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目的 探究孤独症谱系障碍(ASD)儿童电子屏幕暴露与发育水平和社会适应能力的关联性。方法 选取2022年1—12月在浙江大学医学院附属儿童医院就诊的212例2.5～5岁ASD儿童为研究对象，由父母填写儿童的电子屏幕暴露情况和社会适应能力量表，采用Gesell量表评估ASD儿童的发育水平。结果 有62.74%(133例)的ASD儿童存在电子屏幕过度暴露，暴露电子屏幕种类最多的是电视和手机。随着电子屏幕暴露时间增加，ASD儿童的精细动作(χ2=7.555,P<0.05)和语言(χ2=7.963,P<0.05)发育商均随之下降；不同程度社会适应能力的ASD儿童电子屏幕暴露时间比较差异有统计学意义(χ2=6.442,P<0.05)。结论 电子屏幕过度暴露与ASD儿童发育水平和社会适应能力存在关联，ASD儿童的电子屏幕暴露时间应适当控制。
Abstract：Objective To explore the association between electronic screen exposure and developmental level and social adaptation ability in children with autism spectrum disorder(ASD). Methods A total of 212 children with ASD aged 2.5 to 5 years old were recruited from Children's Hospital, Zhejiang University School of Medicine from January 2022 to December 2022. The parents filled in the information table about electronic screen exposure and social adaptation ability. Gesell scale was used to assess the developmental level of each child. Results Among the children, 62.74%(133 cases) of them were overexposure to electronic screen, the most types of exposure to electronic screen were television and mobile phones. With the increase of electronic screen exposure time, the development quotients of fine motor(χ2=7.555, P<0.05) and language(χ2=7.963, P<0.05) decreased in ASD children. There were significant differences in electronic screen exposure time among ASD children with different degrees of social adaptation ability(χ2=6.442, P<0.05). Conclusion Overexposure to electronic screen is associated with the developmental level and social adaptation ability of children with ASD, and the exposure time of electronic screen should be properly controlled.
[1] Solmi M,Song M,Yon DK,et al.Incidence,prevalence,and global burden of autism spectrum disorder from 1990 to 2019 across 204 countries[J].Mol Psychiatry,2022,27(10):4172-4180.
[2] 邹小兵，静进.发育行为儿科学[M].北京：人民卫生出版社：2005:263.
[3] Maenner MJ,Warren Z,Williams AR,et al.Prevalence and characteristics of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network,11 sites,United States,2020[J].Surveill Summ,2023,72(2):1-14.
[4] 曹春红，何玉莹，郭凤宜，等.西安市城区托幼机构孤独症谱系障碍儿童现患率调查[J].中华实用儿科临床杂志，2021,36(1):50-53.
[5] 陈强，彭仰华，徐文娟，等.不同功能孤独症儿童能力发育特征研究[J].临床儿科杂志，2014,32(4):326-329.
[6] 王金微，顾丹丹，孙岩岩，等.早期介入丹佛模式治疗儿童孤独症谱系障碍的疗效分析[J].中华行为医学与脑科学杂志，2019,28(8):684-688.
[7] Sarfraz S,Shlaghya G,Narayana SH,et al.Early screen-time exposure and its association with risk of developing autism spectrum disorder:a systematic review[J].Cureus,2023,15(7):e42292.
[8] Zhao J,Yu Z,Sun X,et al.Association between screen time trajectory and early childhood development in children in China[J].JAMA Pediatr,2022,176(8):768-775.
[9] Santos RMS,Mendes CG,Marques Miranda D,et al.The association between screen time and attention in children:a systematic review[J].Dev Neuropsychol,2022,47(4):175-192.
[10] 徐明玉，任芳，沈理笑，等.屏幕暴露对0～3岁婴幼儿语言发育的影响[J].临床儿科杂志，2019,37(2):97-101.
[11] Alrahili N,Almarshad NA,Alturki RY,et al.The association between screen time exposure and autism spectrum disorder-like symptoms in children[J].Cureus,2021,13(10):e18787.
[12] Martinuzzi A,Hinkley T,Brown H,et al.Cross sectional associations of screen time and outdoor play with social skills in preschool children[J].PLoS One,2018,13(4):e0193700.
[13] Heffler KF,Frome LR,Garvin B,et al.Screen time reduction and focus on social engagement in autism spectrum disorder:a pilot study[J].Pediatr Int,2022,64(1):e15343.
[14] Council on Communications and media.Media and young minds[J].Pediatrics,2016,138(5):e20162591.
[15] 关宏岩，赵星，屈莎，等.学龄前儿童(3～6岁)运动指南[J].中国儿童保健杂志，2020,28(6):714-720.
[16] 杨玉凤.儿童发育行为心理评定量表[M].第2版.北京：人民卫生出版社，2023:80-85.
[17] Mazurek MO,Wenstrup C.Television,video game and social media use among children with ASD and typically developing siblings[J].J Autism Dev Disord,2012,43(6):1258-1271.
[18] Slobodin OHK,Davidovitch M.Screen media and autism spectrum disorder:a systematic literature review[J].J Dev Behav Pediatr,2019,40(4):303-311.
[19] Madigan S,McArthur BA,Anhorn C,et al.Associations between screen use and child language skills:a systematic review and Meta-analysis[J].JAMA Pediatr,2020,174(7):665-675.
[20] Chonchaiya W,Pruksananonda C.Television viewing associates with delayed language development[J].Acta Paediatr,2008,97(7):977-982.
[21] Lissak G.Adverse physiological and psychological effects of screen time on children and adolescents:Literature review and case study[J].Environ Res,2018,164:149-157.
基本信息:
DOI：10.19829/j.zgfybj.issn.1001-4411.2024.21.003
中图分类号:R749.94
引用信息:
[1]邵宁,姚敏,谢昕等.电子屏幕暴露与孤独症谱系障碍儿童发育水平和社会适应能力的关联研究[J].中国妇幼保健,2024,39(21):4145-4148.DOI:10.19829/j.zgfybj.issn.1001-4411.2024.21.003.
基金信息:
浙江省自然科学基金项目(LGF20H090015)