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比较自闭症谱系障碍和发育性协调障碍对社交相关刺激的注意力。

Comparing Attention to Socially-Relevant Stimuli in Autism Spectrum Disorder and Developmental Coordination Disorder.

机构信息

Department of Psychology and Human Development, UCL Institute of Education, University College London, 25 Woburn Square, London, WC1H 0AA, UK.

School of Psychology, University of Surrey, Guildford, UK.

出版信息

J Abnorm Child Psychol. 2018 Nov;46(8):1717-1729. doi: 10.1007/s10802-017-0393-3.

Abstract

Difficulties with social interaction have been reported in both children with an autism spectrum disorder (ASD) and children with developmental coordination disorder (DCD), although these disorders have very different diagnostic characteristics. To date, assessment of social skills in a DCD population has been limited to paper-based assessment or parent report. The present study employed eye tracking methodology to examine how children attend to socially-relevant stimuli, comparing 28 children with DCD, 28 children with ASD and 26 typically-developing (TD) age-matched controls (aged 7-10). Eye movements were recorded while children viewed 30 images, half of which were classed as 'Individual' (one person in the scene, direct gaze) and the other half were 'Social' (more naturalistic scenes showing an interaction). Children with ASD spent significantly less time looking at the face/eye regions in the images than TD children, but children with DCD performed between the ASD and TD groups in this respect. Children with DCD demonstrated a reduced tendency to follow gaze, in comparison to the ASD group. Our findings confirm that social atypicalities are present in both ASD and to a lesser extent DCD, but follow a different pattern. Future research would benefit from considering the developmental nature of the observed findings and their implications for support.

摘要

社交互动困难在自闭症谱系障碍(ASD)儿童和发育性协调障碍(DCD)儿童中均有报道,尽管这两种疾病具有非常不同的诊断特征。迄今为止,对 DCD 人群的社交技能评估仅限于基于纸张的评估或家长报告。本研究采用眼动追踪方法来检查儿童如何关注与社会相关的刺激,比较了 28 名 DCD 儿童、28 名 ASD 儿童和 26 名典型发育(TD)年龄匹配的对照组(年龄 7-10 岁)。当儿童观看 30 张图像时记录眼动,其中一半被归类为“个体”(场景中一个人,直接注视),另一半被归类为“社交”(更自然的场景,显示互动)。与 TD 儿童相比,患有 ASD 的儿童在观看图像中的面部/眼部区域的时间明显减少,但在这方面,DCD 儿童的表现介于 ASD 和 TD 组之间。与 ASD 组相比,DCD 儿童表现出减少的跟随注视的倾向。我们的发现证实,社交异常存在于 ASD 和 DCD 中,但其表现方式不同。未来的研究将受益于考虑观察到的发现的发展性质及其对支持的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6272/6208873/73c0685ced8d/10802_2017_393_Fig1_HTML.jpg

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