Outils différents, résultats différents : comparaison des méthodes d'évaluation du harcèlement chez les jeunes autistes et atteints de TDAH
Titre original en anglais : Different Tools, Different Results: Comparing Methods for Bullying Assessment in Autistic and ADHD Youth
Morton, H. E., Bottini, S., McVey, A. J., Gillis, J. M., & Romanczyk, R. G. (2025). Different Tools, Different Results: Comparing Methods for Bullying Assessment in Autistic and ADHD Youth. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-025-06938-1
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Résumé
Les jeunes autistes et atteints de TDAH sont exposés à un risque accru de victimisation par les pairs et, par la suite, à de mauvais résultats scolaires et de santé mentale. Pourtant, les interventions contre le harcèlement ont eu un succès limité dans ces groupes, potentiellement en raison de la variabilité des méthodes d'évaluation du harcèlement entre les études. De plus, les outils généraux validés pour des échantillons communautaires peuvent ne pas saisir les expériences uniques de victimisation de ces jeunes. Cette étude a évalué la concordance et la sensibilité de trois méthodes d'évaluation du harcèlement - une évaluation à item unique, l'Olweus Bullying Questionnaire (OBQ) et l'Assessment of Bullying Experiences (ABE) spécifique au handicap - et a examiné les différences entre les groupes en matière de risque de victimisation. Les aidants de 516 jeunes autistes, atteints de TDAH et issus de la communauté ont complété les trois évaluations du harcèlement. La concordance entre les mesures a été examinée globalement et au sein des groupes à l'aide du pourcentage de concordance, du kappa de Cohen et des tests de McNemar. Des modèles de régression logistique ont été utilisés pour évaluer les différences entre les groupes dans la classification du harcèlement au sein de chaque mesure. La concordance entre l'OBQ et l'ABE était modérée globalement, mais plus faible dans chacun des groupes autisme et TDAH. L'évaluation à item unique a sous-estimé la prévalence du harcèlement par rapport aux questionnaires à items multiples et n'a pas non plus détecté de différences entre les groupes. Les jeunes atteints de TDAH étaient près de trois fois plus susceptibles d'être victimes de harcèlement que les jeunes issus de la communauté lorsqu'ils étaient mesurés à la fois par l'ABE (OR = 2.81 ; IC à 95 % [1.34, 5.92]) et l'OBQ (OR = 2.76 ; IC à 95 % [1.37, 5.57]), tandis qu'une vulnérabilité accrue chez les jeunes autistes présentant un TDAH concomitant n'était identifiée que par l'ABE (OR = 2.34 ; IC à 95 % [1.42, 3.85]). Les résultats soulignent les limites des évaluations à item unique et des mesures générales pour saisir le harcèlement spécifique au handicap. En incluant des comportements spécifiques au handicap, l'ABE offre une plus grande sensibilité pour évaluer le harcèlement chez les jeunes autistes et atteints de TDAH. L'intégration de cadres guidés par la théorie pourrait encore améliorer les approches d'évaluation et d'intervention visant à comprendre et à traiter le risque de harcèlement chez les jeunes autistes et atteints de TDAH.
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