中国康复理论与实践2025，Vol.31Issue(5)：592-600,9.DOI:10.3969/j.issn.1006-9771.2025.05.012
智力与发展性残疾儿童适应性行为特征
Characteristics of adaptive behavior in children with intellectual and developmental disabilities
摘要
Abstract
Objective To examine overall adaptive behavior,structural profiles and teacher-parent rating differences in children with intellectual disability(ID)and autism spectrum disorder(ASD),and to explore the association between adaptive behavior and intellectual level. Methods From March to June,2024,65 children with intellectual and developmental disabilities from Handan Special Education Center School,Xingtai Special Education School and Zhengding County Special Education School were selected and 57 valid cases were retained,who were divided into ID group(n=37)and ASD group(n=20).Adaptive behavior was assessed using the Chinese version of Adaptive Behavior Assessment System-II(ABAS-II)by parents and teachers familiar with the children.Group differences were compared,teacher-parent rating consistency was evaluated,and the relationship between adaptive behavior and intelligence quotient(IQ)was examined. Results Mean General Adaptive Composite(GAC)scores were significantly below normative values,as well as all three domains and specific skill subsets underperforming.ASD group exhibited higher self-management scores but lower community application scores than in ID group.Teacher-parent ratings showed moderate-to-high correla-tion across dimensions,which was mainly stronger in ASD group than ID group.IQ demonstrated significant pos-itive correlations with GAC and all three domain scores(rs=0.82 to 0.91,P<0.001). Conclusion Children with intellectual and developmental disabilities show markedly lower levels of adaptive behavior than their typically developing peers.Parents generally rate adaptive behaviors higher than teachers.Both ID and ASD groups exhibited a developmental pattern that practical skills are strongest,followed by social skills,while conceptual skills are weakest.Specific skills such as self-care,health/safety and school/home living were relative-ly stronger,while learning function,social interaction and community application lagging.ASD children under-perform in community application compared to ID peers but outperform in self-management.Adaptive behavior is closely tied to intellectual functioning.ABAS-II results may serve as a reference for assessing disability severi-ty in practice.关键词
智力与发展性残疾/适应性行为/国际功能、残疾和健康分类/适应性行为评定系统Key words
intellectual and developmental disability/adaptive behavior/International Classification of Functioning,Disability and Health/Adaptive Behavior Assessment System-II分类
医药卫生引用本文复制引用
张晓燕,曹静,邱卓英,闫自雪,陈艳珂..智力与发展性残疾儿童适应性行为特征[J].中国康复理论与实践,2025,31(5):592-600,9.基金项目
1.河北省教育科学"十四五"规划课题(No.2404309) （No.2404309）
2.邯郸市教育科学"十四五"规划课题(No.24ZD007) Supported by Hebei Provincial Education Science Project of 14th Five-Year Plan(No.2404309)and Handan Municipal Education Science Project of 14th Five-Year Plan(No.24ZD007) （No.24ZD007）
