Frost Kyle M, Hong Natalie, Lord Catherine
Kyle M. Frost, Natalie Hong, and Catherine Lord, Weill Cornell Medicine.
Am J Intellect Dev Disabil. 2017 Jan;122(1):1-10. doi: 10.1352/1944-7558-122.1.1.
Individuals with autism spectrum disorder (ASD) tend to have significant delays in adaptive functioning. In this study, the relationship between adaptive behavior and ASD symptomatology was investigated in minimally verbal, school-aged children with ASD (n = 333). Both the social affect (SA) and restricted and repetitive behavior (RRB) domains from the Autism Diagnostic Observation Schedule (ADOS) were analyzed in relation to adaptive skills. ADOS SA scores contributed unique variance to scores in each Vineland domain, though cognitive ability and age accounted for considerably more variance across domains. Results indicate that there is a significant, but small, association between social affect deficits and adaptive skills, challenging clinicians, educators, and caregivers to target adaptive skills in addition to more specific features of ASD.
患有自闭症谱系障碍（ASD）的个体在适应性功能方面往往存在显著延迟。在本研究中，对333名低语言能力、学龄期ASD儿童的适应性行为与ASD症状学之间的关系进行了调查。针对适应性技能，分析了来自自闭症诊断观察量表（ADOS）的社会情感（SA）和局限与重复行为（RRB）两个领域。尽管认知能力和年龄在各领域中占的方差更多，但ADOS的SA分数在每个文兰量表领域的分数中都贡献了独特的方差。结果表明，社会情感缺陷与适应性技能之间存在显著但微弱的关联，这对临床医生、教育工作者和照顾者提出了挑战，即除了关注ASD的更具体特征外，还要关注适应性技能。
