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自闭症谱系障碍和威廉姆斯综合征的社会表型:异同

Social phenotypes of autism spectrum disorders and williams syndrome: similarities and differences.

作者信息

Asada Kosuke, Itakura Shoji

机构信息

Center for Baby Science, Graduate School of Psychology, Doshisha University Kyoto, Japan.

出版信息

Front Psychol. 2012 Jul 30;3:247. doi: 10.3389/fpsyg.2012.00247. eCollection 2012.

Abstract

Autism spectrum disorders (ASD) and Williams syndrome (WS) both are neurodevelopmental disorders, each with a unique social phenotypic pattern. This review article aims to define the similarities and differences between the social phenotypes of ASD and WS. We review studies that have examined individuals with WS using diagnostic assessments such as the Autism Diagnostic Observation Schedule (ADOS), cross-syndrome direct comparison studies, and studies that have individually examined either disorder. We conclude that (1) individuals with these disorders show quite contrasting phenotypes for face processing (i.e., preference to faces and eyes) and sociability (i.e., interest in and motivation to interact with others), and (2) although the ADOS and a direct comparison study on pragmatic language ability suggest more deficits in ASD, individuals with WS are similarly impaired on social cognition and communicative skills. In light of these results, we discuss how cross-syndrome comparisons between ASD and WS can contribute to developmental theory, cognitive neuroscience, and the development and choice of clinical treatments.

摘要

自闭症谱系障碍(ASD)和威廉姆斯综合征(WS)均为神经发育障碍,各自具有独特的社会表型模式。这篇综述文章旨在界定ASD和WS社会表型之间的异同。我们回顾了一些研究,这些研究使用诸如《自闭症诊断观察量表》(ADOS)等诊断评估工具对患有WS的个体进行了检查,进行了跨综合征直接比较研究,以及分别对这两种障碍进行单独检查的研究。我们得出结论:(1)患有这些障碍的个体在面部处理(即对面部和眼睛的偏好)和社交能力(即与他人互动的兴趣和动机)方面表现出截然不同的表型;(2)尽管ADOS以及一项关于语用语言能力的直接比较研究表明ASD存在更多缺陷,但患有WS的个体在社会认知和沟通技能方面同样受损。鉴于这些结果,我们讨论了ASD和WS之间的跨综合征比较如何能够促进发展理论、认知神经科学以及临床治疗的发展和选择。

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