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自闭症谱系障碍中的认知控制

Cognitive control in autism spectrum disorders.

作者信息

Solomon Marjorie, Ozonoff Sally J, Cummings Neil, Carter Cameron S

机构信息

University of California, Davis, Department of Psychiatry & Behavioral Sciences, United States.

出版信息

Int J Dev Neurosci. 2008 Apr;26(2):239-47. doi: 10.1016/j.ijdevneu.2007.11.001. Epub 2007 Nov 13.

Abstract

Cognitive control refers to the ability to flexibly allocate mental resources to guide thoughts and actions in light of internal goals. Given the behavioral inflexibility exhibited by individuals with autism spectrum disorders (ASDs), it would appear they experience cognitive control deficits. Cognitive correlates of this behavioral inflexibility have been elusive in previous investigations. Study goals were to investigate deficits in cognitive control in ASDs; to explore its developmental trajectory; and to test whether control deficits are related to symptoms of inflexible thoughts and/or behaviors, and attention symptoms. Thirty-one children and adolescents aged 8-17 with ASDs and 32 age, IQ, and gender matched control subjects completed cognitive, diagnostic, and behavorial assessments, as well as a measure of cognitive control involving overcoming a prepotent response tendency. Compared with typically developing control subjects, individuals with ASDs exhibited deficits in cognitive control. Younger children with ASDs did not demonstrate age-related improvements in cognitive control. Modest relationships between cognitive control, IQ, and attention problems were found for the sample. Only the relationship between cognitive control and full-scale IQ survived correction for multiple comparisons.

摘要

认知控制是指根据内部目标灵活分配心理资源以指导思想和行动的能力。鉴于自闭症谱系障碍(ASD)患者表现出行为缺乏灵活性,他们似乎存在认知控制缺陷。在以往的研究中,这种行为缺乏灵活性的认知关联一直难以捉摸。研究目标是调查ASD患者的认知控制缺陷;探索其发展轨迹;并测试控制缺陷是否与僵化思维和/或行为症状以及注意力症状相关。31名年龄在8至17岁之间的ASD儿童和青少年以及32名年龄、智商和性别匹配的对照受试者完成了认知、诊断和行为评估,以及一项涉及克服优势反应倾向的认知控制测量。与发育正常的对照受试者相比,ASD患者表现出认知控制缺陷。年龄较小的ASD儿童在认知控制方面未表现出与年龄相关的改善。在样本中发现了认知控制、智商和注意力问题之间的适度关系。只有认知控制与全量表智商之间的关系在多重比较校正后仍然显著。

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