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一种性染色体疾病中的社会行为与自闭症特征:克兰费尔特(47,XXY)综合征

Social behavior and autism traits in a sex chromosomal disorder: Klinefelter (47XXY) syndrome.

作者信息

van Rijn Sophie, Swaab Hanna, Aleman André, Kahn René S

机构信息

Department of Experimental Psychology, Helmholtz Instituut, Universiteit Utrecht, Utrecht, The Netherlands.

出版信息

J Autism Dev Disord. 2008 Oct;38(9):1634-41. doi: 10.1007/s10803-008-0542-1. Epub 2008 Mar 7.

DOI:10.1007/s10803-008-0542-1
PMID:18324463
Abstract

Although Klinefelter syndrome (47,XXY) has been associated with psychosocial difficulties, knowledge of the social behavioral phenotype is limited. We examined specific social abilities and autism traits in Klinefelter syndrome. Scores of 31 XXY men on the Scale for Interpersonal Behavior and the Autism Spectrum Questionnaire were compared to 24 and 20 control men respectively. XXY men reported increased distress during social interactions and less engagement in specific social behaviors. In the XXY group, levels of autism traits were significantly higher across all dimensions of the autism phenotype. These findings call for a clinical investigation of vulnerability to autism in Klinefelter syndrome. Klinefelter syndrome might serve as a model for studying a role of the X chromosome in social behavioral dysfunction and autism-like behavior.

摘要

尽管克兰费尔特综合征(47,XXY)与心理社会问题有关,但对其社会行为表型的了解有限。我们研究了克兰费尔特综合征患者的特定社交能力和自闭症特征。分别将31名XXY男性在人际行为量表和自闭症谱系问卷上的得分与24名和20名对照男性进行比较。XXY男性报告称在社交互动中痛苦增加,且较少参与特定社交行为。在XXY组中,自闭症特征水平在自闭症表型的所有维度上均显著更高。这些发现呼吁对克兰费尔特综合征患者患自闭症的易感性进行临床研究。克兰费尔特综合征可能作为研究X染色体在社会行为功能障碍和自闭症样行为中作用的一个模型。

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本文引用的文献

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Eur Child Adolesc Psychiatry. 2007 Aug;16(5):305-8. doi: 10.1007/s00787-007-0601-8. Epub 2007 Mar 30.
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Dysregulation of X-linked gene expression in Klinefelter's syndrome and association with verbal cognition.克兰费尔特综合征中X连锁基因表达失调及其与言语认知的关联。
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The Effect of Hormonal Therapy on the Behavioral Outcomes in 47,XXY (Klinefelter Syndrome) between 7 and 12 Years of Age.7-12 岁 47,XXY(克莱恩费尔特综合征)患者的激素治疗对行为结果的影响。
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Morbidity, mortality, and socioeconomics in Klinefelter syndrome and 47,XYY syndrome: a comparative review.克兰费尔特综合征和47,XYY综合征的发病率、死亡率及社会经济学:一项比较性综述
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