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自闭症谱系障碍患儿的婴幼儿同胞的积极情绪。

Positive affect in infant siblings of children diagnosed with autism spectrum disorder.

作者信息

Filliter Jillian H, Longard Julie, Lawrence Michael A, Zwaigenbaum Lonnie, Brian Jessica, Garon Nancy, Smith Isabel M, Roncadin Caroline, Roberts Wendy, Bryson Susan E

机构信息

Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada.

出版信息

J Abnorm Child Psychol. 2015 Apr;43(3):567-75. doi: 10.1007/s10802-014-9921-6.

Abstract

Research on the expression of positive affect in young children with Autism Spectrum Disorder (ASD) suggests that differences in this domain emerge late in the first year or early in the second year. However, many previous studies in this area employed retrospective research methods and global rating schemes. In the current study, the expression of positive affect was examined prospectively at ages 6, 12, and 18 months in three groups: infant siblings with ASD, infant siblings without ASD, and low-risk comparison infants. Infant siblings were the younger brothers or sisters of children diagnosed with ASD and, therefore, had a higher familial risk of ASD. The frequency and duration of smiles were coded from video excerpts from the Autism Observation Scale for Infants (Bryson, Zwaigenbaum, McDermott, Rombough, and Brian 2008), a standardized, play-based assessment of early signs of ASD. Results indicated that at 12 months, infant siblings with ASD had a lower rate of smiling than the other two groups. At 18 months, infant siblings with ASD continued to display a lower rate of smiling than infant siblings without ASD, but not comparison infants. Overall, these results indicate that infant siblings with ASD demonstrate less positive affect than infant siblings without ASD and low-risk comparison infants at 12 months. This suggests that reduced smiling may be an informative behavioural risk marker for ASD by children's first birthdays and may have implications for our understanding of atypical social development in children with ASD.

摘要

关于自闭症谱系障碍(ASD)幼儿积极情绪表达的研究表明,这一领域的差异在第一年后期或第二年早期出现。然而,该领域之前的许多研究采用了回顾性研究方法和整体评分方案。在本研究中,对三组6个月、12个月和18个月大的婴儿进行了前瞻性的积极情绪表达研究:患有ASD的婴儿兄弟姐妹、未患ASD的婴儿兄弟姐妹以及低风险对照婴儿。婴儿兄弟姐妹是被诊断患有ASD儿童的弟弟或妹妹,因此患ASD的家族风险较高。通过《婴儿自闭症观察量表》(Bryson、Zwaigenbaum、McDermott、Rombough和Brian,2008年)的视频片段对微笑的频率和持续时间进行编码,该量表是一种基于游戏的标准化ASD早期迹象评估工具。结果表明,在12个月时,患有ASD的婴儿兄弟姐妹的微笑频率低于其他两组。在18个月时,患有ASD的婴儿兄弟姐妹的微笑频率继续低于未患ASD的婴儿兄弟姐妹,但与对照婴儿没有差异。总体而言,这些结果表明,患有ASD的婴儿兄弟姐妹在12个月时表现出的积极情绪比未患ASD的婴儿兄弟姐妹和低风险对照婴儿少。这表明,到儿童一岁生日时,微笑减少可能是ASD的一个有意义的行为风险指标,可能对我们理解ASD儿童的非典型社会发展具有启示意义。

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