviorscreen time25-hydroxyvitamin D
spellingShingle Han-Yu Dong
Chun-Yue Miao
Yu Zhang
Ling Shan
Jun-Yan Feng
Fei-Yong Jia
Lin Du
Risk factors for developmental quotients in ASD children: A cross-sectional study
Frontiers in Psychology
environmental factors
neurodevelopmental disorder
sedentary behavior
screen time
25-hydroxyvitamin D
title Risk factors for developmental quotients in ASD children: A cross-sectional study
title_full Risk factors for developmental quotients in ASD children: A cross-sectional study
title_fullStr Risk factors for developmental quotients in ASD children: A cross-sectional study
title_full_unstemmed Risk factors for developmental quotients in ASD children: A cross-sectional study
title_short Risk factors for developmental quotients in ASD children: A cross-sectional study
title_sort risk factors for developmental quotients in asd children a cross sectional study
topic environmental factors
neurodevelopmental disorder
sedentary behavior
screen time
25-hydroxyvitamin D
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1126622/full
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