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孤独症谱系障碍工作记忆损害的荟萃分析。

A Meta-Analysis of Working Memory Impairments in Autism Spectrum Disorders.

作者信息

Wang Ya, Zhang Yi-Bing, Liu Lu-Lu, Cui Ji-Fang, Wang Jing, Shum David H K, van Amelsvoort Therese, Chan Raymond C K

机构信息

Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China.

Institute of Psychology, Chinese Academy of Sciences, Beijing, China.

出版信息

Neuropsychol Rev. 2017 Mar;27(1):46-61. doi: 10.1007/s11065-016-9336-y. Epub 2017 Jan 19.

Abstract

Autism spectrum disorders (ASD) are characterized by executive dysfunction, and working memory (WM) comprises one core component of executive function. Many studies have investigated WM impairments in individuals with ASD, however, a conclusive agreement has not been reached. The present study provided a meta-analytic review of WM impairments in individuals with ASD and evaluated potential moderating variables of this problem. Twenty-eight studies were included in this study, and the participants comprised 819 individuals with ASD and 875 healthy controls. A significant WM impairment (Cohen's d = -0.61) was identified in the individuals with ASD, however, this impairment was not associated with age. Results of moderation analyses showed that (a) spatial WM was more severely impaired than verbal WM and (b) the component of cognitive processing (maintenance vs. maintenance plus manipulation) did not affect the severity of WM impairments. These findings suggest that WM is impaired in individuals with ASD and may have implications for interventions related to WM impairments in these individuals.

摘要

自闭症谱系障碍(ASD)的特征是执行功能障碍,而工作记忆(WM)是执行功能的一个核心组成部分。许多研究调查了ASD个体的工作记忆损伤情况,然而,尚未达成确凿的共识。本研究对ASD个体的工作记忆损伤进行了元分析综述,并评估了该问题的潜在调节变量。本研究纳入了28项研究,参与者包括819名ASD个体和875名健康对照。在ASD个体中发现了显著的工作记忆损伤(科恩d值 = -0.61),然而,这种损伤与年龄无关。调节分析结果表明:(a)空间工作记忆比言语工作记忆受损更严重;(b)认知加工成分(维持 vs. 维持加操作)不影响工作记忆损伤的严重程度。这些发现表明,ASD个体存在工作记忆损伤,这可能对针对这些个体工作记忆损伤的干预措施具有启示意义。

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