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评估自闭症患者的计划和转换能力:实验者管理的和计算机化的任务版本是否等效?

Assessing planning and set-shifting abilities in autism: are experimenter-administered and computerised versions of tasks equivalent?

机构信息

Durham University, Science Site, Department of Psychology, Durham, UK.

出版信息

Autism Res. 2013 Dec;6(6):461-7. doi: 10.1002/aur.1311. Epub 2013 Jul 26.

DOI:10.1002/aur.1311
PMID:23893967
Abstract

Across studies, analysis of performance on classic measures of executive functioning (EF) among individuals with autism spectrum disorder (ASD) suggests that people with this disorder may be impaired only when tasks are experimenter-administered, but not when the same tasks are computer-administered. This would imply that the underlying cause of apparent executive dysfunction in ASD is a diminished ability to engage with another person/comprehend what another person expects, rather than a diminution of the control processes that typically underpin EF task performance. However, this suggestion is limited because, to our knowledge, no study has directly compared the equivalence of computer-administered and standard experimenter-administered versions of EF tasks that have been presented in counterbalanced order among a common sample of individuals with ASD. In the current study, 21 children with ASD and 22 age- and intelligence quotient (IQ)-matched comparison participants completed, in counterbalanced order, computerised and manual versions of both a planning task and a cognitive flexibility/set-shifting task. Contrary to expectation, results indicated that participants with ASD were equally impaired in terms of the key dependent variable on standard and computerised versions of both tasks. Practically, these results suggest that computer-administered and experimenter-administered versions of planning and set-shifting tasks are equivalent among individuals with ASD and can be used interchangeably in studies of EF among this population. Theoretically, these results challenge the notion that poor performance on EF tasks among school-aged children with ASD is only the result of a limited ability to engage with a human experimenter/comprehend socially presented rules.

摘要

在对自闭症谱系障碍(ASD)个体进行经典执行功能(EF)测试的研究中,分析表明,与由实验者执行的任务相比,这些个体在计算机执行相同任务时的表现可能不会受损。这意味着 ASD 中明显的执行功能障碍的根本原因不是控制执行功能任务表现的过程的减少,而是与他人互动和理解他人期望的能力下降。然而,这种说法是有限的,因为据我们所知,没有研究直接比较在 ASD 常见样本中以平衡顺序呈现的、经过计算机化和标准实验者执行版本的 EF 任务的等效性。在当前的研究中,21 名 ASD 儿童和 22 名年龄和智商(IQ)匹配的对照组参与者以平衡顺序完成了计划任务和认知灵活性/定势转移任务的计算机化和手动版本。与预期相反,结果表明,在这两个任务的标准和计算机化版本上,ASD 参与者在关键因变量上的表现同样受损。实际上,这些结果表明,在 ASD 个体中,计划和定势转移任务的计算机化和实验者执行版本是等效的,可以在该人群的 EF 研究中互换使用。从理论上讲,这些结果挑战了这样一种观点,即在校龄儿童的 ASD 中执行功能任务表现不佳仅仅是因为与人类实验者互动和理解社交呈现规则的能力有限。

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