1 Department of Psychiatry at the School of Medicine, Ireland.
2 Trinity College Institute of Neuroscience, Trinity College Dublin, Ireland.
Autism. 2019 Oct;23(7):1793-1804. doi: 10.1177/1362361318815639. Epub 2019 Mar 1.
Autism spectrum disorder is characterized by difficulties with social communication, with a preponderance in males. Evidence supports a relationship between metacognitive executive functions (e.g. planning, working memory) and social communication in autism spectrum disorder, yet relationships with specific metacognitive executive functions and how gender alters the expression of these relationships require further study. We used multiple regression to examine relationships between informant-based measures of metacognitive executive function and social communication in intellectually able (IQ ⩾ 85) female ( = 111; mean age = 10.2 ± 2.8; 31 autism spectrum disorder) and male youth ( = 310; mean age = 10.5 ± 1.9; 146 autism spectrum disorder) with and without autism spectrum disorder from the Autism Brain Imaging Data Exchange-II database. Executive function-social communication relationships were different in females and males with autism spectrum disorder. Relationships between the entire metacognitive index and social communication were stronger in males with autism spectrum disorder than without; this pattern was also observed for metacognitive sub-indices 'monitor' and 'working memory'. These patterns were not observed in females. Relationships between executive function and social communication appear different for female and male youth with an autism spectrum disorder diagnosis. To better understand the nature of metacognitive contributions to social communication in autism spectrum disorder, future work should investigate the co-development of monitoring, working memory and social communication, while taking gender into account.
自闭症谱系障碍的特征是社交沟通困难,男性居多。有证据表明,元认知执行功能(例如计划、工作记忆)与自闭症谱系障碍的社交沟通之间存在关系,但与特定的元认知执行功能的关系以及性别如何改变这些关系的表达仍需要进一步研究。我们使用多元回归分析了自闭症谱系障碍(ASD)患者和非 ASD 患者的认知能力正常(智商≥85)的女性(n=111;平均年龄 10.2±2.8;31 名自闭症谱系障碍)和男性青少年(n=310;平均年龄 10.5±1.9;146 名自闭症谱系障碍)中基于知情者的元认知执行功能和社交沟通测量值之间的关系。来自 Autism Brain Imaging Data Exchange-II 数据库。自闭症谱系障碍患者中,女性和男性的执行功能-社交沟通关系不同。自闭症谱系障碍男性的整体元认知指数与社交沟通之间的关系强于女性;这种模式也适用于元认知子指数“监控”和“工作记忆”。女性则没有观察到这种模式。自闭症谱系障碍诊断的女性和男性青少年的执行功能与社交沟通之间的关系似乎不同。为了更好地理解元认知对自闭症谱系障碍中社交沟通的影响,未来的工作应该在考虑性别的同时,研究监控、工作记忆和社交沟通的共同发展。