Bölte Sven, Poustka Fritz
J. W. Goethe University, Frankfurt/M., Germany.
Child Psychiatry Hum Dev. 2002 Winter;33(2):165-72. doi: 10.1023/a:1020734325815.
This study examined the association between adaptive behavior and general cognitive level in individuals with autism or PDD-NOS with and without comorbid mental retardation. Data from the screening version of the Vineland Adaptive Scales and the Wechsler Intelligence Scales were analysed in a sample of 67 subjects. While in the higher functioning individuals (IQ > 70, n = 34) IQ and adaptive behavior level differed significantly, performances were fairly comparable in subjects showing lower cognitive functioning (IQ < 70, n = 33). Regression models revealed a higher correlation between IQ and single adaptive behavior domains in the non-mentally retarded participants, with the domain Communication reaching the highest predictive power of the single adaptive behavior areas. Findings indicate, the relationship between adaptive and cognitive function in autistic disorders is mediated by the presence of a qualitative reduction of intelligence. Methodological limitations of the study are discussed.
本研究调查了患有或未患有共病智力发育迟缓的自闭症或广泛性发育障碍未特定型(PDD-NOS)个体的适应性行为与一般认知水平之间的关联。对67名受试者样本的文兰适应行为量表筛查版和韦氏智力量表的数据进行了分析。在功能较高的个体(智商>70,n = 34)中,智商与适应行为水平存在显著差异,而在认知功能较低的受试者(智商<70,n = 33)中,表现相当可比。回归模型显示,在非智力发育迟缓参与者中,智商与单个适应行为领域之间的相关性更高,其中沟通领域在单个适应行为领域中具有最高的预测能力。研究结果表明,自闭症谱系障碍中适应性和认知功能之间的关系是由智力的质性降低所介导的。本文还讨论了该研究的方法学局限性。