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自闭症谱系障碍的大龄儿童/青少年和成年人的长期记忆。

Long-term memory in older children/adolescents and adults with autism spectrum disorder.

机构信息

Department of Speech-Language Pathology, Duquesne University, Pittsburgh, Pennsylvania.

Departments of Psychiatry and Neurology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

出版信息

Autism Res. 2017 Sep;10(9):1523-1532. doi: 10.1002/aur.1801. Epub 2017 Apr 27.

Abstract

This study extends prior memory reports in autism spectrum disorders (ASD) by investigating memory for narratives after longer recall periods and by examining developmental aspects of narrative memory using a cross-sectional design. Forty-seven older children/adolescents with ASD and 31 youth with typical development (TD) and 39 adults with ASD and 45 TD adults were compared on memory for stories from standardized measures appropriate for each age group at three intervals (immediate, 30 min, and 2 day). Both the youth with and without ASD had difficulty with memory for story details with increasing time intervals. More of the youths with ASD performed in the range of impairment when recalling the stories 2 days later as compared to the TD group. The adults with ASD had more difficulty on memory for story details with increasing delay and were poorer at recall of thematic information (needed to create a gist) across the three delay conditions as compared to the TD group. Analyses of the individual results suggested that memory for details of most of the adults with ASD was not impaired when applying a clinical standard; however, a significant percentage of the adults with ASD did not make use of thematic information to organize the narrative information, which would have helped them to remember the stories. The youth with and without ASD performed similarly when both were at a stage of development when memory for details is the primary strategy. The adults with ASD had difficulty with use organizational strategies to support episodic memory. Autism Res 2017, 10: 1523-1532. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.

摘要

本研究通过调查更长回忆时间后的叙事记忆,以及使用横断面设计研究叙事记忆的发展方面,扩展了自闭症谱系障碍(ASD)中的先前记忆报告。47 名年龄较大的 ASD 儿童/青少年、31 名发育正常的青少年(TD)和 39 名 ASD 成人和 45 名 TD 成人在三个时间间隔(即时、30 分钟和 2 天)对来自适合每个年龄组的标准测量的故事记忆进行了比较。患有 ASD 的青年人和没有 ASD 的青年人在回忆故事细节时都随着时间间隔的增加而出现记忆困难。与 TD 组相比,更多的 ASD 青少年在 2 天后回忆故事时表现出损伤范围。随着延迟时间的增加,患有 ASD 的成年人在记忆故事细节方面的难度更大,并且在三个延迟条件下回忆主题信息(需要创建概要)的能力更差,而与 TD 组相比。对个体结果的分析表明,当应用临床标准时,大多数 ASD 成年人的细节记忆没有受到损害;然而,相当一部分 ASD 成年人没有利用主题信息来组织叙事信息,这将帮助他们记住故事。患有 ASD 的青少年和没有 ASD 的青少年在细节记忆是主要策略的发展阶段表现相似。患有 ASD 的成年人在使用组织策略来支持情景记忆方面存在困难。自闭症研究 2017, 10: 1523-1532。©2017 国际自闭症研究协会,Wiley 期刊,公司。

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