用发育商数评估自闭症谱系障碍患者的智力。

Developmental quotient to estimate intelligence in autism spectrum disorder.

作者信息

Kawabe Kentaro, Kondo Shizuka, Matsumoto Miki, Seo Kanae, Ochi Marina, Oka Yasunori, Horiuchi Fumie, Ueno Shu-Ichi

机构信息

Department of Neuropsychiatry, Ehime University Graduate School of Medicine, Shitsukawa, Toon City, Ehime, Japan.

Center for Child Health, Behavior and Development, Ehime University Hospital, Toon City, Ehime, Japan.

出版信息

Pediatr Int. 2016 Oct;58(10):963-966. doi: 10.1111/ped.12969. Epub 2016 Jun 21.

DOI:10.1111/ped.12969

PMID:26933939

Abstract

BACKGROUND

Autism spectrum disorders (ASD) are characterized by persistent deficits in social communication and social interaction across contexts, and are associated with restricted patterns of behavior. The developmental quotient (DQ) is based on the developmental age and chronological age of children. This study investigated the utility of the DQ to estimate cognitive ability in young children with ASD.

METHODS

The DQ and intelligence quotient (IQ) were assessed using the Kyoto Scale of Psychological Development 2001 (KSPD) and Wechsler Intelligence Scale for Children-III (WISC-III), respectively. The correlation between the DQ and IQ was then analyzed among children with ASD.

RESULTS

We enrolled 18 children with ASD (16 boys, two girls; age, 63.6 ± 9.4 months; age range, 45-83 months). Overall, Cognitive-Adaptive and Language-Social DQ scores were significantly correlated with IQ score in the full scale, verbal, and performance domains. Full-scale IQ and overall DQ had a linear correlation (y = -22.747 + 1.177x, R = 0.677, R = 0.823).

CONCLUSIONS

The DQ scores obtained using the KSPD were a reasonable estimate of cognitive ability in children with ASD. The KSPD may be a useful alternative to the WISC-III for young children with ASD and could facilitate earlier assessment.

摘要

背景

自闭症谱系障碍（ASD）的特征是在各种情境下社交沟通和社交互动持续存在缺陷，并伴有行为模式受限。发育商（DQ）基于儿童的发育年龄和实际年龄。本研究调查了DQ在评估ASD幼儿认知能力方面的效用。

方法

分别使用2001年京都心理发展量表（KSPD）和韦氏儿童智力量表第三版（WISC-III）评估DQ和智商（IQ）。然后分析ASD儿童中DQ与IQ之间的相关性。

结果

我们纳入了18名ASD儿童（16名男孩，2名女孩；年龄，63.6±9.4个月；年龄范围，45 - 83个月）。总体而言，认知适应和语言社交DQ分数在全量表、言语和操作领域与IQ分数显著相关。全量表IQ和总体DQ呈线性相关（y = -22.747 + 1.177x，R = 0.677，R² = 0.823）。