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通过抑制控制和“心理理论”对自闭症谱系障碍和注意缺陷多动障碍进行鉴别诊断。

Differential diagnosis of autism spectrum disorder and attention deficit hyperactivity disorder by means of inhibitory control and 'theory of mind'.

机构信息

Department of Child and Adolescent Psychiatry, Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

出版信息

J Autism Dev Disord. 2011 Dec;41(12):1718-26. doi: 10.1007/s10803-011-1205-1.

Abstract

Autism spectrum disorders (ASD) and attention deficit hyperactivity disorders (ADHD) are both associated with deficits in executive control and with problems in social contexts. This study analyses the variables inhibitory control and theory of mind (ToM), including a developmental aspect in the case of the latter, to differentiate between the disorders. Participants with an ASD (N = 86), an ADHD (N = 84) and with both disorders (N = 52) in the age range of 5-22 years were compared. Results were differences in inhibitory control (ADHD < ASD) and in the ToM performance among younger (ASD < ADHD) but not among older children. We discuss whether common deficits in ToM differ in the developmental course.

摘要

自闭症谱系障碍(ASD)和注意缺陷多动障碍(ADHD)都与执行控制缺陷和社交环境问题有关。本研究分析了抑制控制和心理理论(ToM)这两个变量,包括后者的发展方面,以区分这两种障碍。参与者包括年龄在 5 至 22 岁的自闭症谱系障碍患者(N=86)、注意力缺陷多动障碍患者(N=84)和同时患有两种障碍的患者(N=52)。结果显示,在抑制控制方面(ADHD<ASD)和在心理理论表现方面(年龄较小的自闭症谱系障碍患者<注意力缺陷多动障碍患者)存在差异,但在年龄较大的儿童中则没有差异。我们讨论了心理理论方面的共同缺陷是否在发展过程中存在差异。

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