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自闭症诊断时的智力评估:不可能完成的任务?自闭症学龄前儿童的可测试性和认知特征。

Assessing intelligence at autism diagnosis: mission impossible? Testability and cognitive profile of autistic preschoolers.

机构信息

Autism Research Group, CIUSSS du Nord-de-l'ïle-de-Montréal, 7070 boulevard Perras, Montreal, QC, H1E 1A4, Canada.

Psychology Department, Université du Québec à Montréal, C.P. 8888 succursale Centre-ville, Montreal, H3C 3P8, Canada.

出版信息

J Autism Dev Disord. 2019 Mar;49(3):845-856. doi: 10.1007/s10803-018-3786-4.

DOI:10.1007/s10803-018-3786-4
PMID:30361939
Abstract

Intelligence in minimally verbal children on the autism spectrum (AS) is at risk of being underestimated. The present study investigated testability and cognitive profile of preschool autistic children using conventional tools and strength-informed tools. Fifty-two AS children and fifty-four typical children matched on age (31-77 months) were assessed. Testability increased with age in both groups, was generally lower in AS children, but not related to their test performance. Typical children performed significantly better than AS children on conventional tools, but performance of both groups was similar on strength-informed tools. Differences of performance across tests were much greater in the AS group. These results emphasize the heterogenous, yet characteristic, cognitive profile in preschool children, and introduce the usefulness of flexible testing.

摘要

自闭症谱系障碍(AS)儿童的语言能力有限,其智力可能会被低估。本研究使用传统工具和基于优势的工具,调查了学龄前自闭症儿童的可测试性和认知特征。对 52 名 AS 儿童和 54 名年龄匹配(31-77 个月)的典型儿童进行了评估。两个组的可测试性都随年龄增长而增加,AS 儿童的可测试性通常较低,但与他们的测试表现无关。典型儿童在传统工具上的表现明显优于 AS 儿童,但两组在基于优势的工具上的表现相似。在 AS 组中,不同测试之间的表现差异要大得多。这些结果强调了学龄前儿童存在异质但特征明显的认知特征,并介绍了灵活测试的有用性。

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Editorial Perspective: The use of person-first language in scholarly writing may accentuate stigma.编辑观点:在学术写作中使用“人在先”语言可能会加剧污名化。
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Discrepancy between WISC-III and WISC-IV Cognitive Profile in Autism Spectrum: What Does It Reveal about Autistic Cognition?自闭症谱系中韦氏儿童智力量表第三版(WISC-III)与韦氏儿童智力量表第四版(WISC-IV)认知剖面图的差异:它揭示了关于自闭症认知的哪些信息?
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Copy-number variants and polygenic risk for intelligence confer risk for autism spectrum disorder irrespective of their effects on cognitive ability.拷贝数变异和智力的多基因风险会增加自闭症谱系障碍的风险,无论它们对认知能力的影响如何。
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Examine sex differences in autism spectrum disorder in school-aged children and adolescents with fluent language.研究语言流畅的学龄儿童和青少年自闭症谱系障碍中的性别差异。
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