Department of Human Genetics, Radboud University Medical Center Nijmegen, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.
Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands.
J Neurodev Disord. 2018 Nov 15;10(1):31. doi: 10.1186/s11689-018-9249-6.
BACKGROUND: Emotion recognition dysfunction has been reported in both autism spectrum disorders (ASD) and attention-deficit/hyperactivity disorder (ADHD). This suggests that emotion recognition is a cross-disorder trait that may be utilised to understand the heterogeneous psychopathology of ASD and ADHD. We aimed to identify emotion recognition subtypes and to examine their relation with quantitative and diagnostic measures of ASD and ADHD to gain further insight into disorder comorbidity and heterogeneity. METHODS: Factor mixture modelling was used on speed and accuracy measures of auditory and visual emotion recognition tasks. These were administered to children and adolescents with ASD (N = 89), comorbid ASD + ADHD (N = 64), their unaffected siblings (N = 122), ADHD (N = 111), their unaffected siblings (N = 69), and controls (N = 220). Identified classes were compared on diagnostic and quantitative symptom measures. RESULTS: A four-class solution was revealed, with the following emotion recognition abilities: (1) average visual, impulsive auditory; (2) average-strong visual and auditory; (3) impulsive/imprecise visual, average auditory; (4) weak visual and auditory. The weakest performing class (4) contained the highest percentage of patients (66.07%) and the lowest percentage controls (10.09%), scoring the highest on ASD/ADHD measures. The best performing class (2) demonstrated the opposite: 48.98% patients, 15.26% controls with relatively low scores on ASD/ADHD measures. CONCLUSIONS: Subgroups of youths can be identified that differ both in quantitative and qualitative aspects of emotion recognition abilities. Weak emotion recognition abilities across sensory domains are linked to an increased risk for ASD as well as ADHD, although emotion recognition impairments alone are neither necessary nor sufficient parts of these disorders.
背景:自闭症谱系障碍 (ASD) 和注意缺陷多动障碍 (ADHD) 均存在情绪识别功能障碍。这表明情绪识别是一种跨障碍特征,可用于理解 ASD 和 ADHD 的异质精神病理学。我们旨在确定情绪识别亚型,并研究其与 ASD 和 ADHD 的定量和诊断测量之间的关系,以深入了解障碍共病和异质性。
方法:使用听觉和视觉情绪识别任务的速度和准确性测量值进行因子混合模型。这些任务被用于 ASD 患儿和青少年(N=89)、ASD+ADHD 共病患儿和青少年(N=64)、其未受影响的兄弟姐妹(N=122)、ADHD 患儿和青少年(N=111)、其未受影响的兄弟姐妹(N=69)和对照组(N=220)。在诊断和定量症状测量方面对鉴定的类别进行了比较。
结果:揭示了一个四类别解决方案,具有以下情绪识别能力:(1)平均视觉,冲动听觉;(2)平均强视觉和听觉;(3)冲动/不精确视觉,平均听觉;(4)视觉和听觉较弱。表现最差的类别(4)包含最高比例的患者(66.07%)和最低比例的对照组(10.09%),在 ASD/ADHD 测量中得分最高。表现最好的类别(2)则相反:48.98%的患者,15.26%的对照组,在 ASD/ADHD 测量中得分相对较低。
结论:可以识别出在情绪识别能力的定量和定性方面存在差异的青年亚组。跨感觉域的情绪识别能力较弱与 ASD 以及 ADHD 的风险增加有关,尽管情绪识别障碍本身既不是这些障碍的必要部分,也不是充分部分。
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