Trajectoires de la dysrégulation chez les enfants présentant un trouble du spectre de l’autisme

Titre original en anglais : Trajectories of Dysregulation in Children with Autism Spectrum Disorder

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Greenlee, J. L., Stelter, C. R., Piro-Gambetti, B., & Hartley, S. L. (2021). Trajectories of Dysregulation in Children with Autism Spectrum Disorder. Journal of Clinical Child & Adolescent Psychology, 50(6), 858-873. https://doi.org/10.1080/15374416.2021.1907752

Date de publication: 19/04/2021 Ajout dans AutiHub: 06/08/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
4
Auteur·ices de la publication identifié·es comme autistes
1 / 4 (25,0 %)
  1. Jessica L. Greenlee
  2. Claire R. Stelter *
  3. Brianna Piro-Gambetti
  4. Sigan L. Hartley

Résumé

Objectif : Cette étude a déterminé si les facteurs liés à l’enfant et à l’environnement familial sont associés à des différences dans les trajectoires développementales de la dysrégulation émotionnelle et comportementale chez les enfants présentant un trouble du spectre de l’autisme (TSA). Méthode : Les participants comprenaient 186 familles ayant un enfant présentant un TSA (âgé de 5 à 12 ans au départ ; 86 % de sexe masculin ; 83 % de Caucasiens non hispaniques ; 35 % avec une déficience intellectuelle comorbide). À chacun des quatre points de mesure (espacés de 12 mois), les mères et les pères de chaque famille ont rempli des mesures bien validées concernant leur propre santé mentale, la dysrégulation de leur enfant, leur relation parent-enfant et leur relation conjugale. Une modélisation longitudinale multiniveau a été utilisée pour décrire les trajectoires de dysrégulation sur 3 ans et tester si la dépression parentale, la proximité dans la relation parent-enfant et les stratégies positives d’adaptation dyadique des parents étaient associées à des différences dans les trajectoires de l’enfant. Résultats : En moyenne, la dysrégulation des enfants a diminué au fil du temps. Une relation mère-enfant et père-enfant de meilleure qualité était associée à une dysrégulation initiale plus faible. Des comportements restreints et répétitifs plus sévères chez l’enfant, moins de symptômes de dépression maternelle et des stratégies positives d’adaptation dyadique des parents plus nombreuses étaient associés à une diminution de la dysrégulation de l’enfant au fil du temps. Conclusions : En moyenne, les enfants présentant un TSA deviennent moins dysrégulés au fil du temps. Cependant, il existe une variabilité importante dans les trajectoires de dysrégulation des enfants présentant un TSA. Les enfants présentant un TSA ayant une sévérité élevée (par opposition à faible) de comportements restreints et répétitifs semblent être à risque de dysrégulation plus importante. L’environnement familial, et plus précisément une relation parent-enfant plus étroite, une meilleure santé mentale maternelle et des stratégies d’adaptation conjugale plus positives, peuvent contribuer à un profil d’amélioration de la régulation de l’enfant au fil du temps dans le TSA.

Objective: This study determined whether child and family environment factors are associated with differences in developmental trajectories of emotional and behavioral dysregulation in children with autism spectrum disorder (ASD).Method: Participants included 186 families of a child with ASD (5–12 years old at baseline; 86% male; 83% non-Hispanic Caucasian; 35% comorbid intellectual disability). At each of the four time points (each spaced 12 months apart), mothers and fathers within each family completed well-validated measures on their own mental health, their child’s dysregulation, their parent–child relationship, and their parent couple relationship. Longitudinal multi-level modeling was used to describe trajectories of dysregulation across 3 years and test whether parent depression, closeness in the parent–child relationship, and positive parent dyadic coping were associated with differences in child trajectories.Results: On average, child dysregulation decreased across time. Closer mother-child and father–child relationship quality was associated with lower baseline dysregulation. More severe child restricted and repetitive behaviors, fewer maternal depression symptoms, and more positive parent dyadic coping were associated with declines in child dysregulation over time.Conclusions: On average, children with ASD become less dysregulated across time. However, there is important variability in dysregulation trajectories of children with ASD. Children with ASD who have a high (versus low) severity of restricted and repetitive behaviors appear to be at risk for greater dysregulation. The family environment, and specifically a closer parent–child relationship, better maternal mental health, and more positive couple coping, may contribute to a pattern of improved child regulation across time in ASD.

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
75
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
0 / 75 (0,0 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
0 / 320 (0,0 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 0 / 38 (0,0 %). Auteurices cité·es distinct·es identifié·es comme autistes : 0 / 290 (0,0 %).
Occurrences citées rattachées à la base AutiHub
38 / 320 (11,9 %)
Auteurices cité·es distinct·es rattaché·es : 26 / 290 (9,0 %)
Occurrences rattachées, non identifiées comme autistes
38 / 38 (100,0 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 38 / 320 (11,9 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 26 / 26 (100,0 %).
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