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高功能男性婴儿自闭症残留状态的神经心理学研究结果

Neuropsychological findings in high-functioning men with infantile autism, residual state.

作者信息

Rumsey J M, Hamburger S D

机构信息

Child Psychiatry Branch, National Institute of Mental Health, Bethesda, MD 20892.

出版信息

J Clin Exp Neuropsychol. 1988 Mar;10(2):201-21. doi: 10.1080/01688638808408236.

Abstract

Ten men (ages 18-39) with clear histories of Infantile autism and approximately average verbal and nonverbal intelligence were studied with a comprehensive battery of neuropsychological tests. Comparisons with 10 matched normal controls showed no significant differences in many visuoperceptual or memory skills or in sensory-perceptual or motor skills or their lateralization. Differences seen on language measures were small, but statistically significant. In contrast to this, the autistic group demonstrated dramatic deficits on simple and complex, verbal and nonverbal problem-solving tasks, such as the Wisconsin Card Sorting Test, selected tasks from the Stanford-Binet, and the Trail Making Test. A left-hemisphere hypothesis of autism was not supported, nor was there compelling evidence of any posterior cortical deficit. Results are compatible with frontal-system dysfunction or with more widespread pathology.

摘要

对10名有明确婴儿自闭症病史、语言和非语言智力约为平均水平的男性(年龄在18 - 39岁之间)进行了一系列全面的神经心理学测试。与10名匹配的正常对照组相比,在许多视觉感知或记忆技能、感觉感知或运动技能及其偏侧化方面没有显著差异。在语言测量方面发现的差异很小,但具有统计学意义。与此形成对比的是,自闭症组在简单和复杂的语言及非语言问题解决任务上表现出显著缺陷,如威斯康星卡片分类测试、斯坦福 - 比奈智力量表中的选定任务以及连线测验。自闭症的左半球假说未得到支持,也没有令人信服的证据表明存在任何后皮质缺陷。结果与额叶系统功能障碍或更广泛的病理情况相符。

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