Carter Leno Virginia, Charman Tony, Pickles Andrew, Jones Catherine R G, Baird Gillian, Happé Francesca, Simonoff Emily
Virginia Carter Leno, BSc, MSc, Department of Child and Adolescent Psychiatry, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London; Tony Charman, PhD, Department of Psychology, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London; Andrew Pickles, PhD, Department of Biostatistics, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London; Catherine R. G. Jones, PhD, School of Psychology, Cardiff University, Cardiff; Gillian Baird, FRCPCH, Guy's & St Thomas' NHS Foundation Trust, Newcomen Centre, London; Francesca Happé, PhD, MRC SDGP Centre, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London; Emily Simonoff, MD, FRCPsych, Department of Child and Adolescent Psychiatry, King's College London, Institute of Psychiatry, Psychology & Neuroscience and NIHR Biomedical Research Centre for Mental Health, London, UK
Virginia Carter Leno, BSc, MSc, Department of Child and Adolescent Psychiatry, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London; Tony Charman, PhD, Department of Psychology, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London; Andrew Pickles, PhD, Department of Biostatistics, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London; Catherine R. G. Jones, PhD, School of Psychology, Cardiff University, Cardiff; Gillian Baird, FRCPCH, Guy's & St Thomas' NHS Foundation Trust, Newcomen Centre, London; Francesca Happé, PhD, MRC SDGP Centre, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London; Emily Simonoff, MD, FRCPsych, Department of Child and Adolescent Psychiatry, King's College London, Institute of Psychiatry, Psychology & Neuroscience and NIHR Biomedical Research Centre for Mental Health, London, UK.
Br J Psychiatry. 2015 Nov;207(5):392-9. doi: 10.1192/bjp.bp.114.159863. Epub 2015 Sep 17.
People with callous-unemotional traits and also those with autism spectrum disorder (ASD) display sociocognitive difficulties. However, the frequency and neurocognitive correlates of callous-unemotional traits within individuals with ASD are unknown.
To determine the prevalence of callous-unemotional traits in individuals with ASD and test their association with behavioural and cognitive measures.
Parents of 92 adolescents with ASD completed the Antisocial Processes Screening Device (APSD) for callous-unemotional traits. Adolescents participated in tasks of emotion recognition, theory of mind and cognitive flexibility.
In total 51% (n = 47) scored above a cut-off expected to identify the top 6% on the APSD. Of these 17% (n = 8) had concurrent conduct problems. Regression analyses found callous-unemotional traits were associated with specific impairment in fear recognition but not with theory of mind or cognitive flexibility.
Adolescents with ASD show high rates of callous-unemotional traits but, unlike in the general population, these are not strongly associated with conduct problems. The relationship of callous-unemotional traits to impairments in fear recognition suggests similar affective difficulties as in individuals with callous-unemotional traits without ASD.
具有冷漠无情特质的人以及患有自闭症谱系障碍(ASD)的人都存在社会认知困难。然而,ASD患者中冷漠无情特质的频率及其神经认知相关性尚不清楚。
确定ASD患者中冷漠无情特质的患病率,并测试其与行为和认知指标的关联。
92名ASD青少年的父母完成了用于评估冷漠无情特质的反社会过程筛查工具(APSD)。青少年参与了情绪识别、心理理论和认知灵活性任务。
共有51%(n = 47)的人在APSD上的得分高于预期能识别前6%人群的临界值。其中17%(n = 8)同时存在品行问题。回归分析发现,冷漠无情特质与恐惧识别方面的特定损伤有关,但与心理理论或认知灵活性无关。
ASD青少年中冷漠无情特质的发生率很高,但与一般人群不同的是,这些特质与品行问题没有密切关联。冷漠无情特质与恐惧识别损伤之间的关系表明,其情感困难与没有ASD的冷漠无情特质个体类似。