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Ma D, Luo H, Wang Y, Zhou W, Lu Y, Lv B, Zhang L, Hua Y. Knowledge, Attitudes and Willingness of Caregivers of Preterm Infants Toward Autism: A Cross-Sectional Study. Int J Dev Neurosci 2025; 85:e10411. [PMID: 39760439 DOI: 10.1002/jdn.10411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2024] [Revised: 12/11/2024] [Accepted: 12/12/2024] [Indexed: 01/07/2025] Open
Abstract
BACKGROUND To examine the knowledge, attitudes and willingness of caregivers of preterm infants toward autism spectrum disorder (ASD). METHODS This cross-sectional study was conducted from September to December 2022 at the Hospital and enrolled the caregivers of preterm infants. The final questionnaire, developed by the authors, included four dimensions: demographic data, knowledge (16 items), attitudes (10 items) and willingness (seven items). RESULTS This study included 702 participants (77.21% females). The average knowledge, attitude and willingness scores were 7.75 ± 3.47 (total: 16), 38.54 ± 4.38 (total: 50) and 31.38 ± 3.95 (total: 35), respectively. Female (OR = 1.945, 95% CI: 1.182-2.797, p = 0.003), college or bachelor's (OR = 4.429, 95% CI: 1.525-9.788, p = 0.006), master or above (OR = 3.864, 95% CI: 1.194-12.500, p = 0.024) and stable work (OR = 2.098, 95% CI: 1.421-3.098, p < 0.001) were independently associated with sufficient knowledge. Age 30-34 (OR = 0.639, 95% CI: 0.423-0.695, p = 0.033), age ≥ 35 (OR = 0.517, 95% CI: 0.334-0.802, p = 0.003) and urban residency (OR = 1.697, 95% CI: 1.118-2.576, p = 0.013) were independently associated with favourable attitudes. The knowledge scores (OR = 1.100, 95% CI: 1.041-1.162, p = 0.001), attitude scores (OR = 1.212, 95% CI: 1.158-1.690, p < 0.001) and a monthly income of 10,000-20,000 RMB (OR = 2.125, 95% CI: 1.208-3.736, p = 0.009) were independently associated with the positive willingness. CONCLUSIONS This study observed poor knowledge but favourable attitudes and willingness toward ASD among caregivers of preterm infants. More attention should be paid to the education of caregivers to improve the knowledge of autism in the families of premature infants.
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Affiliation(s)
- Dan Ma
- Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Chengdu, Sichuan, China
| | - Hong Luo
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Chengdu, Sichuan, China
- Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yanhong Wang
- Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Chengdu, Sichuan, China
| | - Wei Zhou
- Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Chengdu, Sichuan, China
| | - Yongguang Lu
- Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Chengdu, Sichuan, China
| | - Binhao Lv
- Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Chengdu, Sichuan, China
| | - Li Zhang
- Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Chengdu, Sichuan, China
| | - Yimin Hua
- Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Chengdu, Sichuan, China
- Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
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Ding L, Wu Y, Kong L, Sun J, Qu F, Xin K, Yang A, Yan X, Lu Y, Jiang X, Tang Y, Wu F. Gender differences in plasma glial cell line-derived neurotrophic factor levels of patients with bipolar disorder. J Affect Disord 2023; 320:605-609. [PMID: 36183819 DOI: 10.1016/j.jad.2022.09.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 09/11/2022] [Accepted: 09/26/2022] [Indexed: 02/02/2023]
Abstract
BACKGROUND The glial cell line-derived neurotrophic factor (GDNF) has an important role in neurons and is closely associated with psychiatric disorders. The development of bipolar disorder (BD) may differ between genders. Existing studies have shown that plasma GDNF levels are altered in patients with BD. In this study, we investigate whether the GDNF levels in patients with BD differ in terms of gender. METHODS Participants were divided into the BD group (n = 76, with 26 males and 50 females) and healthy control (HC) group (n = 89, with 35 males and 54 females). Plasma GDNF levels were detected via multifactor assay. Clinical symptoms of patients with BD were collected and assessed using the Hamilton Depression-17 Inventory, Hamilton Anxiety-17 Inventory, Young's Mania Rating Scale, and Brief Psychiatric Rating Scale. RESULTS The GDNF levels were significantly higher in all participants in the HC group (F = 4.262, p < 0.05) compared with those in the BD group. In the HC group, the males (t = 4.814, p < 0.001) presented significantly higher levels than the females. The plasma GDNF levels in males in the BD group (t = 3.022, p < 0.05) were significantly lower than those in males in the HC group. CONCLUSION Differences in plasma GDNF levels are associated with the gender of patients with BD.
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Affiliation(s)
- Luyu Ding
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Yifan Wu
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Lingtao Kong
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China.
| | - Jiaze Sun
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Fangru Qu
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Kaiqi Xin
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Anqi Yang
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Xintong Yan
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Yihui Lu
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China
| | - Xiaowei Jiang
- Brain Function Research Section, Department of Radiology, The First Hospital of China Medical University, Shenyang, China.
| | - Yanqing Tang
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China; Department of Geriatric Medicine, The First Hospital of China Medical University, Shenyang, China.
| | - Feng Wu
- Department of Psychiatry, The First Hospital of China Medical University, Shenyang, Liaoning, China.
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