Girardot A-M, De Martino S, Chatel C, Da Fonseca D, Rey V, Poinso F
Service de pédopsychiatrie, centre de ressource autisme de la région Paca, hôpital Sainte-Marguerite, 270, boulevard de Sainte-Marguerite, 13009 Marseille, France.
Encephale. 2012 Dec;38(6):488-95. doi: 10.1016/j.encep.2012.01.013. Epub 2012 Jun 9.
This study investigated the cognitive skills in pervasive developmental disorders (PDD).
Two groups of children participated in this study, 39 individuals with autism and 18 individuals with Asperger syndrome. Each participant was assessed by the Wechsler scales: WPPSI-III, WISC-III or WISC-IV.
Children with Asperger syndrome have VIQ more than PIQ and the children with autism have VIQ less than PIQ. The performances in "block design" task vary according to the cognitive level and not according to the PDD type. The high-functioning autistic children show high performance in "block design" task. Children with Asperger syndrome revealed impairments in the "understanding of social situations" task.
Individuals with autism have a verbal intelligence quotient lower than individuals with an Asperger syndrome. Several hypotheses have tried to explain verbal differences between children with autism and Asperger syndrome. A first hypothesis proposed a developmental convergence between these two groups. A second hypothesis suggested that communication and social interaction impairments could be implicated in verbal skills. A third hypothesis supported that individuals with Asperger syndrome could develop a specific cognitive style. Children with autism have spatial and perceptive capacities better than verbal capacities. These performances could be interpreted as the expression of a specific cognitive style based on the visual analysis of the detail.
The low-functioning children with autism have a cognitive profile with PIQ more than VIQ and high skills in spatial organization. The high-level children with autism have a cognitive profile with PIQ more than VIQ and high skills in spatial abstraction. Children with Asperger syndrome have a profile VIQ more than PIQ profile, they are particularly good in verbal learning notably vocabulary.
本研究调查广泛性发育障碍(PDD)中的认知技能。
两组儿童参与了本研究,39名自闭症儿童和18名阿斯伯格综合征儿童。每位参与者均通过韦氏智力量表进行评估:WPPSI - III、WISC - III或WISC - IV。
阿斯伯格综合征儿童的言语智商(VIQ)高于操作智商(PIQ),而自闭症儿童的VIQ低于PIQ。“积木设计”任务中的表现根据认知水平而变化,而非根据PDD类型。高功能自闭症儿童在“积木设计”任务中表现出色。阿斯伯格综合征儿童在“理解社交情境”任务中存在缺陷。
自闭症个体的言语智商低于阿斯伯格综合征个体。有几种假设试图解释自闭症儿童和阿斯伯格综合征儿童之间的言语差异。第一个假设提出这两组之间存在发育趋同。第二个假设表明沟通和社交互动障碍可能与言语技能有关。第三个假设支持阿斯伯格综合征个体可能发展出一种特定的认知风格。自闭症儿童的空间和感知能力优于言语能力。这些表现可被解释为基于对细节的视觉分析的特定认知风格的体现。
低功能自闭症儿童的认知特征是PIQ高于VIQ且空间组织能力强。高功能自闭症儿童的认知特征是PIQ高于VIQ且空间抽象能力强。阿斯伯格综合征儿童的特征是VIQ高于PIQ,他们在言语学习尤其是词汇方面特别出色。