摘要
目的评估孤独症谱系障碍(ASD)儿童体育锻炼、心理健康和社交反应水平,探讨ASD儿童社交反应在体育锻炼与心理健康的中介效应。方法2019年9月至2024年4月,选取北京市海淀区、石景山区3所培智学校的211例ASD儿童为研究对象,采用一般资料调查表、体育锻炼等级量表、心理教育评定量表和社交反应量表进行调查。分析ASD儿童体育锻炼、心理健康和社交反应之间的相关性,探究社交反应在体育锻炼、心理健康间的中介效应。结果211例ASD儿童体育锻炼平均水平为(58.72±3.34)分,心理健康平均水平为(14.85±1.67)分,社交反应平均水平为(24.98±3.79)分。ASD儿童体育锻炼与心理健康呈正相关(r=0.546,P<0.05),与社交反应呈负相关(r=-0.298,P<0.05);ASD儿童心理健康与社交反应呈负相关(r=-0.397,P<0.05)。家庭平均月收入、父母关系、是否采取重复经颅磁刺激治疗、体育锻炼、社交反应均是ASD儿童心理健康的影响因素(P<0.05)。ASD儿童社交反应在体育锻炼与心理健康间有中介作用,效应占比14.56%。结论ASD儿童心理健康水平较差且影响因素较多,体育锻炼可直接影响ASD儿童心理健康,也可通过社交反应起到中介作用。
Objective To evaluate the levels of physical exercise,mental health and social response in children with autism spectrum disorder(ASD),and explore the mediating effect of social response on physical exercise and mental health.Methods From September,2019 to April,2024,211 children with ASD from three special education schools in Haidian District and Shijingshan District of Beijing were selected.They were assessed with general data questionnaire,Physical Activity Rating Scale(PARS-3),Chinese version of Psycho-Educational Profile(C-PEP)and Social Response Scale-Short Form(SRS-SF).The correlation among physical exercise,mental health and social response was analyzed.The mediating effect of social response on physical exercise and mental health was explored.Results The average physical exercise level was(58.72±3.34),the average mental health level was(14.85±1.67),and the average social response level was(24.98±3.79).Physical exercise was positively correlated with mental health(r=0.546,P<0.05)and negatively correlated with social response(r=-0.298,P<0.05).Mental health was negatively correlated with social response(r=-0.397,P<0.05).Average monthly family income,parental relationship,repeated transcranial magnetic stimulation therapy,physical exercise,social response were the influencing factors of mental health(P<0.05).Social response was intermediary between physical exercise and mental health,accounting for 14.56%.Conclusion The mental health level of children with ASD is poor,and there are many influencing factors.Physical exercise can directly affect the mental health of children with ASD,and can also play an indirect role through social response.
作者
段冠婷
肖雪
侯会生
姜芸桥
刘雨歌
时文霞
DUAN Guanting;XIAO Xue;HOU Huisheng;JIANG Yunqiao;LIU Yuge;SHI Wenxia(School of Physical Education,Minzu University of China,Beijing 100081,China;School of Physical Education and Sports,Beijing Normal University,Beijing 100091,China)
出处
《中国康复理论与实践》
北大核心
2025年第2期150-157,共8页
Chinese Journal of Rehabilitation Theory and Practice
基金
教育部全国教育科学规划青年课题(No.EBA230473)。
关键词
孤独症谱系障碍
儿童
体育锻炼
心理健康
社交反应
autism spectrum disorder
children
physical exercise
mental health
social response
