Diferenças no Comportamento Adaptativo entre Crianças e Adolescentes com Transtorno do Espectro Autista e com Desenvolvimento Típico e Efeitos de Características Sociodemográficas
Conteúdo do artigo principal
Resumo
Comportamento adaptativo (CA) são habilidades que oferecem autonomia ao indivíduo e podem sofrer efeitos de diferentes diagnósticos, incluindo o Transtorno do Espectro Autista (TEA). O objetivo deste estudo foi investigar diferenças do CA entre crianças e adolescentes de 4 a 21 anos diagnosticadas com TEA, TEA e outras condições de saúde, e indivíduos com desenvolvimento típico, e verificar efeitos de variáveis sociodemográficas sobre os desfechos do CA em indivíduos com TEA. A amostra foi composta por cuidadores de 309 crianças e adolescentes de 4 a 21 anos dividida em grupo não clínico (n = 181) e dois subgrupos clínicos, sendo um de TEA (n = 47) e outro de TEA com comorbidades (n = 81). ANOVAs e Testes-T foram conduzidos, seguidos do processo de bootstrap para garantir a normalidade e homogeneidade dos resultados. Déficits expressivos foram identificados em indivíduos com diagnóstico de TEA nos três domínios do CA. Ao comparar os subgrupos clínicos, o domínio prático apresentou diferença significativa. Observou-se efeito da escolaridade do respondente e do tipo de escola da criança e do adolescente no domínio conceitual. Já o sexo apresentou efeito somente no domínio prático. Conclui-se que há diferença no comportamento adaptativo de indivíduos com TEA nos três domínios, assim como efeitos de características sociodemográficas. No entanto, novas investigações devem ser conduzidas para contemplar outras variáveis que possam influenciar os achados, oferecendo maior confiabilidade aos resultados.
Downloads
Detalhes do artigo
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos publicados na Revista Psicologia: Teoria e Prática pertencem aos autores, que concedem à Universidade Presbiteriana Mackenzie os direitos não exclusivos de publicação do conteúdo.
Referências
American Educational Research Association, American Psychological Association, & National Council on Measurement in Education (eds.). (2014). Standards for educational and psychological testing. American Educational Research Association.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed. text revised). https://doi.org/10.1176/appi.books.9780890425787
Badia, M., Pérez, B., Orgaz, B. M., & Gómez-Vela, M. (2023). Leisure education in youth with developmental disabilities: Effects on individual quality of life, adaptive behavior, and family quality of life. Journal of Intellectual Disabilities, 0(0). https://doi.org/10.1177/17446295231168442
Balboni, G., Tassé, M. J., Schalock, R. L., Borthwick-Duffy, S. A., Spreat, S., Thissen, D., Widaman, K. F., Zhang, D., & Navas, P. (2014) The diagnostic adaptive behavior scale: evaluating its diagnostic sensitivity and specificity. Research in Developmental Disabilities, 35(11), 2884-2893. https://doi.org/10.1016/j.ridd.2014.07.032
Bradshaw, J., Gillespie, S., Klaiman, C., Klin, A., Saulnier, C. (2019). Early emergence of discrepancy in adaptive behavior and cognitive skills in toddlers with autism spectrum disorder. Autism, 23(6), 1485-1496. https://doi.org/10.1177/1362361318815662
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
de Giambattista, C., Ventura, P., Trerotoli, P., Margari, F., Margari, L. (2021). Sex
Differences in Autism Spectrum Disorder: Focus on High Functioning Children and Adolescents. Frontiers in Psychology, 12, 1-13. https://doi.org/10.3389/fpsyt.2021.539835
Field, A. (2018). Discovering Statistics Using SPSS (5th Ed.), SAGE: London.
Golya, N., & McIntyre, L. L. (2018). Variability in adaptive behavior in young children with autism spectrum disorder. Journal of Intellectual and Developmental Disability, 43(1), 102-111. https://doi.org/10.3109/13668250.2017.1287886
Gonçalves, H. A., Viapiana, V. F., Abreu, E. S., Sartori, M. S., & Fonseca, R. P. (2019). Desempenho escolar e desenvolvimento cognitivo e linguístico. In L. M. Stein, C. H. Giacomoni, & R. P. Fonseca (Coords.), TDE II: Livro de Instruções (1º ed., pp. 19-26). Vetor Editora.
Hallberg, S. C. M. (2019). Adaptação transcultural para o português brasileiro, evidência de validade e estimativa de fidedignidade da Diagnostic Adaptive Behavior Scale (DABS) (Tese de doutorado não publicada). Universidade Federal do Rio Grande do Sul.
Hallberg, S. C. M., & Bandeira, D. R. (2021). Para Além do QI: Avaliação do Comportamento Adaptativo na Deficiência Intelectual. Avaliação Psicológica, 20(3), 361-368. http://dx.doi.org/10.15689/ap.2021.2003.19733.10
Haukoos, J. S., & Lewis, R. J. (2005). Advanced statistics: Bootstrapping confidence intervals for statistics with "difficult" distributions. Academic Emergency Medicine, 12, 360-365.
Ibrahim, N., El-abdeen, A. M. Z., Ng, F., Zoromba, M., & Haikal, A. (2020). Socio-economic and demographic factors associated with adaptive behaviour among children diagnosed with autism spectrum disorder in Egypt. Middle East Current Psychiatry, 27(38), 1-5. https://doi.org/10.1186/s43045-020-00047-8
Ilan, M., Faroy, M., Zachor, D., Manelis, L., Waissengreen, D., Michaelovski, A., Avni, I., Menashe, I., Koller, J., Dinstein, I., & Meiri, G. (2023). Children with autism exhibit similar longitudinal changes in core symptoms when placed in special or mainstream education settings. Autism, 0(0). https://doi.org/10.1177/13623613221142394
Jordan, A. K., Thomeer, M. L., Lopata, C., Donnelly, J.P., Rodgers, J.D., & McDonald, C.A. (2019). Informant Discrepancies in the Assessment of Adaptive Behavior of Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 49(5), 2024-2034. https://doi.org/10.1007/s10803-018-03876-z
Kanne, S. M., Gerber, A.J., Quirmbach, L.M., Sparrow, S.S., Cicchetti, D.V., & Saulnier, C.A. (2011). The role of adaptive behavior in autism spectrum disorders: implications for functional outcome. Journal of Autism and Developmental Disorders, 41(8), 1007-1018. https://doi.org/10.1007/s10803-010-1126-4
Kodak, T., & Bergmann, S. (2020). Autism Spectrum Disorder: Characteristics, Associated Behaviors, and Early Intervention. Pediatric Clinics of North America, 67(3), 525-535. https://doi.org/10.1016/j.pcl.2020.02.00
Lai, M. C., Lombardo, M. V., Auyeung, B., Chakrabarti, B., & Baron-Cohen, S. (2015) Sex/gender differences and autism: setting the scene for future research. Journal of the American Academy of Child & Adolescent Psychiatry, 54(1), 11-24. https://doi.org/10.1016/j.jaac.2014.10.003
Lopata, C., Fox, J. D., Thomeer, M. L., Smith, R. S., Volker, M. A., Kessel, C. K., McDonald, C. A., & Lee, G. K. (2012) ABAS-II Ratings and Correlates of Adaptive Behavior in Children with HFASDs. Journal of Developmental and Physical Disabilities, 24, 391–402. https://doi.org/10.1007/s10882-012-9277-1
Lopata, C., Smith, R. A., Volker, M. A., Thomeer ,M. L., Lee, G. K., & McDonald, C. A. (2013). Comparison of Adaptive Behavior Measures for Children with HFASDs. Autism Research and Treatment, 1-10. https://doi.org/10.1155/2013/415989
Maenner, M. J., Shaw, K. A., Bakian, A. V., Bilder, D. A., Durkin, S. M., Esler, A., Furnier, S. M., Hallas, L., Hall-Lande, J., Hudson, A., Hughes, M. M., Patrick, M., Pierce, K., Poynter, J. N., Salinas, A., Shenouda, J., Vehorn, A., Warren, Z.,... & Cogswell, M. E. (2021). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network. Morbidity and Mortality Weekly Report Surveill Summ 2021; 70(11), 1–16. http://dx.doi.org/10.15585/mmwr.ss7011a1
Mahendiran, T., Dupuis, A., Crosbie, J., Georgiades, S., Kelley, E., Liu, X., Nicolson, R., Schachar, R., Anagnostou, E., Brian, J. (2019). Sex Differences in Social Adaptive Function in Autism Spectrum Disorder and Attention-Deficit Hyperactivity Disorder. Frontiers in Psychology, 10, 1-12. https://doi.org/10.3389/fpsyt.2019.00607
Martínez, M. Y., Rueda, C. S. & Pérez, M. J. D. (2022). Teachers of learners with ASD in mainstream schools and classrooms in Spain: attitudes towards inclusive education. British Journal of Special Education, 50(1), 104-126. https://doi.org/10.1111/1467-8578.12448
McDonald, C. A., Lopata, C., Nasca, B. C. Donnelly, J. P., Thomeer, M. L., & Rodgers, J. D. (2016). ABAS-II Adaptive Profiles and Correlates in Samples of Children with HFASD or LFASD. Journal of Developmental and Physical Disabilities, 28, 769–783. https://doi.org/10.1007/s10882-016-9508-y
Mecca, T. P., Dias, N. M., Reppold, C. T., Muniz, M., Gomes, C. M. A., Fioravanti-Bastos, A. C. M., Yates, D. B., Carreiro, L. R. R., & Macedo, E. C. (2015). Funcionamento Adaptativo: Panorama Nacional e Avaliação com o Adaptive Behavior Assessment System. Revista Psicologia: Teoria E Prática, 17(2), 107–122. https://doi.org/10.15348/1980-6906/psicologia.v17n2p107-122
Mecca, T. P., Tafla, T. L., Bueno, F. M. B., Valentini, F., Bassetto, S. A., & Teixeira, M. C. T. V. (2022). Transcultural adaptation of the Adaptive Behavior Assessment System (ABAS-3). International Journal of Developmental Disabilities, 0(0), 1-12. https://doi.org/10.1080/20473869.2022.2137953
Mehling, M. H., & Tassé, M. J. (2016). Severity of Autism Spectrum Disorders: Current Conceptualization, and Transition to DSM-5. Journal of Autism and Developmental Disorders, 46(6), 2000-2016. https://doi.org/10.1176/appi.books.9780890425787
Miniarikova, E., Audras-Torrent, L., Berard, M., Peries, M., Picot, M. C., Munir, K., & Baghdadli, A. (2023). Adaptive behaviors and related factors in children and adolescents with autism spectrum disorder: Journal of Psychiatric Research, 163, 43-54. https://doi.org/10.1016/j.jpsychires.2023.05.013
Nishimura, T., Takahashi, N., Okumura, A., Harada, T., Iwabuchi, T., Nakayasu, C., Rahman, M. S., Uchiyama, S., Wakuta, M., Nomura, Y., Takei, N., Senju, A., Tsuchiya, K. J. (2023). Sex differences in neurodevelopmental trajectories in children with different levels of autistic traits. Psychiatry and Clinical Neurosciences, 77(5), 282-289. https://doi.org/10.1111/pcn.13529
Pathak, M., Bennett, A., & Shui, A. M. (2017). Correlates of adaptive behavior profiles in a large cohort of children with autism: The autism speaks Autism Treatment Network registry data. Autism, 23(1), 87-99. https://doi.org/10.1177/1362361317733113
Perry, A., Flanagan, H. E., Geier J. D., & Freeman, N. L. (2009). Brief report: the Vineland Adaptive Behavior Scales in young children with autism spectrum disorders at different cognitive levels. Journal of Autism and Developmental Disorders, 39(7), 1066-1078. https://doi.org/10.1007/s10803-009-0704-9
Pugliese, C.E., Anthony, L., Strang, J.F., Dudley, K., Wallace, G. L., & Kenworthy, L. (2015). Increasing Adaptive Behavior Skill Deficits From Childhood to Adolescence in Autism Spectrum Disorder: Role of Executive Function. Journal of Autism and Developmental Disorders, 45, 1579–1587. https://doi.org/10.1007/s10803-014-2309-1
Quezada-Ugalde, A. M., García-Hernández, A. M., Maya-Barrios, J. A., & Auza-Benavides, A. (2023). Consequences of the COVID-19 pandemic on child development: An integrative literature review. Aquichán, 23(3), 1-19. https://doi.org/10.5294/aqui.2023.23.3.2
Ratto, A. B., Kenworthy, L., Yerys, B. E., Bascom, J., Wieckowski, A. T., White, S. W., Wallace, G. L., Pugliese, C., Schultz, R. T., Ollendick, T. H., Scarpa, A., Seese, S., Register-Brown, K., Martin, A., & Anthony, L. G. (2018). What about the girls? Sex-based differences in autistic traits and adaptive skills. Journal of Autism and Developmental Disorders, 48(5), 1698–1711. https://doi.org/10.1007/s10803-017-3413-9
Ray-Subramanian, C. E., Huai, N., & Weismer, S. E. (2011). Brief report: adaptive behavior and cognitive skills for toddlers on the autism spectrum. Journal of Autism and Developmental Disorders, 41(5), 679-684. https://doi.org/10.1007/s10803-010-1083-y
Romero, T. G. R., Fernández-Blazquez, M. L., Rueda, C. S. & Sarrionandia, G. E. (2022). Inclusive Education of Students with ASD: a Systematic Review of the Research. Siglo Cero, 53(1), 115–135. https://doi.org/10.14201/scero2022531115135
Rynkiewicz, A., Schuller, B., Marchi, E., Piana, S., Camurri, A., Lassalle, A., & Baron-Cohen, S. (2016). An investigation of the ‘female camouflage effect’ in autism using a computerized ADOS-2 and a test of sex/gender differences. Molecular Autism, 10(7), 1-8. https://doi.org/10.1186/s13229-016-0073-0
Sainato, D. M., Morrison, R. S., Jung, S., Axe, J. & Nixon, P. A. (2015). A Comprehensive Inclusion Program for Kindergarten Children With Autism Spectrum Disorder. Journal of Early Intervention, 37(3), 208–225. https://doi.org/10.1177/1053815115613836
Sampaio, B., & Guimarães, J. (2009). Diferenças de eficiência entre ensino público e privado no Brasil. Economia Aplicada, 13(1), 45-68. https://doi.org/10.1590/S1413-80502009000100003
Saulnier, C. A., Klaiman, C., & McQueen, E. (2022) Adaptive Behavior Profiles in Autism Spectrum Disorder. Current Psychiatry Reports, 24, 749–756. https://doi.org/10.1007/s11920-022-01381-w
Schalock, R. L., Borthwick-Duffy, S. A., Bradley, V. J., Buntinx, W. H. E., Coulter, D; L., Craig, E. M., Gomez, S. C., Lachapelle, Y., Luckasson, R., Reeve, A., Shogren, K. A., Snell, M. E., Spreat, S., Tasse, M, J., Thompson, J. R., Verdugo-Alonso, M. A.,
Wehmeyer, M. L., & Yeager, M. H. (2021). Intellectual Disability: Definition, Classification, and Systems of Supports (12th ed.). American Association on Intellectual and Developmental Disabilities. https://doi: 10.1097/DBP.0b013e31825e2492
Schneider, S., Clément, C., Goltzene, M. A., Meyer, N., Gras-Vincendon, A., Schröder, C. M., & Coutelle, R. (2022). Determinants of the evolutions of behaviours, school adjustment and quality of life in autistic children in an adapted school setting: an exploratory study with the International Classification of Functioning, disability and health (ICF). BMC Psychiatry, 22(1), 1-11. https://doi.org/10.1186/s12888-022-03924-0
Sharabi, A., & Marom-Golan, D. (2018). Social Support, Education Levels, and Parents’ Involvement: A Comparison Between Mothers and Fathers of Young Children With Autism Spectrum Disorder. Topics in Early Childhood Special Education, 38(1), 54–64. https://doi.org/10.1177/0271121418762511
Schütz, A. (2022). Diagnostic Adaptive Behavior Scale: métodos de aplicação, concordância entre juízes e validade convergente. (Dissertação de mestrado publicada). Universidade Federal do Rio Grande do Sul.
Tajuddin, N. E. H. M., Idris, M. T. M., Adrian, L., A., Salman, F. S. H., Sabri, M. Q. M., Dahlan, A. (2022). The Utilisation of Adaptive Behaviour Assessment Among Children with Autism Spectrum Disorder: A Scoping Review. Malaysian Journal of Medicine and Health Sciences, 9(9), 367-376. https://doi.org/10.3390/children9091355
Tassé, J. M., Schalock, R. L., Balboni, G., Bersani, H., Borthwick-Duffy, S. A.. Spreat, S., Thissen, D., Widaman, K. F., & Zhang, D. (2012). The construct of adaptive behavior: its conceptualization, measurement, and use in the field of intellectual disability. American Journal on Intellectual and Developmental Disabilities, 117(4), 291-303. https://doi.org/10.1352/1944-7558-117.4.291
Tassé, M. J., Schalock, R. L., Balboni, G., Spreat, S., & Navas, P. (2016a) Validity and reliability of the Diagnostic Adaptive Behaviour Scale. Journal of Intellectual Disability Research, 60(1), 80-88. https://doi.org/10.1111/jir.12239
Tassé, M. J., Schalock, R. L., Thissen, D., Balboni, G., Bersani, H., Borthwick-Duffy, S. A., Spreat, S., Widaman, K. F., Zhang, D., & Navas, P. (2016b). Development and Standardization of the Diagnostic Adaptive Behavior Scale: Application of Item Response Theory to the Assessment of Adaptive Behavior. American Journal of Intellectual and Developmental Disabilities, 121(2), 79–94. https://doi.org/10.1352/1944-7558-121.2.79
Tubío-Fungueiriño, M., Cruz, S., Sampaio, A., Carracedo, A., & Fernández-Prieto, M. (2021). Social camouflaging in females with autism spectrum disorder: A systematic review. Journal of Autism and Developmental Disorders, 51(7), 2190–2199. https://doi.org/10.1007/s10803-020-04695-x
Wang, S. H., Zhou, Q., Chen, K. Y., Ceng, C. Q., Zhan, G. D., You, C., Xing, Y., Zou, Y. Y., & Deng, H. Z. (2023). Cognitive-adaptive functioning gap and mediating factors that impact adaptive functioning in Chinese preschool-aged children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 53(6), 1-15. https://doi.org/10.1007/s10803-023-06029-z
Ward, A.R., Pratt, M., Lane, D.M., Aman, M. G., Loveland, K. A., Mansour, R., & Pearson, D. A. (2022). Adaptive Behavior Function in Autism: Association with ADHD and ASD Symptoms. Journal of Developmental and Physical Disabilities, 34, 919–935. https://doi.org/10.1007/s10882-021-09831-8
Weitlauf, A.S., Gotham, K.O., Vehorn, A.C., & Warren, Z. E. (2014). Brief Report: DSM-5 “Levels of Support:” A Comment on Discrepant Conceptualizations of Severity in ASD. Journal of Autism and Developmental Disorders, 44, 471–476. https://doi.org/10.1007/s10803-013-1882-z
White, E. I., Wallace, G. L., Bascom, J., Armour, A. C., Register-Brown, K., Popal, H. S., Ratto, A. B., Martin, A., & Kenworthy, L. (2017). Sex differences in parent-reported executive functioning and adaptive behavior in children and young adults with autism spectrum disorder. Autism Research, 10(10), 1653-1662. https://doi.org/10.1002/aur.1811
Yang, S., Paynter, J. M., & Gilmore, L. (2016). Vineland Adaptive Behavior Scales: II Profile of Young Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 46, 64–73. https://doi.org/10.1007/s10803-015-2543-1