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[自闭症谱系障碍和注意力缺陷多动障碍中的人格与社会反应性]

[Personality and social responsiveness in autism spectrum disorders and attention deficit/hyperactivity disorder].

作者信息

Poustka Luise, Bender Frauke, Bock Marita, Bölte Sven, Möhler Eva, Banaschewski Tobias, Goth Kirstin

机构信息

Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters am Zentralinstitut für Seelische Gesundheit, Mannheim.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2011 Mar;39(2):133-41. doi: 10.1024/1422-4917/a000099.

Abstract

OBJECTIVES

This study addresses the question whether personality dimensions differ between children with autism spectrum disorders (ASD) and attention deficit/hyperactivity disorder (ADHD), and whether these personality characteristics influence social problems in these groups of children.

METHODS

68 children with ADHD (n = 32) and ASD (n = 36) were assessed with the Junior Temperament and Character Inventory (JTCI 7-11 R) and the Social Responsiveness Scale (SRS), as rated by the parents. Diagnosis of ASD was confirmed with standardized diagnostic instruments (ADOS und ADI-R).

RESULTS

Both children with ASD and ADHD displayed significantly decreased scores in persistence, self-directedness and cooperativeness compared to normative values. Additionally, children with ASD showed extremely low reward dependence and differed significantly from children with ADHD in the temperament dimensions harm avoidance and reward dependence as well as in the character dimensions self-directedness and cooperativeness. In both groups, personality dimensions, especially reward dependence, were predictive of social responsiveness, as assessed by the SRS.

CONCLUSION

The results suggest that specific personality characteristics are present already in young children with ASD and ADHD and may have an impact on their social competence.

摘要

目的

本研究探讨自闭症谱系障碍(ASD)儿童与注意力缺陷多动障碍(ADHD)儿童在人格维度上是否存在差异,以及这些人格特征是否会影响这些儿童群体的社交问题。

方法

对68名患有ADHD(n = 32)和ASD(n = 36)的儿童进行了青少年气质与性格量表(JTCI 7 - 11 R)和社会反应量表(SRS)评估,由父母进行评分。ASD的诊断通过标准化诊断工具(ADOS和ADI - R)得以确认。

结果

与常模值相比,ASD儿童和ADHD儿童在坚持性、自我导向性和合作性方面的得分均显著降低。此外,ASD儿童表现出极低的奖励依赖性,并且在气质维度的回避伤害和奖励依赖性以及性格维度的自我导向性和合作性方面与ADHD儿童存在显著差异。在两组中,人格维度,尤其是奖励依赖性,可预测社会反应能力,这由SRS评估得出。

结论

结果表明,患有ASD和ADHD的幼儿已经存在特定的人格特征,并且这些特征可能会对他们的社交能力产生影响。

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