Search

Behavioral problems directly affect the quality of life of caregivers and children with autism spectrum disorder (ASD) and/or attention-deficit/hyperactivity disorder (ADHD), and is known to be associated with clinical factors such as gastrointestinal (GI) symptoms, sensory abnormalities, intellectual abilities, and use of medication. However, previous studies have not considered these relationships comprehensively. We conducted a cross-sectional study of 6-12-year-old children with diagnoses of ASD and/or ADHD at two hospitals in Japan. Scores for the aberrant behavior checklist (ABC), autism-spectrum quotient (AQ), and Conners 3, as well as information on daily sleep and exercise, GI symptoms, and Short Sensory Profile, were collected. Each factor was subjected to a correlation analysis to investigate its effect on ABC scores. A stepwise multiple linear regression analysis for the factors with p < 0.05 was performed. Data were obtained from 60 patients with a mean age of 8.3 years; 21 had ASD alone, 18 had ADHD alone, and 21 had ASD + ADHD. The correlation analyses identified six factors associated with ABC severity: (a) methylphenidate use, (b) Conners hyperactivity score, (c) Conners inattention score, (d) AQ score, (e) SSP score, and (f) GI symptom score. The multiple regression showed that "GI symptoms" and "sensory abnormalities" were independently associated with ABC severity. Although further studies are needed to show a causal relationship, appropriate assessment of GI symptoms and sensory abnormalities may help alleviate some problematic behaviors and improve the quality of life of children with neurodevelopmental disorders and their families. LAY SUMMARY: Behavioral problems in children with neurodevelopmental disorders are known to be associated with many factors. This study aimed to comprehensively investigate the known factors. We have discovered that "gastrointestinal symptoms" and "sensory abnormalities" were independently associated with Behavioral problems. Our results suggest that it is important for clinicians and caregivers to pay more attention to children's GI symptoms and sensory abnormalities that may not present as obvious symptoms or complaints.

The purpose of the current study was to examine Japanese graduate students’ professional socialisation experiences while instructing students with disabilities during adapted physical education (AP...

An interdependence approach to empathic concern could transform the current societal environment for people with disability into a more accessible and equitable one. To our knowledge, this is the first study to investigate two possible factors influencing empathic concern, gender and ethnic culture, in specific helping scenarios. We first examined whether the female gender and collectivist culture of Japan were associated with higher levels of interdependence and empathic concern for disability than were the male gender and individualist culture of New Zealand. Empathic concern for people with impairment was assessed in accessible and inaccessible environments. Neither gender nor culture significantly influenced the level of interdependence, whereas gender and culture differentially moderated empathic concern. We also explored the possibility of altering self-construal and thus promoting prosocial behaviour by examining the correlation between self-construal and prosocial intention, and the effect of cultural priming on self-construal. The correlation was significant under inaccessible conditions in the Japanese sample, and the effect of interdependent priming was not significant on interdependent self-construal in both countries. Discussion centres on theoretical implications of the observed conditional support for the female-gender and collectivist-culture hypotheses, and on ways to promote prosocial behaviour, taking into account gender and cultural differences.