Bernabei Paola, Fenton Gemma, Fabrizi A, Camaioni Luigia, Perucchini Paola
Department of Childhood Neurological and Psychiatric Sciences, University of Rome La Sapienza, Italy.
Percept Mot Skills. 2003 Jun;96(3 Pt 2):1107-16. doi: 10.2466/pms.2003.96.3c.1107.
Aim of the study was (1) to evaluate sensorimotor development of children with autism in comparison with that of children with developmental delay, (2) to verify the possible unevenness of the developmental profiles through correlations amongst domains and between domains and chronological age. 46 children with autism were compared with 45 children with developmental delay. Mean chronological age was 3.7 yr. in children with autism and 3.6 yr. in children with mental retardation. Mean mental age was 1.3 yr. in children with autism and 1.1 yr. in children with developmental delay. Ordinal scales of Uzgiris-Hunt show that the two groups score significantly differently on the scales of Object Permanence, Means-Ends, Operational Causality, and Spatial Relations and that scores were higher for the children with autism. The comparison made between the developmental levels of each group indicate that the sensorimotor profile in children with developmental delay is fairly homogeneous, while it appears uneven in autistic children, for whom Object Permanence appears to be the most advanced skill, Verbal and Gestural Imitation and Schemes for Relating to Objects the lowest. The results are in keeping with the assumption that the pivotal defect of autism is a deficit in social interactive skills.
(1)评估自闭症儿童与发育迟缓儿童的感觉运动发育情况,并进行比较;(2)通过各领域之间以及各领域与实际年龄之间的相关性,验证发育概况可能存在的不均衡性。将46名自闭症儿童与45名发育迟缓儿童进行了比较。自闭症儿童的平均实际年龄为3.7岁,智力发育迟缓儿童的平均实际年龄为3.6岁。自闭症儿童的平均心理年龄为1.3岁,发育迟缓儿童的平均心理年龄为1.1岁。乌兹吉里斯-亨特序数量表显示,两组儿童在客体永久性、手段-目的、操作因果关系和空间关系量表上的得分存在显著差异,自闭症儿童的得分更高。对每组发育水平的比较表明,发育迟缓儿童的感觉运动概况相当均匀,而自闭症儿童的感觉运动概况则显得不均衡,其中客体永久性似乎是最先进的技能,言语和手势模仿以及与物体相关的图式是最低的。研究结果与自闭症的关键缺陷是社会互动技能缺陷这一假设相符。