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自闭症谱系障碍中极轻度语言儿童受限和重复行为的短期轨迹。

Short-term trajectories of restricted and repetitive behaviors in minimally verbal children with autism spectrum disorder.

机构信息

Allied Health Sciences, Carr Mill Mall, University of North Carolina at Chapel Hill, Carrboro, North Carolina, USA.

Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, California, USA.

出版信息

Autism Res. 2021 Aug;14(8):1789-1799. doi: 10.1002/aur.2528. Epub 2021 May 7.

Abstract

Very little is known about the 30% of children with Autism Spectrum Disorder (ASD) who remain minimally verbal when they enter school. Restricted and repetitive behaviors (RRBs) are well-characterized in younger, preschool, and toddler samples. However, the prevalence and impact of RRBs has not been characterized in older, minimally verbal children. The goal of this study was to characterize this core diagnostic feature in minimally verbal children with ASD ages 5-8 years over a 9-month period to better understand how these behaviors manifest in this crucially understudied population. RRBs were coded from caregiver-child interactions (CCX) at four timepoints. Upon entry into the study, children demonstrated an average of 17 RRBs during a 10-min CCX. The most common category was Verbal. RRBs remained constant over 6 months; however, a slight reduction was observed at the final timepoint. Compared to prior literature on younger samples, minimally verbal children with ASD demonstrated higher rates of RRBs and higher rates of verbal RRBs. Further work is required to understand the function and impact of RRBs in minimally verbal children. LAY ABSTRACT: Approximately one-third of children with autism spectrum disorder (ASD) remain minimally verbal at the time of school entry. In this study, we sought to characterize the presence of restricted and repetitive behaviors (RRBs) in school-aged children (5-8) who were minimally verbal. Compared to prior studies, minimally verbal children with ASD had higher frequencies of RRBs and demonstrated a different profile of behaviors, including more verbal RRBs.

摘要

大约三分之一的自闭症谱系障碍(ASD)儿童在入学时仍保持轻度语言能力。在这项研究中,我们试图描述语言能力轻度受损的学龄儿童(5-8 岁)的限制和重复行为(RRB)的特征。与之前的研究相比,患有 ASD 的语言能力轻度受损的儿童的 RRB 发生频率更高,表现出不同的行为模式,包括更多的语言 RRB。

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