Ratto Allison B, Anthony Bruno J, Kenworthy Lauren, Armour Anna Chelsea, Dudley Katerina, Anthony Laura Gutermuth
Center for Autism Spectrum Disorders, Center for Neuroscience Research, Children's Research Institute, Children's National Health System, George Washington University School of Medicine, 15245 Shady Grove Rd., Suite 350, Rockville, MD, 20850, USA.
Center for Child and Human Development, Georgetown University, Box 571485, Washington, DC, 20057-1485, USA.
J Autism Dev Disord. 2016 Mar;46(3):773-81. doi: 10.1007/s10803-015-2614-3.
There is a lack of research examining differences in functioning in autism spectrum disorder (ASD) across ethnicity, particularly among those without intellectual disability (ID). This study investigated ethnic differences in parent-reported impairment in executive function, adaptive behavior, and social-emotional functioning. White and Black youth (n = 64; ages 6-17) with ASD without ID were compared on each of these domains. Black youth had significantly lower levels of impairment on all three domains. Findings may reflect better daily functioning among Black youth with ASD and/or cultural differences in parent response to questionnaires. Regardless, these findings raise concern about the sensitivity of commonly used measures for Black children with ASD and the impact of culture on daily functioning and symptom manifestation.
目前缺乏针对自闭症谱系障碍（ASD）患者在不同种族间功能差异的研究，尤其是在那些没有智力障碍（ID）的患者中。本研究调查了家长报告的执行功能、适应性行为和社会情感功能损伤方面的种族差异。对64名年龄在6至17岁、没有智力障碍的自闭症谱系障碍白人和黑人青少年在这些领域进行了比较。黑人青少年在所有三个领域的损伤水平显著较低。研究结果可能反映出患有自闭症谱系障碍的黑人青少年日常功能更好和/或家长对问卷反应的文化差异。无论如何，这些发现引发了对常用测量方法对患有自闭症谱系障碍的黑人儿童的敏感性以及文化对日常功能和症状表现的影响的关注。
