Robinson Sally, Howlin Patricia, Russell Ailsa
1 Evelina London Children's Hospital, UK.
2 King's College London, UK.
Autism. 2017 Apr;21(3):357-367. doi: 10.1177/1362361316645429. Epub 2016 Jul 9.
The relationship between dissociable components of autobiographical memory (e.g. semantic personality traits and episodic memory retrieval) and other cognitive skills that are proposed to enable one to develop a sense of self (e.g. introspection) have not previously been explored for children with autism spectrum disorder. This study compared autobiographical memory (semantic and episodic) and knowledge of self (internal/external self-knowledge and introspection/mentalising abilities) in children (aged 11-18 years) with high-functioning autism spectrum disorder and typically developing controls (total N = 48). Novel and standard tasks were employed. Compared to typically developing controls, young people with autism spectrum disorder had autobiographical memory difficulties that were characterised by a reduction in the retrieval of semantic personality traits, with more initial prompts required to facilitate episodic memory retrieval and fewer episodic memories containing emotional and sensory information. Knowledge of the self and others was also impaired, with reduced introspection and poorer mentalising abilities. Young people with autism spectrum disorder were also identified as presenting with an atypical relationship between autobiographical memory and self-knowledge, which was significantly different from typically developing controls. Test performance is discussed in relation to the functions of autobiographical memory, with consideration of how these cognitive difficulties may contribute to clinical practices and the social and behavioural characteristics of autism spectrum disorder.
自闭症谱系障碍儿童的自传体记忆可分离成分(如语义性人格特质和情景记忆提取)与其他被认为能使人形成自我意识的认知技能(如内省)之间的关系,此前尚未得到研究。本研究比较了高功能自闭症谱系障碍儿童(11 - 18岁)和发育正常的对照组儿童(共48名)的自传体记忆(语义性和情景性)以及自我认知(内部/外部自我认知和内省/心理理论能力)。采用了新颖和标准的任务。与发育正常的对照组相比,自闭症谱系障碍青少年存在自传体记忆困难,其特征是语义性人格特质的提取减少,情景记忆提取需要更多的初始提示,且包含情感和感官信息的情景记忆较少。自我和他人的认知也受损,内省减少,心理理论能力较差。自闭症谱系障碍青少年还表现出自传体记忆与自我认知之间的非典型关系,这与发育正常的对照组有显著差异。结合自传体记忆的功能对测试表现进行了讨论,并考虑了这些认知困难如何可能影响临床实践以及自闭症谱系障碍的社会和行为特征。