Suppr超能文献

自闭症谱系障碍幼儿的情绪表达能力。

Emotional Expressivity in Toddlers With Autism Spectrum Disorder.

机构信息

Yale Child Study Center, New Haven, CT.

Yale Child Study Center, New Haven, CT.

出版信息

J Am Acad Child Adolesc Psychiatry. 2018 Nov;57(11):828-836.e2. doi: 10.1016/j.jaac.2018.07.872. Epub 2018 Aug 29.

Abstract

OBJECTIVE

There is a prevailing notion that children with autism spectrum disorder (ASD) exhibit intense negative and attenuated positive emotions, although the empirical evidence regarding their emotional expressiveness (EE) is limited. Given the importance of emotions in shaping social and cognitive development, we examined intensity and valence of EE and links between EE and autism severity and parent-reported temperament in ASD.

METHOD

Toddlers (aged 21.2 months) with ASD (n = 43), developmental delay (DD, n = 16), and typical development (TD, n = 40) underwent standardized probes designed to induce anger, joy, and fear. Intensity of EE through facial and vocal channels were coded offline. Autism severity and temperament were quantified using the Autism Diagnostic Observation Schedule-2 (ADOS-2) and Early Childhood Behavior Questionnaire (ECBQ).

RESULTS

The ASD group exhibited less intense fear compared to both the DD and TD groups, more intense anger than DD but not TD, with no differences in joy intensity. All groups showed similar levels of incongruous negative EE. Intensity of fear and anger were not associated with severity of autism symptoms, but lower intensity of joy was related to greater autism severity. Expressed fear and joy were associated with temperament.

CONCLUSION

The study provides no support for a negative emotionality bias in ASD. Instead, toddlers with ASD display a muted response to threat and an accentuated response to goal blockage, whereas the ability to express positive emotions appears intact. Negative emotionality and social disability dimensions are independent. The study demonstrates the complexity of EE in ASD and motivates investigations into underlying mechanisms as well as its role in shaping complex phenotypes of affected children.

摘要

目的

有一种普遍的观点认为,自闭症谱系障碍(ASD)儿童表现出强烈的负面情绪和减弱的正面情绪,尽管关于他们情绪表达(EE)的实证证据有限。鉴于情绪在塑造社交和认知发展方面的重要性,我们研究了 ASD 儿童 EE 的强度和效价,以及 EE 与自闭症严重程度和家长报告的气质之间的关系。

方法

21.2 个月大的自闭症儿童(n=43)、发育迟缓儿童(n=16)和典型发育儿童(n=40)接受了旨在诱发愤怒、喜悦和恐惧的标准化探针。离线编码通过面部和声音通道的 EE 强度。使用自闭症诊断观察量表-2(ADOS-2)和幼儿行为问卷(ECBQ)量化自闭症严重程度和气质。

结果

与 DD 和 TD 组相比,ASD 组表现出较弱的恐惧强度,比 DD 组表现出更强的愤怒强度,但与 TD 组没有差异,喜悦强度没有差异。所有组都表现出类似水平的不协调的负面 EE。恐惧和愤怒的强度与自闭症症状的严重程度无关,但喜悦的强度较低与自闭症严重程度较大有关。表达的恐惧和喜悦与气质有关。

结论

该研究不支持 ASD 中的负性情绪偏向。相反,ASD 儿童对威胁的反应迟钝,对目标受阻的反应强烈,而表达积极情绪的能力似乎完好无损。负性情绪和社交障碍维度是独立的。该研究展示了 ASD 中 EE 的复杂性,并促使人们对潜在机制及其在塑造受影响儿童复杂表型中的作用进行研究。

相似文献

1
Emotional Expressivity in Toddlers With Autism Spectrum Disorder.
J Am Acad Child Adolesc Psychiatry. 2018 Nov;57(11):828-836.e2. doi: 10.1016/j.jaac.2018.07.872. Epub 2018 Aug 29.
2
Temperamental markers in toddlers with autism spectrum disorder.
J Child Psychol Psychiatry. 2017 Jul;58(7):819-828. doi: 10.1111/jcpp.12710. Epub 2017 Mar 20.
4
Atypical Emotional Electrodermal Activity in Toddlers with Autism Spectrum Disorder.
Autism Res. 2020 Sep;13(9):1476-1488. doi: 10.1002/aur.2374. Epub 2020 Sep 8.
5
Attend Less, Fear More: Elevated Distress to Social Threat in Toddlers With Autism Spectrum Disorder.
Autism Res. 2021 May;14(5):1025-1036. doi: 10.1002/aur.2448. Epub 2020 Dec 7.
6
Mothering, fathering, and the regulation of negative and positive emotions in high-functioning preschoolers with autism spectrum disorder.
J Child Psychol Psychiatry. 2015 May;56(5):530-9. doi: 10.1111/jcpp.12311. Epub 2014 Aug 14.
8
Temperament and its Association with Autism Symptoms in a High-risk Population.
J Abnorm Child Psychol. 2016 May;44(4):757-69. doi: 10.1007/s10802-015-0064-1.
10
Attachment and child behaviour and emotional problems in autism spectrum disorder with intellectual disability.
J Appl Res Intellect Disabil. 2020 May;33(3):475-487. doi: 10.1111/jar.12689. Epub 2019 Nov 19.

引用本文的文献

1
Sex-Related Measurement Bias in Autism Spectrum Disorder Symptoms in the Baby Siblings Research Consortium.
JAMA Netw Open. 2025 Aug 1;8(8):e2525887. doi: 10.1001/jamanetworkopen.2025.25887.
2
Positive emotional valence in spontaneous facial expressions of autistic adolescents.
Sci Rep. 2025 May 2;15(1):15341. doi: 10.1038/s41598-025-97701-0.
3
Dialectical Behavior Therapy in Autism.
Curr Psychiatry Rep. 2025 May;27(5):307-318. doi: 10.1007/s11920-025-01596-7. Epub 2025 Mar 6.
5
Dysregulation Profile in Preschoolers with Autism Spectrum Disorder: An Italian Multi-Center Perspective.
Children (Basel). 2024 Nov 30;11(12):1474. doi: 10.3390/children11121474.
6
Cognitive behavioral phenotyping of DSCAM heterozygosity as a model for autism spectrum disorder.
Genes Brain Behav. 2024 Oct;23(5):e70002. doi: 10.1111/gbb.70002.
9
The correlation between brain structure characteristics and emotion regulation ability in children at high risk of autism spectrum disorder.
Eur Child Adolesc Psychiatry. 2024 Sep;33(9):3247-3262. doi: 10.1007/s00787-024-02369-y. Epub 2024 Feb 24.
10
Valence and Intensity of Emotional Expression in Autistic and Non-Autistic Toddlers.
J Autism Dev Disord. 2025 Mar;55(3):832-842. doi: 10.1007/s10803-024-06268-8. Epub 2024 Feb 3.

本文引用的文献

1
Atypical Amygdala Response to Fear Conditioning in Autism Spectrum Disorder.
Biol Psychiatry Cogn Neurosci Neuroimaging. 2016 Jul;1(4):308-315. doi: 10.1016/j.bpsc.2016.01.008. Epub 2016 Feb 11.
2
Negative Valence in Autism Spectrum Disorder: The Relationship Between Amygdala Activity, Selective Attention, and Co-occurring Anxiety.
Biol Psychiatry Cogn Neurosci Neuroimaging. 2017 Sep;2(6):510-517. doi: 10.1016/j.bpsc.2017.03.009. Epub 2017 Mar 22.
3
Impaired Value Learning for Faces in Preschoolers With Autism Spectrum Disorder.
J Am Acad Child Adolesc Psychiatry. 2018 Jan;57(1):33-40. doi: 10.1016/j.jaac.2017.10.014. Epub 2017 Nov 6.
7
Temperamental markers in toddlers with autism spectrum disorder.
J Child Psychol Psychiatry. 2017 Jul;58(7):819-828. doi: 10.1111/jcpp.12710. Epub 2017 Mar 20.
8
Expressive Incoherence and Alexithymia in Autism Spectrum Disorder.
J Autism Dev Disord. 2017 Jun;47(6):1659-1672. doi: 10.1007/s10803-017-3073-9.
10
Examining the phenotypic heterogeneity of early autism spectrum disorder: subtypes and short-term outcomes.
J Child Psychol Psychiatry. 2016 Jan;57(1):93-102. doi: 10.1111/jcpp.12448. Epub 2015 Aug 12.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验