Mahoney Emery B, Breitborde Nicholas J K, Leone Sarah L, Ghuman Jaswinder Kaur
The University of Arizona, Department of Disability and Psychoeducational Studies, United States.
University of Arizona Medical Center, United States.
Res Dev Disabil. 2014 Oct;35(10):2487-94. doi: 10.1016/j.ridd.2014.06.008. Epub 2014 Jun 30.
Deficits in the capacity to engage in social interactions are a core deficit associated with Autistic Disorder (AD) and Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS). These deficits emerge at a young age, making screening for social interaction deficits and interventions targeted at improving capacity in this area important for early identification and intervention. Screening and early intervention efforts are particularly important given the poor short and long term outcomes for children with Autism Spectrum Disorders (ASDs) who experience social interaction deficits. The Screen for Social Interaction (SSI) is a well-validated screening measure that examines a child's capacity for social interaction using a developmental approach. The present study identified four underlying factors measured by the SSI, namely, Connection with Caregiver, Interaction/Imagination, Social Approach/Interest, and Agreeable Nature. The resulting factors were utilized to compare social interaction profiles across groups of children with AD, PDD-NOS, children with non-ASD developmental and/or psychiatric conditions and typically developing children. The results indicate that children with AD and those with PDD-NOS had similar social interaction profiles, but were able to be distinguished from typically developing children on every factor and were able to be distinguished from children with non-ASD psychiatric conditions on every factor except the Connection with Caregiver factor. In addition, children with non-ASD developmental and/or psychiatric conditions could be distinguished from typically developing children on the Connection with Caregiver factor and the Social Approach/Interest factor. These findings have implications for screening and intervention for children with ASDs and non-ASD psychiatric conditions.
社交互动能力缺陷是与自闭症谱系障碍(ASD)及未特定的广泛性发育障碍(PDD-NOS)相关的核心缺陷。这些缺陷在儿童早期就会出现,因此筛查社交互动缺陷以及针对提高该领域能力的干预措施对于早期识别和干预非常重要。鉴于社交互动存在缺陷的自闭症谱系障碍儿童的短期和长期预后较差,筛查和早期干预工作尤为重要。社交互动筛查量表(SSI)是一种经过充分验证的筛查工具,它采用发展性方法来评估儿童的社交互动能力。本研究确定了SSI所测量的四个潜在因素,即与照顾者的联系、互动/想象力、社交接近度/兴趣和随和的天性。利用这些得出的因素对自闭症(AD)、PDD-NOS儿童组、非ASD发育和/或精神疾病儿童组以及正常发育儿童的社交互动概况进行比较。结果表明,自闭症儿童和PDD-NOS儿童具有相似的社交互动概况,但在每个因素上都能与正常发育儿童区分开来,并且在除与照顾者的联系这一因素外的每个因素上都能与非ASD精神疾病儿童区分开来。此外,非ASD发育和/或精神疾病儿童在与照顾者的联系因素和社交接近度/兴趣因素上能与正常发育儿童区分开来。这些发现对自闭症儿童和非ASD精神疾病儿童的筛查和干预具有启示意义。