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儿童脑障碍患者的社交能力:一项荟萃分析综述。

Social competence in children with brain disorders: a meta-analytic review.

机构信息

Department of Pediatric Oncology/Hematology, University Medical Center Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands,

出版信息

Neuropsychol Rev. 2014 Jun;24(2):219-35. doi: 10.1007/s11065-014-9256-7. Epub 2014 Mar 20.

DOI:10.1007/s11065-014-9256-7
PMID:24648014
Abstract

Social competence, i.e. appropriate or effective social functioning, is an important determinant of quality of life. Social competence consists of social skills, social performance and social adjustment. The current paper reviews social skills, in particular emotion recognition performance and its relationship with social adjustment in children with brain disorders. In this review, normal development and the neuro-anatomical correlates of emotion recognition in both healthy children and adults and in various groups of children with brain disorders, will be discussed. A systematic literature search conducted on PubMed, yielded nine papers. Emotion recognition tasks were categorized on the basis of task design and emotional categories to ensure optimal comparison across studies before an explorative meta-analysis was conducted. This meta-analytic review suggests that children with brain disorders show impaired emotion recognition, with the recognition of sad and fearful expressions being most impaired. Performance did not seem to be related to derivative measures of social adjustment. Despite the limited number of studies on a variety of brain disorders and control groups, outcomes were quite consistent across analyses and corresponded largely with the existing literature on development of emotion recognition in typically developing children. More longitudinal prospective studies on emotion recognition are needed to gain insight into recovery and subsequent development of children with distinct brain disorders. This will aid development, selection and implementation of interventions for improvement of social competence and quality of life in children with a brain disorder.

摘要

社交能力,即适当或有效的社交功能,是生活质量的重要决定因素。社交能力包括社交技能、社交表现和社交调整。本文综述了社交技能,特别是儿童脑障碍患者的情绪识别表现及其与社交调整的关系。在本综述中,将讨论正常发育以及健康儿童和成人以及各种脑障碍儿童群体的情绪识别的神经解剖学相关性。在 PubMed 上进行了系统的文献检索,得到了 9 篇论文。根据任务设计和情绪类别对情绪识别任务进行分类,以确保在进行探索性元分析之前在研究之间进行最佳比较。这项元分析综述表明,脑障碍儿童的情绪识别能力受损,对悲伤和恐惧表情的识别受损最严重。表现似乎与社交调整的衍生测量无关。尽管对各种脑障碍和对照组进行的研究数量有限,但分析结果相当一致,与典型发育儿童情绪识别发展的现有文献基本一致。需要更多的纵向前瞻性研究来深入了解不同脑障碍儿童的恢复和随后的发展。这将有助于为脑障碍儿童社交能力和生活质量的提高开发、选择和实施干预措施。

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