Diferencias En La Conducta Adaptativa Entre Niños Y Adolescentes Con Trastorno Del Espectro Del Autismo Y Aquellos Con Desarrollo Típico Y Efectos De Las Características Sociodemográficas

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Carlos E. L. Xavier Loureiro Xavier
Adriana Schütz
Sílvia Cristina Marceliano Hallberg
Adriane Xavier Arteche
Denise Ruschel Bandeira

Resumen

Las conductas adaptativas (CA) son habilidades que ofrecen autonomía al individuo y pueden verse afectadas por diferentes diagnósticos, como el Trastorno del Espectro Autista (TEA). El objetivo de este estudio fue investigar las diferencias en AC entre niños y adolescentes de 4 a 21 años diagnosticados con TEA, TEA y otras condiciones de salud, e individuos con desarrollo típico, y verificar los efectos de las variables sociodemográficas sobre los resultados de AC en los individuos con TEA. La muestra estuvo compuesta por 309 cuidadores de niños y adolescentes de 4 a 21 años divididos en un grupo no clínico (n = 181) y dos subgrupos clínicos, uno para TEA (n = 47) y otro para TEA con comorbilidades (n = 81). Se realizaron ANOVA y pruebas T, seguidos del proceso de arranque para garantizar la normalidad y homogeneidad de los resultados. Se identificaron déficits significativos en personas diagnosticadas con TEA en los tres dominios de la CA. Al comparar subgrupos clínicos, el dominio práctico mostró una diferencia significativa. En el dominio conceptual se observó un efecto de la educación del encuestado y del tipo de escuela del niño y adolescente. El sexo, por otra parte, solo tuvo un efecto en el ámbito práctico. Se concluye que existe diferencia en el comportamiento adaptativo de los individuos con TEA en los tres dominios, así como los efectos de las características sociodemográficas. Sin embargo, se deben realizar nuevas investigaciones para considerar otras variables que puedan influir en los hallazgos, ofreciendo mayor confiabilidad a los resultados.

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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