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儿童自闭症谱系障碍和发育性协调障碍中的感觉和运动差异:一项跨综合征研究。

Sensory and motor differences in Autism Spectrum Conditions and developmental coordination disorder in children: A cross-syndrome study.

作者信息

Hannant Penny, Cassidy Sarah, Van de Weyer Rosaline, Mooncey Sophia

机构信息

Centre for Innovative Research Across the Life Course, Coventry University, UK.

School of Psychology, University of Nottingham, UK.

出版信息

Hum Mov Sci. 2018 Apr;58:108-118. doi: 10.1016/j.humov.2018.01.010. Epub 2018 Mar 12.

DOI:10.1016/j.humov.2018.01.010
PMID:29408162
Abstract

Recent research has shown that Developmental coordination disorder (DCD) can present with some similar symptomology as Autism Spectrum Conditions (ASC). This paper therefore explored the similarities and differences in coordination and sensory responsivity between DCD and ASC. 77 children took part: 42 (35 male, 7 female) with ASC (ages 7-21: mean age 12.23 years), 26 (19 male, 7 female) with DCD (ages 7-21; mean age 11.07 years) and 9 (2 male, 7 female) with ASC and DCD (ages 8-15; mean age 12.27). All groups completed a battery of validated parent report measures online that included motor coordination (DCDQ), sensory responsivity (SPC-R) and social communication measures (AQ). Results showed no significant differences in coordination, and some significant differences in sensory responsivity between ASC and DCD (increased visual and auditory responsivity and decreased proprioception). Exploratory analysis showed that these differences showed good validity in identifying the diagnosis of ASC and DCD. These results elucidate the underlying causes of motor coordination difficulties in both conditions. Specifically, ASC coordination difficulties appear linked to visual processing impairments, whilst DCD coordination difficulties appear to be linked to spatial processing. This may aid better diagnosis and intervention for these conditions.

摘要

近期研究表明,发育性协调障碍(DCD)可能呈现出与自闭症谱系障碍(ASC)一些相似的症状。因此,本文探讨了DCD和ASC在协调能力和感觉反应方面的异同。77名儿童参与了研究:42名(35名男性,7名女性)患有ASC(年龄7 - 21岁:平均年龄12.23岁),26名(19名男性,7名女性)患有DCD(年龄7 - 21岁;平均年龄11.07岁),9名(2名男性,7名女性)同时患有ASC和DCD(年龄8 - 15岁;平均年龄12.27岁)。所有组均在线完成了一系列经过验证的家长报告测量,包括运动协调(DCDQ)、感觉反应(SPC - R)和社交沟通测量(AQ)。结果显示,ASC和DCD在协调能力方面无显著差异,而在感觉反应方面存在一些显著差异(视觉和听觉反应增加,本体感觉下降)。探索性分析表明,这些差异在识别ASC和DCD诊断方面具有良好的效度。这些结果阐明了两种情况下运动协调困难的潜在原因。具体而言,ASC的协调困难似乎与视觉加工障碍有关,而DCD的协调困难似乎与空间加工有关。这可能有助于对这些疾病进行更好的诊断和干预。

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